Dupuytren’s contracture is a hand condition characterized by the thickening and shortening of tissue in the palm, specifically the palmar fascia. This causes one or more fingers to bend toward the palm of the hand.
Causes of Dupuytren’s Contracture
- Although the exact cause of Dupuytren’s contracture is unknown, several factors have been associated with its development such as:
- Family history or genetics
- It is more common over the age of 50
- More common in individuals who smoke and drink
- There is a higher prevalence of Dupuytren’s contracture among individuals with diabetes and liver diseases
- Individuals of Northern European descent are more prone to developing Dupuytren’s contracture
Symptoms of Dupuytren’s Contracture
- Small nodules or lumps which appear on the palm of the hand
- A thickening of the skin of the palm which happens gradually
- The skin of the palm may appear puckered
- Fibrous thick cords that may extend from the palm to the fingers can cause a limited range of motion
- Finger contracture typically affects the ring finger and the little finger. It may also involve other fingers.
- Difficulty fully extending or flexing the fingers.
- Finger Stiffness and reduced flexibility
Physiotherapy Treatment for Dupuytren’s Contracture
- Heat therapy like paraffin wax bath helps with pain and reduced stiffness
- Cold therapy can help with inflammation
- Range of motion, strengthening, and flexibility exercises for the hand
- Splinting which is recommended mostly at rest to prevent further contracture
- Soft Tissue Mobilization
- Patient Education to help prevent the worsening of the condition
If you have any pain or injury of the hand, book an appointment with our physiotherapist to get help!