Conventional Treatments for Dupuytren’s Contracture

Dupuytren’s disease is typically described in stages. In early-stage disease, nodules and cords may form without significant finger bending. In later stages, the cords tighten and begin to pull one or more fingers into a bent position, affecting function. Treatment decisions are usually based on stage, symptoms, and impact on daily activities.

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.

There is often no need to rush into treatment if hand function is still preserved.

Related Reading

• What is Dupuytren’s contracture and how serious is it?
  • Dupuytren’s Disease or Its Mimicker? Study Sheds Light on The Importance of Careful Diagnosis

Physiotherapy, Massage & Exercises

Used to maintain flexibility, comfort, and function.
Does not stop disease progression.

Related Reading

• 5 Hand Exercises to Try for Dupuytren’s Contracture

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.

Related Reading

• Radiotherapy for Symptomatic Knuckle Pads Associated With Dupuytren’s Disease: A Report of a Case Series – Cureus

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.

Related Reading

• Endo Launches First Branded Ad For Xiaflex Curled Fingers Treatment 02/24/2025
  • Endo debuts first branded Xiaflex ad for Dupuytren’s contracture

Surgery (Limited Fasciectomy)

Surgical removal of diseased fascia.
Longer recovery, lower recurrence than needle procedures.

Related Reading

• Surgical intervention improves symptoms of Dupuytren’s contracture

Dermofasciectomy

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

Final Consideration

Because Dupuytren’s progression varies widely from person to person, treatment decisions should be made in consultation with a qualified hand specialist who can evaluate your specific stage, symptoms, and functional needs.

Medical Disclaimer

The information on this page is provided for educational purposes only and is not a substitute for professional medical advice. Treatment decisions should always be made in consultation with a qualified hand specialist or healthcare provider.