Dupuytren’s is a condition that thickens and tightens the tissue under the skin of the hands. A solid, raised knot develops in the connective tissue, mostly affecting the fingers on one or both hands. The causes of Dupuytren’s remain unknown, but it commonly occurs due to age, family history, diabetes and tobacco and alcohol use. If the condition is severe, surgery may be necessary to restore normal hand and finger movement. Other options include enzyme injections and needling, but surgery provides the most effective release of the joint. A physician can determine treatment options by examining the hands and asking about your symptoms.

What to Expect

When the use of the hand is diminished, surgery will be performed to correct this and make the fingers straight again. During hand surgery, called fasciectomy, the physician will make incisions in the fingers and remove the infected tissue.

How to Prepare

Be prepared to explain your symptoms and the severity of your condition to your physician. If surgery is required, patients should prepare for recovery time and intensive physical therapy after the procedure. Pre procedure use of medication should be discussed with your primary care physician prior to your scheduled procedure date. Patients may be asked to refrain from taking aspirin for a week or longer before the procedure, as well as to fast for 8 to 1. hours before the surgery. The doctor will advise the patient of any medications prohibited prior to the surgery.