As early as last year, an injection became available in America and this year in Europe, that weakens the cords and allows them to be broken up. However, as the nodules or diseased tissue is not removed, the risk of the chords regrowing remains.
Historically, there has been little change with splinting or exercises using non-invasive therapy methods.
The most commonly used approach to correct Dupuytrens Contracture is to remove the diseased tissue surgically. The surgery then requires almost immediate and strict follow-up with a hand therapist. Splinting to maintain full straightening of the finger, wound care, swelling management, early movement and scar management are really important. There is no value in having the surgery and then not continuing on with the recommended hand therapy treatment.
Surgery is indicated when a thorough assessment is done by a Hand Surgeon. Referral from your local doctor to the specialist can determine if you are an appropriate candidate.