Dupuytren’s Contracture Treatment in Arlington, VA

Dupuytren's Contracture Arlington VADupuytren’s contracture causes the normally pliant layer of tissue underneath the skin of the palm and fingers to gradually thicken and harden. As a result, one or more fingers may pull toward the palm into a permanently bent position.

The precise causes are not well understood. There is a high incidence in people of European decent; therefore, a genetic connection is suspected, although the exact cause has not been determined. To date, researchers have not found any evidence that suggests the condition may be related to past injuries or activities that cause repetitive hand vibration. In many cases, the symptoms first become evident after age 50.

What Are the Signs of Dupuytren’s Contracture?

Some common symptoms include:

  • Difficulty straightening a finger
  • Difficulty fully opening the hand
  • Difficulty grasping objects
  • Dimpling or puckering of skin on the palm
  • A firm, painless knot on the palm

How Is It Treated?

Treatment for Dupuytren’s contracture may be unnecessary, especially if the symptoms are not painful or limiting. Instead, a physician may suggest a wait-and-watch approach. A tabletop test, which involves attempting to place the palm flat on a table, can be periodically attempted in order to monitor the progression of the condition.

If required, Dupuytren’s contracture can be treated with needling, enzyme injections, or, in very severe cases, surgery. The goal of treatment is to soften or break up the fibrous cords of tissue that are pulling the fingers toward the palm.

At Nirschl Orthopaedic Center in Arlington, Virginia, we welcome individuals who are experiencing symptoms of Dupuytren’s contracture or nonspecific hand or wrist pain. Our hand and wrist specialist, Cassie G. Root, M.D., is a board-certified, fellowship-trained orthopedic surgeon who has earned a Subspecialty Certificate in Surgery of the Hand from the American Board of Orthopaedic Surgery. Throughout the diagnostic and treatment process, Dr. Root is committed to providing her patients with the individualized attention and extensive support that they need to return to their active lifestyles.

To request an appointment with Dr. Root at her office in Arlington, VA, contact Nirschl Orthopaedic Center at (703) 525-2200.