Dupuytren’s Contracture (D.C.) is a relatively common condition affecting the hand. You may have seen a friend or relative suffering from D.C. and had been unaware.
D.C. is a condition that affects the fascia of the palm of the hand. “Fascia” is a fibrous connective tissue that wraps around bodily material such as muscle. In patients suffering from D.C., the fascia of the palm progressively, slowly thickens and tightens. The reason why this occurs is not well understood but what is known is that genetics and injury may play a role. The progressive thickening and tightening of fascia can create distinctive nodules (i.e. small lumps) of thickened tissue. The nodules can initially be painful but then become less so over time. With progressive nodule formation, a distinctive pitting appearance on the palm of the hand may occur. “Pitting” (i.e. deep indentation at the nodules) occurs as the fascia underlying the skin begins to pull on the skin overlaying it. As D.C. worsens, the fascia can begin to form thick cords (progressive thickening and then contraction of nodules) that begin to tether fingers and pull them into a distinctive bent position. As such, the sufferer may not be able to fully extend and subsequently use fingers that are affected. Attempting to move the tethered fingers may cause the sufferer pain. Since D.C. can occur slowly over many years, in some patients, it does not influence daily life. In fact, D.C. may occur so slowly that the patient never requires an intervention and the condition only presents as small inconsequential nodules. However, in other cases, the bent finger position can affect daily life significantly and requires a therapeutic intervention.
Depending on how aggressive the condition is in a patient, surgical or pharmacological interventions may be recommended. Conservative approaches for treatment can also be utilized such as those provided by a Chiropractor or Physiotherapist.
If you think you may be suffering from Dupuytren’s Contracture, contact our office to book your assessment today!
Author: Dr. Paolo De Ciantis, B.Sc.(Hons.), M.Sc., D.C.