Doctor insights on:
New Treatment For Dupuytren's Contracture
There are 3 options: Dupuytren's contracture can be treated with surgical removal of the diseased tissue and straightening of the finger. Percutaneous release of the contracted finger called needle aponuerotomy. Finally, Collagenase injection followed by manipulation can be used to correct the deformity. Dupuytren's contracture is an ongoing disease and recurrence is common with all treatments. ...Read moreSee 2 more doctor answers
Dupuytrens is a: genetic familial disease, that is a progressive thickening of the fascia, a tough fibrous layer of tissue in the palm, Dupuytrens starts as nodules and can progress to cords causing joint contracture in the hand. http://handctr.com/dupuytrens-disease-faq.html and http://handctr.com/xiaflex-for-dupuytrens-information.html and https://youtu.be/aiMsrLECOOw?list=PLaYVr8V1oPuBXtJnqRkOJpzn8Js700CWP ...Read moreSee 3 more doctor answers
Yes: Yes, needle aponeurotomy (na) was brought over from europe but is now offered in the us. The competing non-surgical technique is xiaflex (collagenase clostridium histolyticum) Collagenase which has been much more carefully studied and standardized in terms of results and risks. In my own practice, i offer na as well as xiaflex (collagenase clostridium histolyticum) and surgery. Each case needs to be individualized and benefits and risks clearly understood by the patient. ...Read moreSee 3 more doctor answers
A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?
Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read moreSee 1 more doctor answer
Pentox (trental) has been recommended as an off-treatment for Peyronie's disease. What is the methodology of this working to cure or help peyronies??
Multiple questions: You have submitted an incredible number of questions and this is my 3rd response to you. you must stop submitting repeat questions and proceed immediately to see a urologist. I will submit to all HealthTap physicians to flag your questions as repetative and abusive. You seem obsessed withPeyronie's and you need an expert evaluation,not submitting repeat questions. Call now. ...Read more
Therapy and surgery: While there is no "cure" for volkmann's contracture once it has occurred, it can be improved. Depending on the degree of contracture, it can be treated with therapy to stretch out the muscles. More severe cases may require surgery to lengthen the muscles or reposition tendons so that they function better. ...Read moreSee 2 more doctor answers
Quick but can recur: Needle aponuerotomy is an office based procedure, done under local anesthetic, used to straighten fingers contracted by dupuytren's disease. The diseased cord is cut in several places and the finger is straightened. Unfortunately, the chances of recurrence are high. Dupuytren's is a genetic condition and is never cured. Talk to a hand surgeon for operative & non-operative treatments(injections). ...Read moreSee 2 more doctor answers
Azilect (rasagiline) + Other Meds: Dopamine meds are mainstay of treatment. Modern therapy recommends longer lasting, milder potency meds first: Azilect (mao-b selective inhibitor) & Dopamine agonists (requip xl/mirapex er/neupro). After they've been maximized & stronger meds are needed to adequately manage symptoms, then sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together) are begun. Tailor rx with side effects in mind for each person. ...Read moreSee 1 more doctor answer
Is there any treatment, therapy or cure for charles bonnet syndrome following macular degeneration?
Yes: Cbs occurs with chronic severe bilateral vision loss and results in formed and unformed visual hallucinations. Severe bilateral amd is a common cause. The first step in therapy is inquiring whether at risk patients are having this experience. If so, reassurance goes a long way. Medical therapy may also reduce the intensity of the visual hallucinations. ...Read moreSee 2 more doctor answers
What treatment is available for finger contraction in severe rheumatoid arthritis. Is urgent treatment needed for fingers contracted over 12 hrs?
Nerve or joint: You may have subluxation of the finger joint or a dislocated joint. The finger problem can also be due to abnormal pull of a tendon that has slipped. Hopefully that there is no nerve paralysis causing your finger deformity. Yes you should see your rheumatologist as soon as possible who may refer you to an occupational therapist. ...Read moreSee 1 more doctor answer
Hi is ther any new treatments for children born with ostegenices imperfecta typ 3? She is 8 years. The treatment is fozamax.
Nothing new: As far as i aware, there is nothing new. ...Read more
What advanced in dupetryens contracture hand surgery?
If patient had surgery twice with recurrence of the cord what options are out there?
Dupuytrens disease: If recurrent can be resected again, but care must be taken to make sure that the scar is not the culprit as well as recurrent disease. that the patient followed the appropriate post operative protocol and that nn compliance was not a reason for failure. The time frame for recurrence is vital to understand as well as if arthritis is present. see below in comments and ill finish ...Read moreSee 2 more doctor answers
Is there any treatment for a calcaneus-cuboid luxation/chronic instability that is better then other? Is there any specific non-surgical treatment?
Is there any new type braces for treatement adult idiopathic scoliosis (lumbar 20dgr with c type hyperkyphosis)that teenager accept it more easily?
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