Body Massage in Lucknow: Dupuytren contracture treatment
Dupuytren contracture treatment
Dupuytren's
contracture is a disease of the hands where fibrotic tissue accumulates, which
causes the tendons to contract and the fingers to remain flexed. It is a type
of sclerosis, a disease that causes the loss of the basic functions of the
hand. This disease is more common in men than in women and can be a hereditary
disease. The fingers most affected by this Dupuytren's contracture are the
small and ring fingers.
The causes can be: Having a history of the
disease (genetics), Having diabetes or epilepsy, Convulsive disorders, Problems
with alcohol, Trauma in the hands.
The common
age is usually from the age of 40 in men and 60 in women.
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The symptoms of Dupuytren's contracture
are: stiffness and flexion of the ring and little fingers, preventing the
straightening of the fingers.
There are four degrees of this disease: First
degree (palmar nodule), second degree (slight digit-palmar retraction), third
degree (severe digit-palmar retraction) and fourth degree (severe digit-palmar
retraction and joint stiffness).
Treatment : To treat this disease, one
must go to surgery (fasciectomy), in which the palmar fascia is removed.
After the
surgery, a physiotherapeutic treatment is recommended, since it is the best
option for the post-operative period. This treatment with physical therapy
consists of contracted tendon stretching, in addition to extensions with an
external fixator that makes a passive traction on the affected fingers. This
last treatment can also be done before surgery.
Thanks
to the physiotherapist and the treatment, it is sought to minimize the effects
and to obtain a fast cicatrización, in addition to maintaining the extension
achieved thanks to the surgery. It also aims to recover the flexion and
strength of the hands, for which exercise treatments are sent to maintain the
mobility of the hand.
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