re: Dupuytren's Contracture - aka "Claw Hand" syndrome

The table top test mentioned earlier is the best way to see if you need to be treated for a possible contracture. Place your hand on a counter or table top. If you cannot place your palm flat, then you should see a hand surgeon.

In my experience treating Dupuytren's for many years, your likelihood of needing any intervention in your lifetime is very low as a female presumably in the 30-50 age range.

If the bump is painful during gripping activities such as tennis, a cortisone injection can usually relieve those symptoms.

Unfortunately, there are no medications that are helpful for Dupuytren's.

The nonsurgical option mentioned above and in commercials is Xiaflex. See my previous post for details about that one. I was doing the most xiaflex in the state at one point, but stopped completely due to the reasons I gave. Can't remember the last time I recommended that option.

The most cost effective method with the best long term results is needle aponeurotomy. That's where you numb the hand and use the sharp edge of the needle tip, called the bevel, to cut the cord in several places along its length through 3-4 small poke holes the size of the needle itself. Small soft dressing with an ace wrap for a few days. Then a splint at night that fits on the palm and fingers for several more weeks after that.

I have it on my left hand little finger.

It’s really scary. The info provided by Hands Team has been super helpful. I probably won’t do anything about it right now, but I have a reminder in my phone for Monday to call the Frisco Hand & Surgery Center for an appt on Monday.

I had Xiaflex injection about 6 months ago after dealing with it for about 20 years. Everything still good so far. The area was black and blue for a week at least, I joked i got bit by a venomous snake.