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Dupuytren’s Disease Symptoms

The role of the hand in our lives is very vital in maintaining a normal way of living. If anything happens to our hands, there will be a decrease in our daily productivity. A multitude of disease may hit our hands. It could come from viruses or bacteria, and also there are the common tissue disorders. One of the hand diseases that affect both the palm and the finger is the disease known as the hand contractures or the Dupuytren’s disease. This is a type of disease that slowly causes the tightening of tissues found underneath the skin of the palm and fingers. Because of the tightening, this will result in the bending of fingers towards the palms, not allowing an individual to fully stretch their fingers on the long run, or more severely, not allowing the fingers to move. Dupuytren’s disease, as of the moment, is known to be a disease that is inherited. There are medical remedies like injecting cortisone to prevent further tightening of the tissues. There are also surgeries that will help treat individuals with a much more severe case. The easiest way to prevent resolving this disease through surgery is by knowing the early developmental stages and learning Dupuytren’s disease symptoms.

Dupuytren’s Disease Symptoms

Dupuytren’s disease is a naturally occurring disease under the skin, through the start of its development and in its early stages, pain is not a symptom. Moreover, there are no recognizable symptoms in the first stages of tightening. But later on, there are visible marks and changes on the hand. The earliest visible symptom is the recognizable abnormal thickening of the skin, it can be said that it is an abnormal growth when the thickness of the skin is not equal along the rest of the palm. The thickening can be seen near the ring finger and pinky. After a time, recognizable dimples will develop and can be seen. If still left untreated, the skin will continually harden and will result in a much larger clump of skin on the palm. The skin, in turn, will start to become very sensitive to the touch but not actually painful. The symptoms will get worse. The lump will eventually grow larger and harder. In severe cases, a tendon like form can be seen. It is then recognizable to be unable to fully stretch the fingers. Later on, the fingers will be visibly closer to the palm and can no longer be fully straightened. In this case, the disease has reached its middle stages and must be checked by a specialist before the hand may lose its capability of moving.

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Dupuytren Finger

Dupuytren Contracture or Morbus Dupuytren, Palmar Fibromatosis or Dupuytren’s disease is a thriving and inherited connective tissue which interferes with the straightening and bending of the fingers. A working knowledge on Dupuytren contracture symptoms and treatment is required for patients to get through the condition with less hassle.

Dupuytren Finger

Affected areas generally include the pinky and ring finger. As the condition becomes worse, it would only be matter of time before it includes the middle finger. The condition deteriorates slowly in a usually painless manner. A patient with Dupuytren finger will observe the palmar fascia thicken, then tendons thicken and the alterations in the movements of the fingers.

This condition has a greater chance of manifesting in men nearing age 40. But at the age of 80, both female and male will have a similar chance of getting Dupuytren Contracture.

The cause of the disease hasn’t been discovered yet. Recent studies revealed that these conditions could be linked to autoimmune reactions. Such reactions cause an individual’s autoimmune system to ravage its own tissues and gradually attack other parts of the body like the genitals and feet. It’s hard to figure out the symptoms since the disease develops slowly and painlessly. But some of the symptoms you can detect include the following:

Starting Symptoms

At the start of the disease, you will observe a thickening on your palm’s skin. As the disease develops, the skin over your palm will appear dimpled and wrinkled. You will observe a hard lump of tissue growing on the palm which may react to touch although generally painless.

Late Symptoms

As the disease worsens, the tissues beneath the skin will bend slowly towards the fingers and slowly tighten up. For serious cases, the fingers can be pulled towards the palms and make it hard for you to keep them straight.

In majority of cases, the pinky and ring finger are the ones that are commonly affected. It is only a rare occasion when the index finger and thumb are affected. For 45% of the cases, Dupuytren’s contracture affects both hands but one hand would appear more affected than the other. The disease affects the soles and toes only on rare occasions.

