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Friday, 11 July 2025

'Surgery is the best option for long term benefit from Dupuytren’s contracture'

This post is about Dupuytren's contracture:


Dupuytren's contracture is when one or more fingers bend in towards your palm. There's no cure, but your fingers can be straightened with surgery if it's severe.

Symptoms of Dupuytren's contracture

Dupuytren's contracture mainly affects the ring and little fingers. It's common to have it in both hands at the same time.

It tends to get slowly worse over many months or years.

It's not usually painful, but it can affect how you use your hand.

Dupuytren's contracture happens when the tissue under the skin near your fingers becomes thicker and less flexible.

The exact cause is unknown, but it's been linked to:
  • having a family history of the condition
  • smoking
  • drinking lots of alcohol
  • having diabetes or epilepsy
You can read more on the NHS website here and also the British Dupuytren's Society here

The thought behind this post was prompted by an article seen on The Diabetes Diet Blog here and thought it one to share!

"Adapted from BMJ 24 Feb 2024

A randomised controlled trial by Mikko Raisanen in Finland compared treatments for Dupuytren’s contracture.

This condition is common in those of Viking ancestry. Famous afflicted people include Ronald Reagan, Margaret Thatcher, Frank Sinatra, actor Bill Nighy and Banjo 
Player Joe Bonsall. 

Thickening and tightening of the tendons in the palms of the hands occurs. Progression is usually slow, but as the pinky finger and others become unable to extend, it can cause real difficulty in dressing and holding objects.

Three treatments were compared: surgery, needle fasciotomy and collagenase injections.

At the three month point, all seemed equally successful with 70% improved considerably, but after two years, surgery was 78% effective compared to 50% and 65% respectively.

Diabetics are prone to this condition too, as tendon glycation worsens the problem."

Read more about 'How Diabetes Can Lead To Tendon Damage' here

Had you heard of Dupuytren’s contracture? Perhaps you have a family member with it?

Please be aware
Articles / studies within this blog are provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. If you have any concerns about your general health, including medication, you should contact your Doctor/local health care provider.

All the best Jan

29 comments:

Linda's Relaxing Lair said...

This looks painful, Jan! First I have heard of this. Thank you so much for sharing about it.

Lowcarb team member said...

REPLY TO Linda's Relaxing Lair ...

Hello Linda, yes although it does look painful it's not usually painful, but it can affect how you use your hand.

All the best Jan

Mari said...

A friend of mine had that and did have the surgery. She said it was an easy surgery and it took care of the issue.

A Brit in Tennessee said...

I suffer from Dupuytren's contracture, although my fingers have not drawn at this stage. I knew it was from a Viking heritage. Similarly, I have undergone Trigger thumb surgery on my right hand and now facing treatment on my left thumb. I was a horse rider for many years, and I have often wondered if holding the reigns had anything to do with either conditions.
Thank you for sharing this information, it enlightened my view on the conditions.
Jo

The Happy Whisk said...

It's not fun having issues with our fingers.

Tom said...

...this is new to me.

Lorrie said...

Both my father and my brother have Dupuytren's contracture. My father has had surgery and I expect my brother will, too.

Jules said...

Interesting. I'd never heard of this before. X

Katerinas Blog said...

I'm reading more and more about how diabetes affects the body...
. I didn't know that, thanks for the information!

Granny Marigold said...

I have a mild case of Dupuytren's but as it isn't painful and so far hasn't kept me from doing all the things I want to do I don't plan on having surgery.

Margaret D said...

One of those nuisance things fixed by surgery.

Rustic Pumpkin said...

It became more well known when Margaret Thatcher had surgery for it. My cousin had successful surgery twice.

roentare said...

Interesting to hear surgery is actually a good long term solution

jabblog said...

I knew Bill Nighy has that. I didn't know there were remedies for it.

Ananka said...

Never heard of that before Jan. And never noticed anyone with it.

eileeninmd said...

Hello Jan,
I have never heard of Dupuytren's. Thanks for sharing the info.
Take care, have a great day and a happy weekend!

Joyful in His Presence said...

That has to be so painful. Thank you for sharing about it, Jan.

Lowcarb team member said...

REPLY TO Joyful in His Presence ... Dianna

Hello Dianna, yes although it does look painful it's not usually painful, but it can affect how you use your hand.

All the best Jan

Christine said...

Glad surgery is a good option

Jeanie said...

I've a friend who has had pretty good luck with the surgery, although it did "come back" and he did it again.

CJ Kennedy said...

I've see this advertised on television with alternate therapies besides surgery.

Linda said...

That would challenging to a banjo player!

https://linsartyblobs.blogspot.com said...

I didn't know about this condition.

HappyK said...

I've never heard of it before.

Mary Kirkland said...

Interesting, I've never heard of that.

Conniecrafter said...

I have never heard of that, thanks for the info, if my hubby ever has problems I will know what it may be

DVArtist said...

Very good post. Lots of information. Thank you.

Back2OurSmallCorner said...

Thank you for sharing this information. I knew nothing about Dupuytrens before.

Teresa said...

Mi padre lo tuvo, lo operaron y todo salió muy bien. Besos.