Massage and Stretching for Dupuytren's Contracture

Dupuytren’s contracture (also called Dupuytren's disease) is a condition that can cause the fingers to contract, sometimes meaning that the person loses normal functioning of the hands.

First, to explore some of the myths that surround Dupuytren’s, this condition is not caused by overuse, operating machinery, or too much golf, nor is it a virus.

Rather it is a thickening of the connective tissue below the skin—but on top of the tendons. In this way it is similar to scar tissue, and as it builds it pulls the fingers forward.

Its exact cause is unknown but it is thought to have a genetic link, so runs in families. It is most common in the hands but can also occur in the knuckles, the soles of the feet, and, for some men, it can develop in the penis, causing a curvature.

Three Grades of Dupuytren's Contracture

Three grades of dupuytren's contracture have been described, based on the characteristics of the fibrous tissue deformity and the presence of a contracture.

Grade 1: thickened nodule and a band in the palmar aponeurosis that may progress to skin tethering, puckering, or pitting.

Grade 2: peritendinous band with limited extension of the affected finger.

Grade 3: presence of flexion contracture.

Who's at Risk?

Dupuytren’s contracture is more common in men than women and is mainly a condition of middle age and onward. When women do get it they tend to present less severe symptoms.

Men of northern European heritage seem to be at much greater risk than other groups. There appears to be an increased chance of men with Dupuytren’s contracture also developing diabetes, but this is not yet fully understood.

Symptoms

The condition is normally painless, but is very inconvenient as the affected fingers become progressively and permanently difficult, or impossible, to use.

Surgery is often carried out to release the fingers, but with mixed results. Other specialists recommend injections or radiation treatment, but for some these cause unpleasant side effects.

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[smas]

Maybe you were distracted but Gordon did not lift his elbows. He travels 200 miles to get a massage. WOW. When I was 50 I developed a nodule on muscle near my ulna/wrist area. It actually felt like another joint poking out of my wrist. All I had to do to get rid of it was, rest my arm on my lap and apply a tiny bit of pressure there while relaxing. I did this a few times a day when I remembered. It was gone in just a few days. I would love a hand massage right now. It's a profession with very little recognition. Gotta jump through hoops to get recertified every 2 or 4 years depending on the Credentials you want. Take care of your hands and wrist. ❤

[annamae]

Normally painless? Well mine is painful much of the time and at times so itchy it makes me crazy. I am watching this at 04:40 because I can't sleep with the pain.

[bajoobiecuzican]

I have this affliction. It dates back to the European Viking era. Thank you for the information and demonstration 🙏.

[m.shenbowers]

I had this condition on my palm and it was so painful and the nodule just kept getting started "a method" from my continued for a good 15-20 minutes a two weeks I started to see substantial decrease in the nodule and the pain began to be more from april until now it completely went away (after a month) and till this day ( september 2 ) hasn't shown up or even shown a sign of coming

[worldofvalentine]

I've had stiff fingers for years and developed two visible nodules at the base of my pointer and ring finger this year with increasingly limited range of motion. I've seen a rheumatologist who said it's probably nothing, but I cannot sit by while I lose more and more ability in my hands! Thank you for this technique. I will certainly be trying it

[ianditchburn]

Thank you, I seen my doctor last week and he said there's nothing that can be done, just wait till it get worse then come back, I will try your stretches, thank you again

[kjbigsful]

I am female and have it in both hands. Thank you for the exercises!
It will continue to hurt and itch because it's constantly evolving. ✋🏻🤚🏻

[Gill-linto]

Mine is too far gone now . Was booked in for an operation but I wouldn't have been able to look after myself at home during recovery. I also have diabetes type 1. I dont enjoy my hands being deformed and it's awkward to do everyday tasks .

[mariesullivab]

Can you please share any exercises or massage techniques for trigger thumb. Thank you 😊

[Bengt]

Thanks for an interesting presentation! I will definitely try this

[JohnKirwan-zpfl]

Many thanks....it takes time... About 10 weeks now!

[maxinedavieds]

Thank you so much for all the information and the exercises. I just got this diagnosis in my hand. The only risk factor is the middle age. It’s mild so I will do the stretches and exercises to stave it off.

[JohnKirwan-zpfl]

I had operation in August. I live on my own and managed easily. I see therapist every couple of weeks. I wear a splint at night. Exercises during the day. Moisturiser daily of the ring and pinkie fingers. Right hand only.

[ZoxRadio]

Can I go to the gym? I'm 40 years old and I love to train

[kilogram]

I've had my fingers straightened via injections and manipulations. Also I have been wearing a splint at night to keep my fingers extended. It has been working for me. Have been doing some light massage during the day while I am awake.

[flame]

im a bit confused. my grandmother had it (fathers side), my mother has it and i (female) have it. neither my father nor my brother have it. and...its really not "painless". it hurts like hell. i have it on both hands, middlefingers and ringfingers and on the right hand i had to get surgery twice to get the function of my hand and fingers back. its way better after surgery (after the first 10 days of surgery, that were bad), but i still have a bit of pain left in the right hand. left hand isnt as bad, but will need to get surgery in a few years, when going on at the same speed as now.

[hikerhobby]

I had surgery yesterday on my left pinky. It was curled all the way under. We’ll see how it goes then maybe do right hand. I’m a female. My entire family has it.

[nevindemir]

Çok bilgilendirici bir video.Teşekkür ediyorum.

[FiguraMolenMedia]

What if contracture are painful and irritating the nerves?

[vilorijaspasevski]

Dali može na srpski da se prevede, imam obostrano na rukama kontrakture