treatments tab

Conventional Treatments for Dupuytren’s Contracture

Early-Stage Dupuytren’s Disease

(Nodules, tenderness, cords forming, little or no finger bending)

These options are typically considered before fixed contracture develops:

• Observation (Watch & Wait)
  Monitoring progression when function is not yet limited. 
• Physiotherapy, Massage & Exercises
  Used to maintain flexibility, comfort, and function.
  Does not stop disease progression. 
• Steroid Injections
  May help reduce pain or inflammation in active nodules.
  Best suited for early, painful disease. 
• Radiotherapy
  Low-dose radiation used only in early, active disease to try to slow progression.
  Not effective once fingers are bent. 

Late-Stage Dupuytren’s Disease

(Established cords and finger contractures affecting function)

These options are used once fingers begin to bend and function is limited:

• Needle Release (NA / PNF – Percutaneous Needle Fasciotomy)
  Minimally invasive cord release using a needle.
  Faster recovery but higher recurrence rates. 
• Collagenase Injections (Xiapex® / CCH)
  Enzyme injections that weaken cords, followed by manipulation to straighten the finger.
  Requires trained providers and follow-up care. 
• Surgery (Limited Fasciectomy)
  Surgical removal of diseased fascia.
  Longer recovery, lower recurrence than needle procedures. 
• Dermo fasciectomy
  Removal of diseased tissue and skin, often with a skin graft.
  Typically used for aggressive or recurrent disease. 

Aftercare & Rehabilitation (Post-Procedure)

Applies to late-stage treatments:

• PNF / Needle Release Aftercare 
• Care & Exercises After Surgery 
• Hand Therapy & Splinting 

Rehabilitation is essential to restore motion and reduce stiffness.

Important Patient Notes

• There is no cure for Dupuytren’s Disease 
• All treatments carry a risk of recurrence 
• Earlier treatment does not guarantee prevention of progression 
• Treatment choice depends on stage, symptoms, lifestyle, and goals