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Hand Contractures Treatment

Try to flex your fingers as hard as you can, if you have problem or difficulty in achieving a full stretch, your fingers to be fully straight, and then you might be suffering from a disorder commonly known as hand contractures, in other terms known as Dupuytren’s disease. Hand contractures usually happen with the pinky and the ring finger. The middle finger sometimes is affected but the thumb and the pointer finger are spared most of the time. This condition might be irritating and later on will cause problems. In the long run, the fingers will eventually come closer to the palm and would result to uselessness of the hand itself.

Causes and Origin

This disease is known to affect the tissues that are found under the skin of the palm. Later on, these tissues tighten and will cause the fingers to move closer to the palm. Through recent studies and research, there is not much known cause or origin of this disease but it might run along the gene. Research states that people with hand contractures had them in their bloodline, but other than that, trauma is a possible cause also. According to recent studies, it has been seen that there are signs of minor bleeding within the tissue affected symbolizing trauma. This trauma is may be caused by hard labor. This disease is usually seen in aging males and is not likely in females. But there are cases of younger individuals who suffer from the disease itself, there are Hand Contractures Treatment to help lessen the development, or to actually cure the disease.

Hand Contractures Treatment

Different Treatments

In the early stages of hand contracture, when symptoms start to develop, cortisone injections are the usual treatment. With the use of the injections, the tightening of the tissues is either lessened or stopped. But in worse cases in which there are recognizable effects like inability to move the pinky or the ring finger, surgery is the most applicable treatment that can be done. There are two ways in treating severe case hand contractures, the common and the earliest form is through the process of an open surgery. In this process, large cuts are made on the palm and also on the affected fingers. The contracted or contracting tissues are then removed. The problem with this procedure is that it leaves large scars and is more likely to develop complications compared to needle aponeurotomy.

NA or needle aponeurotomy, on the other hand, is a much more delicate process in which a needle is used to separate the contracting tissue under the skin. The good side with this procedure is that this will only leave small scar marks on the hand and is less likely to develop complications compared with the open surgery.

Hand contracture will certainly redevelop itself after a period of time whether you treat it through surgery or NA, NA will cause it to come back with a time span of at least 3 years while surgery, on the other hand, is 5 years.

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Flexion Contracture Hand

Like any other body part, the hand has tissues and these tissues are the key why we are able to successfully perform both basic and integrated motor skills. Like any other body part, the hand can suffer from a flexion contracture. A flexion is a position made by decreasing the angle, in the case of the hand, decreasing the angle between the finger and the palm. A contracture, on the other hand, is a state in which there is either the shortening or hardening of the muscles or tissue. As the name suggests, a flexion contracture hand is when the angle between the finger and the palm decreases while the tissue in between them shortens and hardens. The result would be a disease called Dupuytren’s syndrome which results to the fingers, usually the pinky and ring finger, coiling closer to the palm. It also results to the inability of the fingers to be fully straightened and, in worst case scenarios, have fully terminated the ability of the fingers to be productive and to perform even basic motor skills.

Flexion Contracture Hand

Flexion contracture of the hand is usually seen as a heredity disease, as for the moment. The commonly seen cause of this disease is through being present in the bloodline. Though, it is also being studied on other causes that may have triggered this ailment, namely relating traumas and aging with people who have the disease. In a recent study, it has been seen that the tissue that is tightening showed minor bleeding that can be related to traumas caused by hard manual labor. Regarding that, a percentage of the people having this disease have claimed that they have done severe work like hard sports utilizing the hand and construction work. The disease though cannot be fully treated, but instead can be only controlled. Developing cases can be injected by cortisone to slow or to momentarily stop the development. In severe cases, surgery is an option, but the disease will again develop in 3 to 5 years.

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The Risk Factors and the Cause of Dupuytren’s Contracture

Dupuytren’s contracture which is also referred to as the Dupuytren’s disease is a deformity of the hand which causes its tissues beneath the hand to contract and thicken. A prominent and initial symptom of this disease is the thickening of a person’s palm. Lumps under the palm’s skin, which often vary in number, might appear most often at the pinkie or ring finger’s base.

As this disease continues to progress, the lumps – sometimes called nodules, will develop into hard bands and cords which can extend to the fingers. The fingers’ cords will eventually contract and will make finger extension impossible to do. Household chores like washing dishes and exercises as shaking the hands will eventually become impossible or difficult.

Risk Factors

Although not too many people know about Dupuytren’s contracture, Keith Segalman – a hand surgeon has seen thousands of this disease’s cases already. While this condition is not new anymore, the disease’s origin still is a mystery. According to Dr. Segalman, “We have already studied the possible several reasons for this. However, there is still no definite cause of Dupuytren’s contracture. Here are some of the medical experts’ speculations about the cause of the disease:

Heredity

According to Taizoon Baxamusa – a surgeon and spokesperson of the Orthopedic Surgeons of America, “this disease is in bloodlines”. This does not imply that since your mother had Dupuytren’s disease, you automatically will have it too. This just means that you have a higher risk of developing the disease too.

Ancestry

Most often, Dupuytren’s disease is observed in the people of the Northern part of Europe like the French, Dutch, Irish, Scottish and English people or the Scandinavians such as the Finnish, Norwegian, Swedish and Danish people. However, this disease could be developed by just any race and ethnicity.

Age and Gender

Men are the ones which are more likely to have the disease than women and this condition most often appear when the person reaches 40. If women develop this condition, these are observed to occur in the later stage of their lives with milder symptoms.

Seizure Disorders and Diabetes

The Risk Factors and the Cause of Dupuytren’s Contracture

Actually, experts still do not know the relationship between the disease and these disorders. However, medical professionals have revealed that the symptoms and Dupuytren are less severe with patients that have Diabetes. Although excessive use of the hand, as well as, injury are not connected to the emergence of Dupuytren’s disease; however, people that have hand trauma have higher risks of developing the disease.

Almost always, patients think that hand trauma and Dupuytren’s disease are connected because they tend to experience symptoms when they are doing activities that involve the hands. Because the disease is common in male senior citizens, a few men notice nodules on both of their palms first especially with those that are playing golf.

While there are medical experts that cite tobacco and alcohol as risk factors, these are just assumptions. People with Nordic and Northern European descent still have a higher population of Dupuytren’s patients.

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