Dupuytren’s contracture

Dupuytren’s contracture is a fixed flexion contracture of the hand where the soft tissues in the palm tighten, causing the fingers to bend towards the palm and cannot be fully straightened. The ring finger and little finger are the most commonly affected. The middle finger may be affected in advanced cases, but the thumb and index finger are nearly always spared.

What causes a Dupuytren’;s contracture?

The exact cause of Dupuytren’s contracture is not known. However, a large proportion of people who develop this condition have a family history. Dupuytren’s contracture progresses slowly and is usually painless. The soft tissue of the palm thickens and shortens so that the tendons connected to the fingers cannot move freely. Incidence of Dupuytren’s contracture increases after the age of 40.

What are symptoms/effects of a Dupuytren’s contracture?

The symptoms of a Dupuytren’s contracture may include:

Small nodules on the palm of your hand
Difficulty straightening the finger/s
Permanently flexed position of the finger/s (later stage)
Difficulty performing everyday tasks

Physiotherapy treatment for a Dupuytren’s contracture

Physiotherapy treatment can be extremely effective in the early stages of this condition. However it is very important that you discuss this with your Doctor as more advanced cases may require surgery.

Although we are very aware of the detrimental affect this condition can have on your life, our Specialist Physiotherapists will undertake a thorough assessment to be sure treatment is tailored to meet your individual needs and goals.

Physiotherapy treatment may include: