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What is Dupuytren contracture?

Dupuytren contracture, also known as Dupuytren disease is a condition that results in gradual and progressive thickening and shorting of tissue under the skin on the palm (the palmar fascia) and can affect how the fingers move. It can involve both hands, and usually affects the fourth and fifth fingers (the ring finger and little finger).


Dupuytren contracture
Dupuytren contracture

Why does Dupuytren contracture occur?

The cause is unknown, but it is connected to genetics. The nodules or lumps on the palm, cords under the skin and flexion contracture are the commonly observed symptoms.


what is Dupuytren’s Contracture
Dupuytren’s Contracture Anatomy

Males are three times more likely to develop the condition and it is generally more severe in males

  • Prior hand trauma

  • Manual labour with vibration tools

  • Alcoholism

  • Smoking

  • Diabetes mellitus

  • High levels of fats in the blood

  • Peyronie’s disease (a form of ED)



how to diagnose Dupuytren contracture
Ultrasound Dupuytren contracture

How do you diagnose Dupuytren contracture?

Firstly, we assess the signs and symptoms. A Musculoskeletal (MSK) Ultrasound may detect thickening of tissue under the skin on the palm (the palmar fascia) and the presence of nodules. Our specialists provide a fast diagnosis and easy access to appointments.



Recommended treatments for Dupuytren contracture

  • Extracorporeal shockwave therapy (non-invasive and preferred method of treatment)

  • Steroid injections

  • Medication

  • Radiotherapy to slow disease progression

  • Fasciectomy – removal of the fascia / Surgical removal

  • Physiotherapy

Shockwave therapy uses energy in the form of sound waves to cause an inflammatory response in the area being treated. This inflammatory response leads to cellular regeneration, new blood vessels, a reduction in stiffness and tightness, and the breakdown of fibrous tissue, like in the case of Dupuytren’s Contracture.


GET STARTED ON THE PATH TO HEALTH. CALL NOW TO BOOK AN APPOINTENT ON 01603975170

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