General information, not an individual diagnosis. Ask a healthcare professional if you are unsure about your situation.
A hand that no longer opens as well, with lumps or cords in the palm, deserves examination. Dupuytren disease can gradually hold a finger bent; it is often painless but can restrict everyday movements.
Diagnosis relies on clinical examination. The French health insurance service also describes this condition among the joint complications of diabetes; mention your medical history without attributing every catching finger to Dupuytren disease yourself.
When contracture prevents full hand extension and affects its use, dividing the cords with a needle may be discussed. This procedure under local anaesthesia can take place during a consultation; ask whether it suits your hand.
Another option is surgical removal of the fibrous cords. It may be offered for marked contractures or some recurrences, and sometimes initially; wound healing and aftercare take longer than after needle treatment.
After an operation, care may combine dressings, finger exercises or physiotherapy, and sometimes an extension splint mainly at night. Before going home, clarify the schedule, exercises and activities allowed for the procedure actually performed.
Treatment guarantees neither complete straightening nor freedom from recurrence. At your appointment, describe tasks that have become difficult and previous treatments; ask about expected benefits, risks and arrangements for follow-up of your hand.
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