Dupuytren’s Contracture

Dupuytren’s Contracture Treatment in Delhi

Dupuytren’s Contracture Treatment by Dr. (Maj)(Prof) Ravi Saroha

Dupuytren’s contracture is a hand condition that gradually causes the fingers — most often the ring and little fingers — to bend inward toward the palm. This occurs when the fibrous tissue beneath the skin of the palm thickens and tightens, forming tough bands or nodules that pull the fingers into a bent position. The condition is typically painless but can severely affect hand function and quality of life.

While the exact cause is not fully understood, it is believed to have a genetic component and is more common in men over the age of 50. Other risk factors include a family history, diabetes, alcohol consumption, and smoking. It is not caused by hand injury or overuse.

Symptoms and Signs:

Thickened skin or nodules in the palm
Progressive finger bending (usually ring and little fingers)
Difficulty placing the hand flat on a surface
Impaired grip or hand function
Painless tightening over time

Treatment Options:

In the early stages, if hand function is not affected, treatment may not be necessary. However, in moderate to advanced cases, surgical intervention is often required to release the tightened tissue. Dr. Ravi Saroha offers specialized surgical solutions such as:

Fasciotomy – Cutting the thickened cords to release tension
Fasciectomy – Removal of diseased tissue for long-term correction
Minimally invasive approaches (when appropriate)

The goal of surgery is to improve finger mobility and hand function, allowing patients to return to daily activities with minimal discomfort or restriction.

Results

Before & After

faq

Frequently Asked Questions

What causes Dupuytren’s contracture?

While the exact cause is unknown, it is commonly linked to genetics. It often runs in families and is more prevalent in men over 50. Other risk factors include diabetes, smoking, and alcohol use.

Is Dupuytren’s contracture painful?

The condition is usually not painful, but the progressive tightening can limit hand function and make daily tasks like writing, holding objects, or handshakes difficult.

When should I consider surgery?

Surgery is usually recommended when the finger contracture significantly affects hand function. If you can no longer place your hand flat on a table, it may be time to consult a surgeon.

What is the recovery time?

You can return to basic daily activities in about 10–14 days, with complete healing in 3–4 weeks. You'll be advised to avoid sitting for long hours or strenuous activities during the initial days.

How long is the recovery after surgery?

Most patients recover within 2 to 4 weeks. You may need to wear a splint and undergo physical therapy to regain full hand function.

Can Dupuytren’s contracture come back after surgery?

Yes, there is a chance of recurrence over time, but proper surgical technique and follow-up can significantly delay or reduce the likelihood.

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