Tag Archives | capsular contracture treatment

Contractures of Fingers

Dupuytren’s contracture is a very famous disease that targets the fingers. Men can acquire the disease more than women as studies reveal. The disease is hereditary and can therefore be passed on the family line through the generations. It’s also more frequent to people within the ages of 50 to 60. Capsular contracture treatment will depend on the severity of the condition of the patient.

Causes of the Disease

Though the exact cause of the disease hasn’t been discovered yet, there are some factors that have been known to increase the risks of getting the disease. Dupuytren’s contracture has been discovered to be rampant in people who had epilepsy for quite some time. A number of doctors believe that such risks may have been triggered by anticonvulsant medications which epileptic people take.

Factors that Contribute to the Occurrence of the Disease

Smoking and drinking have also been associated to the disease. People who have type 2 or type 1 diabetes also have the tendency to develop lumps on the tissues of their hands and palms although they usually don’t get contracted fingers. Dupuytren’s contracture makes mundane activities more complicated. Such activities are shaking hands or putting on gloves. The disease also tends to be more common to whites with ancestors living in Northern Europe. The condition is rare for people with color. The disease commonly affects both hands although one hand would be worse than the other.

How the Disease Can Affect Individuals

Dupuytren’s contracture is generally painless and usually doesn’t interfere while individuals are doing ordinary, everyday tasks that do not involve the use of the hands. Since the index finger and thumb aren’t affected, a lot of people aren’t really that helpless with contractures of fingers. The small and ring fingers are more affected than the other fingers though many of the digits may be affected as well.

Dupuytren’s contracture rarely causes trauma, but bumps of tissues over the palms can be sensitive to touch. Dupuytren’s contracture basically starts with the thickening of the palm. In later stages, the disease develops cords of tissues beneath the rind of the palms. Cords may go up to the fingers. As the cords tighten, the fingers are pulled to your palms and severely at times.

How Dupuytren’s Contracture Develop

Dupuytren’s contracture generally develops slowly over the years. Sometimes, it can progress for weeks and months. As the disease progresses, the skin over your hand’s palms may seem dimpled. In other people, it may develop more quickly but then begin to stop. But the disease never ceases to reappear.

Treatment for Dupuytren Contracture

The disease isn’t really harmful but can be quite inconvenient to you. Treatment for Dupuytren’s disease using vitality x-rays may treat the disease for a long period of time especially when it is done during the earlier stages. Should a painful lump be found, an injection can help eliminate the pain. Surgery may be necessary if your fingers fail to straighten up or don’t function well.

Surgery in Dupuytren’s contracture may involve the removal or division of thickened bands to restore the finger’s movements. Risks during surgery may include injuring the blood vessels and nerves, and infection. Some soreness and swelling could develop but serious problems are very rare. What’s troublesome about the condition is the affliction it causes to individuals who aren’t able to use their fingers because of the disease.

Raising your hand after surgery and slowly moving the fingers will help minimize swelling, pain and stiffness. Surgery will not always treat the condition as it may come back or recur in time. But surgery can mend the effects and enable you to enjoy the normal functionality of your fingers for quite some time.

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Capsular Contracture Treatment

Capsular contracture is manifested by a bad complication from breast augmentation or surgery. Capsular contracture treatment is hard and recurrences take place. The cause of the disease is under study but poorly comprehended. One assumption is that the condition results from low grade infections. It does not respond well with antibiotic therapy. One assumptions is that bleeding within the implant pockets during surgery or subsequent traumas cause inflammation and lead to the contracture.

Studies of the Probable Causes of Capsular Contracture

New studies suggest that biofilms can cause capsular contracture in various, if not all, of the contracture cases. A biofilm is manifested by a colony of some bacterial types which cover themselves within a protective coat. Foreign materials like orthopedic hardware and breast implants can develop biofilm coverage. Such lie dormant inside the host but cause occasional trouble. They are safeguarded by the host’s immune system by protective coating and chemicals.

Characteristics of Capsular Contracture

This explains some of the characteristics of the condition. First of all, a full capsulectomy will be more successful than just releasing a capsule. Secondly, the rate of recurrences is high should the same implants be replaced right after treatment of contracture. Thirdly, the condition often shows years or months after breast augmentation whereas the usual infectious procedures usually show themselves up a few days following surgery.

Two Major Phenomena Linked to Capsular Contracture

Two phenomena linked to capsular contracture don’t lead to biofilm. But risks for the disease have been reduced when implants were placed over the muscle. And an increased risk for capsular contracture has been observed to increase when used with silicone implants.

Structure of Biofilms

Capsular Contracture Treatment

Biofilms are complicated structures. Cells within the biofilm contact each other to deliver signals to the colony for growth and cell death. These signals are for the good of the entire unit itself. Interference within these intercellular paths for communication can provide a treatment option in the future.

Preventing Capsular Contracture

Preventing capsular contracture must be a major priority to prevent contamination and stop the accumulation of biofilms. The glands over the nipple get a number of bacteria and circumareolar incisions have been discovered to have bigger risks in contracture. Preoperative antibiotics, bathing implants within antibiotics before placement, limiting touch before implant or placement, and postoperative antibiotics contribute in lowering the risks of capsular contracture.

Massaging of implants has been assumed to have decreased the risks of having capsular contracture. There’s less evidence which shows that is preventive. Majority of the plastic surgeons though recommends it. Accolate and Vitamin E are medicines that were used for both treatment and prevention for capsular contracture. There have been subtle evidences that lead to the latter.

Other treatments for Capsular Contracture include:

  • Closed Capsulotomy
  • Open Capsulotomy
  • Pavabid

Closed Capsulotomy: non-surgical – This is a non-surgical procedure where the surgeon squeezes the implant hoping to open a scar tissue. Breast implant suppliers don’t really recommend this since it can rupture the implant. Ruptured implants caused by capsulotomy aren’t covered under warranty and that includes Allergan and Mentor. You will be awake in this procedure and get no local anesthesia. This is a painful but fast procedure lasting only a few seconds.

Capsular Contracture Treatment

Another reason why the treatment is not recommended is because of its low success rate and risk for breast implant rupture. It does not discredit surgery though as one of the most effective treatments for the condition.

Open Capsulotomy: surgical – This is a procedure wherein the surgeon goes inside the pocket and cuts or scores the scar tissue to release the hold over the implant. The scar tissue will not be removed. And depending on the surgeon’s skills and experience, it’s quite possible that the procedure can be done through transaxillary incision and through the areola and cease incisions. You will be administered with a local anesthetic along with IV sedation or general anesthesia in this specific procedure.

This is among the most successful treatments in capsule contracture. In this process, the surgeon will go in and remove the scar capsule. The surgery can be long but it will be successful. After the capsule is removed a new capsule will form surrounding the breast implant.

Vitamins, Medicines, and Supplements for Capsular Contracture Treatment

Pavabid. Some surgeons think that Papaverine or Papacon, Pavabid Plateau, Para-Time S.R. Pavagen and Pavacot may assist in stopping the progression of capsular contracture. Pavabid belongs to a class of drugs called vasodilators. Vasodilators relax the arteries and veins and make them wider to allow blood to easily pass through. Papaverine is a smooth muscle relaxant.

Papaverine’s target, used to treat capsule contracture, is the smooth muscle-like fibers within contractile scars. On the other hand, a number of doctors don’t think that this helps. There’s no evidence that the drug stops or reverses the effects caused by capsule contracture.

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