Understanding Dupuytren's

Dupuytren's disease is a condition that affects the hand, leading to the thickening and shortening of the connective tissue beneath the skin. This often causes the affected fingers to bend towards the palm creating a contracture. While it can be a benign condition, it can significantly impact hand function and quality of life. In this post, we'll explore the management of Dupuytren's contracture, focusing on therapy options, exercises, and preventive strategies.

Dupuytren's contracture typically develops slowly over time, often starting as small nodules or lumps in the palm. As the condition progresses, these nodules can develop into cords that pull the fingers inward, making it difficult to perform everyday tasks like gripping objects or shaking hands. While the exact cause is unknown, genetic predisposition, age, and certain health conditions (such as diabetes) can increase risk.

Management Strategies

1. Early Intervention and Observation

In the initial stages, when symptoms are mild, observation may be the best approach. Regular monitoring can help identify any progression of the condition. Patients are encouraged to maintain hand flexibility and function through gentle stretching and range-of-motion exercises.

2. Hand Therapy

Hand therapy plays a vital role in managing Dupuytren's contracture. A certified hand therapist can help design a customized program tailored to the individual's needs. Key components include:

• Stretching Exercises: Focus on gentle stretching of the fingers to maintain as much range of motion as possible 

• Splinting: In some cases, a therapist may recommend splinting to help keep the fingers extended. Night splints can be especially beneficial for maintaining extension while sleeping.

• Education: Therapists provide guidance on avoiding activities that may exacerbate symptoms and advise on proper hand mechanics.

3. Lifestyle Modifications

Making certain lifestyle adjustments can also aid in managing Dupuytren's contracture:

• Avoiding repetitive strain: Be mindful of activities that involve heavy gripping or repetitive hand motions.
• Regular hand exercises: Incorporate hand and finger exercises into your daily routine to maintain flexibility and strength.
• Maintaining a healthy lifestyle: Good nutrition, regular exercise, and managing underlying health conditions (like diabetes) can also support hand health.

4. Surgery

For more advanced cases where the contracture significantly impairs hand function, surgery may be recommended. The procedure involves removing the thickened tissue to restore finger extension. Post-operative hand therapy is crucial for rehabilitation, focusing on regaining mobility and strength.

Take away messages 

Managing Dupuytren's contracture is a multifaceted approach that includes early intervention, hand therapy, medical treatments, and potential surgical options. Early detection and proactive management can help preserve hand function and improve quality of life. If you or someone you know is experiencing symptoms, consulting a hand therapist can provide valuable insights into the best management strategies tailored to individual needs.

If you would like any further information, please contact our friendly team on 07 5526 4066 or admin@activehandtherapy.com.au