Dupuytren Finger

For severe cases, the condition may give both you and your family some problems. It will be hard for you to do the simplest tasks. It is even more difficult for you to shake someone else’s hand.

Should you observe these symptoms, it is best to seek medical support and obtain the advice of a physician so that treatment can be administered as soon as possible.

Treatment for Dupuytren’s Contracture

Treatment for the disease is administered to revive the affected hand in the best way possible. Treatment would consist of:

  • Injection
  • Surgery

Surgery is advised for contractures that limit the functionality of one’s hand. Surgery will entail the opening of the skin on affected areas and operating on the fibrous tissue. Your first surgery may not be enough and another surgery may be needed if the condition recurs.

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What Causes Trigger Finger

If you ever held a gun before, you know how it feels when you place your finger in the trigger. The formation of the finger when it is in such of a position and after shooting the gun, when the finger snaps back to its original place, is where the term trigger finger has been derived. Basically, the disease trigger finger is normally like that. The finger is caught in a lock when the finger is in a bent position but is then released just like shooting a gun. Trigger finger may happen in any of the five fingers. It does not affect mainly the bones or joints but in severe cases or if left untreated, this may result to inflicting damage to the joints of the affected part. What causes trigger finger is basically as common as it may seem, everybody knows that our body is composed of muscles, bones and tendons. Tendons are the biological structure in our body and are mainly responsible for connecting the muscle to the bone structure. In the hand for example, the tendon along the finger connects the muscle tissue, the bones, and the joints. Other than connecting these two structures, the tendon is also covered with a sheath and the sheath is lined with tenosynovium. This structure is capable of producing and releasing a type of lubricant that allows the finger to simply bend back and forth, now in the case of a trigger finger. The tenosynovium is swollen or inflamed, thus disabling its ability to produce and release the lubricant making the sheath that surrounds the tendon to be constricting. As a result, the action of bending the finger can no longer simply glide back and forth and is sometimes locked in its bent position known as then the trigger finger. If left untreated, the lack of lubricant may then cause damage on the joints and will later lead to pain.

What Causes Trigger Finger

Causes for these to happen may vary depending on the age or activity the individual have undergone. It is sometimes related to rheumatic arthritis which is commonly present in the older years. It is found that trigger finger might be developed as a person ages. Also, the degradation of the tendons is related to medical conditions like diabetes. Other than that, traumatic damage applied on the hand may cause damage to tendons leading them to be injured. Trauma like what we get from hard manual labor, sports like boxing and even accidents leading to application of strong pressure to the knuckles may lead to cause the tendon to be swollen.

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Trigger Finger Injection

The fingers are used every day in any point of the day, in any effective synthesized. Any pain or discomfort can be directly recognizable. While typing, there is a partial pain or discomfort in your middle finger as you bend it and suddenly it locks and is unable to straighten out for a few moments in which it simply clicks back to normal. This can be a symptom of a disease called trigger finger that involves the finger to be locked in a bent position and in severe cases, other than an annoyance will also cause pain. Basically, the tendon is covered with a sheath that is surrounded by a lubricant producing structure. When that structure is swollen, it will not produce the lubricant causing the tendon to be unable to simply glide through the sheath. Trigger finger injection is a method used to relieve this type of condition. There are certain cases in which this is no longer effective, surgery may be required to remove the sheath that is constricting the tendon.

Trigger Finger Injection

The injection used is a type of corticosteroid that has anti-inflammatory properties. It is injected on the tendon where the finger constantly locks. After the injection, the patient is advised to frequently move and flick the finger in order to spread the corticosteroid. At first, this is documented to be painful, but the pain is said to last about 5 to 10 seconds and after that period, the corticosteroid’s anti-inflammatory properties will kick in. This is the most effective method in treating trigger finger, but there are also side effects documented with the injection. The corticosteroid will cause a slight elevation in blood glucose level, though not very important for some patients but might be vital with diabetic people. It may also lead in slight discoloration and patients might feel minor clicking of the finger, all of which are normal and are just side effects of the injection.

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