Dupuytren’s Contracture
Dupuytren contracture is a painless condition that causes one or more fingers to bend toward the palm of the hand. The affected fingers can't straighten completely.
Symptoms of Dupuytren’s Contracture
- Not being able to lay your hand flat on a table, palm down (called the tabletop test)
- One or more small, tender lumps (nodules) in the palm. Over time, the tenderness usually goes away
- The nodules may thicken and contract or tighten. This can cause thick bands of tissue under the skin in the palm of the hand
- Pits or grooves in the skin compressed by the contracted finger. These areas can become very sore and can lead to skin loss if they don’t heal properly
- Fingers are pulled forward
- Your hand is not able to work as well
Causes of Dupuytren’s Contracture
- Diabetes
- Seizures, such as those seen in people with epilepsy
- Smoking
- Having a relative with the condition
- Being of Northern European (English, Irish, Scottish, French, Dutch) or Scandinavian (Swedish, Norwegian, Finnish) descent
- Being a man over 40
Occupational Therapists can tell if you have a Dupuytren's contracture by looking at and feeling the palm of your hand and your fingers. Usually, special tests are unnecessary. Abnormal fascia will feel thick. Cords and small nodules in the fascia may be felt as small knots or thick bands under the skin. These nodules usually form first in the palm of the hand. As the disorder progresses, nodules form along the finger. These nodules can be felt through the skin, and patients can usually feel them themselves. Depending on the stage of the disorder, your finger may have started to contract, or bend.
At Reddy Care Physical and Occupational Therapy, we can get you set up with the right therapist for you. Call today to schedule a consultation!
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Sources: https://www.mayoclinic.org/diseases-conditions/dupuytrens-contracture/symptoms-causes/syc-20371943
https://www.hopkinsmedicine.org/health/conditions-and-diseases/dupuytrens-contracture
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Written by:
Dr. Vinod Somareddy, PT, DPT
President
Reddy Care Physical Therapy
Reddy Care Occupational Therapy
Reddy Care Aquatic Therapy