Let Us Give You a Hand Using Dupuytren’s enzyme injections

hand-surgery-patient-melbourne

The ageing process impacts multiple areas of the human body, including the hands. As we get older, we become more susceptible to injuries and ailments that make functionality in our ligaments difficult and sometimes painful. One particular condition that tends to complicate everyday life and cause discomfort is Dupuytren’s contracture, which, up until recently, was treated primarily with hand surgery. Now, thanks to continued research, a less invasive injection treatment is available using which Dr Damon Thomas provides in his office.

WHAT IS DUPUYTREN’S CONTRACTURE?

Dupuytren’s contracture affects a person’s ability to straighten their fingers. The condition is progressive and caused by an unnatural buildup of collagen in the palm of the hand which resembles a cord. As a result, the fingers begin to bend toward the palm at the joint where the finger meets the palm (known as the MP joint) as well as the knuckle (or PIP) joint. Dupuytren’s contracture is genetic and occurs in individuals of various backgrounds. If the condition remains unnoticed, those with the condition can begin to lose function in their hands.

The most common treatment method for Dupuytren’s contracture is hand surgery, which involves the release and excision of collagen buildup, but now, with the introduction of commercially available Dupuytren’s enzyme injection, Dupuytren’s contracture can be relieved with a less invasive needle injection.

HOW CAN DUPUYTREN’S ENZYME INJECTION HELP?

The Dupuytren’s enzyme injection is a prescription medicine used to break down the bands causing the fingers to bend. The medicine is injected directly into the cord that has formed in the palm, subsequently breaking it and allowing the fingers to extend.

This type of treatment is ideal for those who do not wish to undergo a more invasive procedure, but who desire to restore functionality in their fingers. Dr Thomas administers the medicine in a series of one or two injections and then performs a finger extension procedure 1 – 2 days afterward. The finger extension is designed to help stretch the fingers and promote mobility in the hand. 

In addition to a finger extension, Dr Thomas will schedule follow-up appointments to monitor whether the Dupuytren’s enzyme injection is effectively treating your hand.

THE BENEFITS OF DUPUYTREN’S ENZYME INJECTION

Because hand surgery used to be the primary corrective procedure for Dupuytren’s contracture, many sufferers would avoid receiving treatment from their doctor until mobility was significantly compromised. Now with a nonsurgical injection, patients there are fewer barriers to seeking early treatment. Injections require a local anaesthetic block and the procedure can be performed right in Dr Thomas’s office.

Whereas hand surgery might require the work of a physical therapist to restore movement in the hand, a Dupuytren’s enzyme injection calls for no significant downtime and may simply involve hand exercises that you perform in the comfort of your own home. Overall, the treatment provides a more comfortable and less invasive option for individuals suffering from Dupuytren’s contracture. 

If you would like to find out whether treatment with Dupuytren’s enzyme injection is right for you, please call us on 03 9034 7738 and schedule a consultation with Dr Thomas.

 


MAKING AN INFORMED DECISION

Our website is intended to provide general information about hand surgery and should not be used as a substitute for personalised medical advice. It is important to consult with a qualified plastic surgeon to determine if hand surgery is the right procedure for you. The following considerations should be part of your decision-making process.

Risks

All surgical procedures carry risk. The potential risks and complications associated with hand surgery include, but are not limited to, bleeding, infection, nerve damage, stiffness, loss of feeling or movement of the hand or fingers, scarring, and the need for additional surgery. It is important to understand the risks involved and weigh up the benefits and drawbacks of surgery before undergoing hand surgery.

Recovery

Recovery time after hand surgery may vary depending on the individual, the extent of the procedure, and the technique used. In general, patients should be prepared to experience some discomfort, swelling, and limited mobility after surgery. Patients must also be prepared to take time off work and other activities (including exercise) and follow post-operative instructions to promote proper healing and minimise the risk of complications.

Results

Individual results may vary depending on a number of factors, including the patient’s natural hand structure, the patient’s lifestyle, and the surgical technique employed. It is critical to have realistic expectations about the outcome of hand surgery and understand that each patient’s outcome will be unique. A physical therapy rehabilitation program after hand surgery is often crucial to regain function and  improve range of motion.

If you have any questions or concerns about hand surgery, please do not hesitate to contact us