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Dupuytren Disease Treatment

Dupuytren’s disease is a condition whose cause is uncertain. The condition is manifested by a hard lump of skin that usually forms on the fingers. The connective tissue accumulates over the palms of both hands although one hand may be more affected than the other. The disease begins with a local accumulation but then spreads to other parts of the body as it develops in the later years. The disease is usually observed to affect the middle and ring fingers although the index finger may be affected as well. Dupuytren disease treatment can be administered to individuals with severe cases of the disease.

Theories on the Cause of Dupuytren’s Disease

Dupuytren Disease Treatment

Many researchers are now thinking that the lump of connective tissue is the product of the medications taken by epileptic patients. Such medications, as they observe, make the individual more vulnerable to having Dupuytren’s disease. Epileptic medications increase the production of components that trigger the formation of the condition.

Age also seems to be a significant factor because people aged 30 to 40 seem to be more susceptible to the disease than other age groups. If certain areas of the hands such as the palms and fingers are affected, it will be difficult for the individual to move his fingers or use them.

Causes and Mechanisms of the Disease

There are several theories as to what causes the disease but all of the theories are still inconclusive. It has also been observed that the condition develops gradually over time. It’s very difficult to determine its symptoms because the whole development is painless. The most obvious symptom is the inability to move your fingers properly.

The tissue itself is non-cancerous and usually non-traumatic. The connective tissue grows over and under the skin of the palms, affecting some of the tendons along these areas. It will be difficult for the patient to do certain tasks with the hand like holding a glass of water in place or grabbing something out of his pocket. These are some of the worst cases. The connective tissue is sensitive but it would be painless.

Painless but Troublesome Condition

Individuals with Dupuytren’s disease seek medical attention not because of pain but because of the difficulty to do basic chores using the hands. Because the cause of the condition and its accumulation isn’t well understood, physicians have to try and treat the disease empirically. Surgery though, is one of the most effective treatments used under such circumstances.

Therapy May be Used

Dupuytren Disease Treatment

Therapy may be used to help patients become more mobile with their fingers. Oftentimes, education with regards to the disease is enough. Surgery is recommended in the long-run if cases are beyond therapy and deformities start to form. If you don’t like surgery, then your best alternative is prevention although the disease may recur from time to time and never completely eliminated.

The Goal of Treatment

It is the aim of treatment to improve the positioning of the fingers, allow it to open or close and improve the functioning of the hands. In less severe cases, where the condition is gradually developing, pain will not be felt and the functioning of the hand will not be affected. Regular assessment will still be required in the process. With severe cases however, a number of treatment options for straightening affected fingers are important. This treatment involves the breaking or removing of cords that pull your fingers to your palms.

In your initial consultation, appropriate treatments will be based on the pattern and stage of your condition and which of the joints are affected. Before commencing treatment, it is crucial to set realistic aims and talk about possible results and risks.

The Disease May Recur Even after Treatment

It is also vital to take note that permanent cure for the disease has not been discovered yet. In spite of treatment, the disease may recur in the long run. The important thing here is to maximize the functionality of your hands during the various stages of the disease.

There are various ways of straightening the fingers and releasing the contractures. Such treatment options may include minimal needling techniques like needle aponeurotomy or percutaneous needle fasciotomy, conservative measures like splinting, and open surgery or fasciectomy.

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Finger Orthosis

Misalignment of the teeth, bad posture, and broken neck, all of these can be corrected with the use of braces. Orthosis is a type of device that is used to correct or support a part of the body. A finger orthosis is used in several different kinds of ailments or conditions, common examples of these are broken, fractured, or dislocated fingers. It is also used in correcting different finger contraction diseases like trigger finger. In the case of diseases like trigger finger, a finger brace is used for physical therapy in order to correct and prevent any further development to that contraction of muscles or tissues.

Finger Orthosis

There are a lot of finger braces that can be bought through the internet, ranging from the finger brace itself to some that are hand and finger support. Finger braces are made from a light but hard synthetic plastic. It ranges from sizes and lengths, it is used in any of the five fingers and is usually size managed to achieve full comfort. The design of it is not a simple straight tube but instead is partially arched to prevent stressing the joints too much or the part where the ailment is. The inner linings are also lined with a comfortable thin cushion to prevent irritation and to achieve comfort because a person is most likely to wear this the whole day. These braces are worn partially and not directly, to start off, an individual will start to wear this between 2 to 3 hours per day and increasing its duration in the process. This is in order to prevent over straining the tissue, especially in cases that deals with ailments of contracting muscles or tissues. While finger braces are not a type of treatment, this will guarantee to prevent further damage.

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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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