Dupuytrens contracture is a relatively common finger disorder. It is more common in men and those over the age of 40.
What is Dupuytren’s Contracture?
Dupuytren’s contracture is a disorder of the fingers most commonly affecting the little or ring finger, sometimes both and usually in both hands.
What causes Dupuytren’s Contracture?
The exact cause of Dupuytren’s contracture is unknown. Genetics has been shown to be the most common factor as up to 70% of people that develop Dupuytren’s contracture have a history of the condition within the family.
What are the symptoms of Dupuytren’s Contracture?
Normally we are able to control when we bend our fingers and by how much. This hand control is lost with Dupuytren’s contracture and more so as the condition progresses and the palmar fascia tightens.
Small nodules which are thickening of connective tissue on the palm side of your hand make it hard to straighten your finger and it may be tender to touch.
As the condition progresses, your fingers may be pulled into a permanently bent position, making even simple activities difficult to do such as dressing, cooking or swimming.
How is Dupuytren’s Contracture diagnosed?
Your physiotherapist can carry out a full assessment of your wrist and hand and following this be able to diagnose Dupuytren’s contracture by assessing the fascia in the palm of your hand, if there are any nodules present and your range of movement.
You may be referred to a specialist to track the progress of the condition and may require surgery if it starts to significantly debilitate you.
What treatment can Farrell Physiotherapy offer for Dupuytren’s Contracture?
Dupuytren’s contracture can be managed both conservatively and surgically depending on the severity of the contracture. Physiotherapy is an effective treatment for both types of management as in the conservative stages can help preserve movement and slow the contracture.
Following an assessment, your physiotherapist will create a treatment plan for you based around their findings. There are many different treatment options for Dupuytren’s contracture you’re your physiotherapist will choose the most beneficial methods of treatment based on your symptoms and response to different treatments.
Treatment may include:
- Joint mobilisation
- Passive range of movement exercises
- Active range of movement exercises
- Active-assisted range of movement exercises
- Soft tissue massage to relieve any pain and stiffness
Benefit of physiotherapy for Dupuytren’s Contracture?
There are several benefits of physiotherapy for Dupuytren’s contracture with the aim being to reduce your symptoms and have your hand function as best as possible in the shortest space of time. The particular benefits you feel from physiotherapy will depend on your original symptoms and treatment goals.
Some of the benefits of physiotherapy include:
- Reduced pain
- Reduced stiffness
- Improved dexterity and co-ordination
- Improved grip strength
- Improved function
- Reduced scarring
- Decreased risk of permanent contracture
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I was referred to Ben after a road traffic accident for pain in my neck. The service I received was excellent. He not only treated my neck pain but also helped me to correct my bad posture which was not aiding my recovery.
Ben is extremely friendly and gives a very professional service and I can’t thank him enough for resolving the problem. I would highly recommend him.
- Carol Joyce
I have recently completed a course of treatment with Ben Farrell and am pleased to highly recommend him to others. I went to see Ben when I was suffering with extreme pain due to a trapped nerve in my neck which caused pain to radiate into my shoulder, arm and hand. I got an appointment very quickly and Ben was able to diagnose the problem and work on alleviating the pain. Part of the treatment has involved improving my longstanding poor posture which I’ve had since a child and believed was something that could not be changed. Ben has also advised me on how to continue to work on this to avoid this problem from reoccurring in the future.
- Judith Woosnam
I visited the practice on personal recommendation following a doctor’s diagnosis of an as then unspecified “shoulder injury”. I had seen my GP as the increasing pain in my arm and shoulder was not only preventing me from lifting my arm above 90%, but was also increasingly stopping me from sleeping at night.
After an initial diagnosis session where Ben Farrell had quickly identified the actual problem, I then undertook a course of hands on physiotherapy and an increasing program of exercise. In view of the complexity of the problem (which I was advised had been going on for far longer than I has know), the physiotherapy program was, therefore, pretty comprehensive, however, always with excellent support and guidance from Ben along the way.
I am very pleased with the results and I am now both playing much better golf and getting a full night’s sleep. And, I have no problems lifting my arm its full range!!!! So, the next thing on the agenda will be the golf game at Benton Hall.
Before visiting Ben I had been suffering from pain in my achillies tendons, which had stopped me from running my first half marathon. I had previously visited other physios local to me but had made no improvement. On my first visit ,Ben immediately diagnosed that my problem was coming from an old lower back injury. I was impressed that he was determined to treat the root cause of the injury (back) and provide a long term cure, and not just focus on a short term treatment of my achilles. Ben’s friendly but straight talking manner made my visits very enjoyable. I was so impressed that I took my 14 year old son to see Ben when he had an injury prior to a very important football trial. I would not hesitate to highly recommend Ben to anyone .
- Mike Smith
Couldn’t have asked for a better service than I got in just 4 weeks I spent with Mr Farrell.
My first appointment with Mr Farrell was 4 weeks prior to running the London marathon and I was in no fit state to be able to run it due to a knee injury. Mr Farrell gave me a number of exercises to completely daily and a handful of one on one sessions as well. He also advised me on picking a better pair of running shoes to support my foot shape and create less pain in my knee.
A combination of the hard work put in by Mr Farrell and myself I managed to complete the marathon in just over 4 hours. A great achieve considering I couldn’t run for 4 months prior to the race due to my knee. My only regret was not going to see Mr Farrell earlier! Then I may have be able to probably train for it. Would highly recommend Mr Farrell to anyone, a very professional service and great results.
- Fraser Murray
One of the main things I learnt when you treated me was your ability to dispel some of the old chestnuts about joint pain. Through your physiotherapy and advice I now walk more and cycle a lot. I do not rest up when I have a flair up, I do the maximum exercise I can without causing to great a discomfort to my joints. I avoid Painkillers if at all possible.
I can honestly say that you have helped me to take a new outlook on life. Thank you.
Ben Farrell was very thorough and professional when I went to him for treatment on my tennis elbow. He treated my posture as well as the elbow. The exercises he taught me both enabled the pain to go away and stay away, thus doing himself out of work! He and all his staff were very pleasant and friendly and I would recommend him unreservedly.
- Shane Murphy
Ben is an excellent physiotherapist who provided a considered care plan that enabled me to achieve my goals. Ben in his unique professional and personable manner demonstrated judgement and considerable experience to assist my recovery
After suffering persistent shoulder pain for several months I went to Farrell Physiotherapy on the recommendation of my husband.
After only a short course of treatment and undertaking daily exercises I am now pain free.
I would gladly recommend Farrell Physiotherapy to any person requiring physiotherapy treatment.
- C Wiltshire
I received excellent treatment for a foot and knee complaint that I thought would need an operation. It was very debilitating. However, after my course of physiotherapy sessions and continuation of exercises to do at home, I am now pain free and back to my normal exercise routine at the gym.
- C Dobinson
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