Tuesday, March 22, 2016

Mesotherapy for Dupuytren’s Contracture


A very specific disorder that is helped by mesotherapy better than most interventions is Dupuytran’s Contracture.

Dupuytren's contracture, also called Dupuytren's disease is a subcutaneous  thickening of the skin in the palm usually at the base of the third and fourth fingers that causes the fingers to become disabled as they are pulled into the direction of the palm.

Although the ring and little fingers are the digits most commonly affected but this disease can also affect all of fingersw. It is also a disease that affects more men then women and it is more common for it to occur in both hands rather than just one.

Symptoms and Causes Dupuytren’s Contracture

The symptoms are progressive and start with development of thick tissue under the skin in the palm of the hand. This is followed by a decrease in hand function and the fingers pulling forward as they appear to shrink into the palm.

It is thought to be a hereditary disease, but the exact cause of this disorder is unknown. Dupuytren's contracture may be associated with cigarette smoking, epilepsy, diabetes, and alcoholism.

There are no warning symptoms and the disorder usually presents itself in middle-aged people.

Care and Treatment

Not too long ago, surgery was the only treatment available to help correct advanced Dupuytren's contracture.  Mesotherapy is most effective when used in the earlier stages of the disease.  Injections of anti-inflammatories, collagenase, steroid and 5% flourouracil directly into the nodules growing on the palm can help diminish their size and stop their growth before the hand is completely disables.

Surgery comes into the picture when the contracture of the joint between the finger and the palm is greater than thirty degrees.

If your patient opts for the surgery, the recovery time may be much longer.  In the surgery used to correct Dupyfren’s Contracture, the surgeon makes an incision in the hand and cuts the area of thickened tissue. This allows for improved movement of the tendons and increases the mobility of the fingers. After surgery physical therapy is recommended to help increase the function of the hand.

Duputren’s contracture is an affliction that is managed but not cured. While surgery may increase the mobility of the fingers, it does not arrest the underlying disease process.  Mesotherapy can be used after surgical treatment to keep the issue under control as well.

For more information about The Pinewood Institute for the Advancement of Natural Medicine courses including course outlines, detailed descriptions of courses and information about upcoming training sessions, please go www.pinewoodinstitute.com.  You can also send us an email using our email form at http://pinewoodinstitute.com/contact.aspx or call us at 416-656-8100. If you prefer to fax the number is 416-656-8107.


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