Conventional Treatments

(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.

(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.

Applies to late-stage treatments:

Rehabilitation is essential to restore motion and reduce stiffness.

Dupuytren’s Contracture Solutions Handbook