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Doctor insights on: Need Help With Dupuytrens Contracture

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Dr. Gary Pess
80 doctors shared insights

Dupuytren's Contracture (Definition)

A hereditary disease of the palmar fascia collagen which causes lumps, ...Read more


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Will getting surgery to treat dupuytrens contracture disease really help out or not?

Will getting surgery to treat dupuytrens contracture disease really help out or not?

Dupuytrens treatment: whether it is surgery or collegians injection or aopneurotomy is designed to lessen a contracture of the finger . This is how it "helps" Many who have so called mild disease and even sone who have significant contracture do not have pain, or huge dysfunction for many tasks. So a lot depends upon whether one feels the contracture is limiting . It is important to understand the risks v benefits ...Read more

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Can you tell me about needle aponeurotomy for dupuytren's contracture?

Can you tell me about needle aponeurotomy for dupuytren's contracture?

Dupuytrens : Dupuytens is a progressive disorder that at this point does not have a cure but has very successful treatments. Traditionally treatment observed until contracture was severe and surgery was offered. Some new alternatives include needle aponeurotomy, limited fasciaotomy and xiaflex (collagenase clostridium histolyticum) or collagenase a site that offers new treatment updates is http://tinyurl.Com/b5mn7vg. ...Read more

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40/f with oa and psoriatic arthritis. Ice or heat on hands to help with pain? I see a rheumatologist but can an orthopedic surgeon help w/ hands?

40/f with oa and psoriatic arthritis. Ice or heat on hands to help with pain? I see a rheumatologist but can an orthopedic surgeon help w/ hands?

Depends: If you need surgery, then yes orthopedic surgeon can help. Ice is probably better than heat to help with hand pain, however many times alternating between ice and heat is good. ...Read more

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Is it possible to obtain breast implants with EDS Hypermobility? What additional concerns or complications need to be addressed with the doctor?

Is it possible to obtain breast implants with EDS Hypermobility? What additional concerns or complications need to be addressed with the doctor?

Elasticity of the ti: This surgery can be successful without a problem. The surgeon needs to know about the increased elasticity you have so the implants will stay in. ...Read more

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Can you tell me the risks of surgery for dupuytren's contracture?

Can you tell me the risks of surgery for dupuytren's contracture?

Many: Same risks as in most surgery. But the biggest risk is recurrence. Wide surgical excision is the only way to avoid recurrence. ...Read more

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Dx'd with oa in both cmc jts possibly from repetitive use. Painful and interferes with activities. Pcp advises ot. Will that really help and how?

Dx'd with oa in both cmc jts possibly from repetitive use. Painful and interferes with activities. Pcp advises ot. Will that really help and how?

Possibly: Oa of the cmc joint is genetically determined and not related to repetitive stress. While ot may help the ultimate option is surgery. You may want to discuss with a hand surgeon. ...Read more

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Will elbow splinting help ulnar neuropathy? What kind of splint to look for? Who can provide guidance?

Will elbow splinting help ulnar neuropathy? What kind of splint to look for? Who can provide guidance?

Ulnar neuropathy: Avoiding a flexed elbow is key. Splints are not well tolerated. Usually recommend a small volleyball knee pad placed with pad on front side of elbow while you sleep. This will be a gentle reminder during sleep to keep your elbow from flexing allowing the nerve to heal. Can also use during day. ...Read more

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Would medical marajuana be good to help with ehlers danlos and fibromyalgia?

Would medical marajuana be good to help with ehlers danlos and fibromyalgia?

Don't recommend.: Marihuana has proven to benefit people with nausea and vomiting during cancer and chronic pain. It has only been approved in a few states as such. Even though it appears "natural" it has side effects and will show up during drugscreens for jobs etc . I don't recommend it for your health issues but you should discuss this with your primary care physician. ...Read more

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How to get help with rheumatoid arthitis?

How to get help with rheumatoid arthitis?

RA: I recommend you consult with a rheumatologist. There are many good treatments available. ...Read more

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What will help with rheumatoid arthritis?

What will help with rheumatoid arthritis?

DMARDs: Disease modifying drugs (dmards) such as Methotrexate or tnf agents can often put the disease into remission and prevent joint damage and disability. ...Read more

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Should i exercise or not to help cope with knee stiffness?

Should i exercise or not to help cope with knee stiffness?

You should exercise: If you don't stretch and exercise your knees will tend to become more stiff and week. Joint cartilage is nourished through the diffusion of nutrients and motion improves diffusion of nutrients. Try to stretch your hamstrings quads and calf muscles for a few minutes each day. You can stretch in a warm shower to improve your flexibility. ...Read more

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Dupuytren disease or ganglion cyst, how to know?

Dupuytren disease or ganglion cyst, how to know?

Ganglions Have Fluid: A ganglion cyst will light up in the dark with a light (transillumination). Ganglion cysts can be aspirated or ruputured. Dupuyten's is hard and tend be lumps in a linear chain that goes on to contract the fingers. ...Read more

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I need help finding a medical doctor not a chiropractor, to help us brace and do physical therapy with our daughter vs jumping to surgery forscoliosis?

I need help finding a medical doctor not a chiropractor, to help us brace and do physical therapy with our daughter vs jumping to surgery forscoliosis?

Pediatric Ortho: You need a pediatric orthopedist who specializes in the treatment of childhood/adolescent scoliosis.These folks usually work at the nearest children's hospital. ...Read more

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Does anyone out there have a good link to some information with advice with hand exercises wearing cast?

Ask your doc: You need to ask the doctor that put it on. He/she may actually not want you doing any excercises. ...Read more

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Will chiropractic manipulations be of any help to someone with with cerebral palsy?

Will chiropractic manipulations be of any help to someone with with cerebral palsy?

Can Help: Chiropractic may help improve quality of life, function, and reduce symptoms. It might be wise to look to a Chiropractic Neurologist or Functional Neurologist, as well as into low force techniques such as instrument based adjusting. ...Read more

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Tried the brace; no luck. What can help Carpal Tunnel besides cortisone shots or surgery?

Tried the brace; no luck. What can help Carpal Tunnel besides cortisone shots or surgery?

Possibilities: Would rate the following about 35% effective, but might be tried: Pyridoxine phosphate 100 mg twice daily for 6 weeks, with an added anti-inflammatory med such as Naproxen Sodium 375 mg thrice daily. ...Read more

Mike Moore Dr. Moore
2 doctors agreed:
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Can you help me understand the bruising associated with eds?

Mike Moore Dr. Moore
2 doctors agreed:
Can you help me understand the bruising associated with eds?

Defect in tissue...: Ehlers–danlos syndrome (also known as "cutis hyperelastica") is an inherited tissue disorder caused by a defect in the body's synthesis of collagen. Collagen in connective tissue provided strength. In the skin, muscles, ligaments, blood vessels and organs, collagen plays a significant role and with increased elasticity they may not work right, leading to increased bruising. ...Read more

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Diagnosed with a dislocated extensor tendon(snapping tendon) foot.Doc recommended surgery. Will it get worse if untreated? Ortho or Podiatrist please

Diagnosed with a dislocated extensor tendon(snapping tendon) foot.Doc recommended surgery. Will it get worse if untreated? Ortho or Podiatrist please

LIKE TO KNOW MORE: Is it the tendon to the big toe, or one of the lesser toes? Where on the foot does it dislocate? Injury? If a podiatrist, go to abfas.org, to find a board certified podiatrist in your area. ...Read more

Dr. F. Thomas Kaplan
382 doctors shared insights

Contracture (Definition)

Contracture = deformity caused by permanent shortening of ...Read more