Treatment of Dupuytren's contracture

Dupuytren's contracture is a gradual compaction and contraction of the connective tissue on the palm. Palmar fibromatosis leads to the formation of fibrous cords and nodules that impair hand function and prevent full finger extension. If left untreated, the condition gradually progresses, significantly reducing quality of life and causing discomfort during everyday activities.

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Therefore, it is very important to seek diagnosis and treatment in time. Next — about how exactly the intervention takes place, what methods are used and how recovery occurs.

What is Dupuytren's contracture?

Dupuytren’s disease is a disorder of the connective tissue that leads to the formation of nodules and fibrous cords in the palm. As the tissue contracts, it pulls the fingers toward the palm, limiting mobility and preventing extension. The ring finger and little finger are most commonly affected. In some cases, the condition is bilateral and affects both hands.

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An important point is that the pathology develops in the palmar aponeurosis, not in the tendons, although the limitation of movement is most noticeable in the fingers.

Main symptoms of Dupuytren's contracture

The disease develops gradually. Initially, a small nodule appears in the palm, followed by the formation of a tight fibrous cord that progressively limits finger extension. A simple functional test is to place the hand flat on a table — if the palm cannot lie flat, contracture may be suspected.

Typical symptoms include:

• nodules or thickening in the palm with a sensation of skin tightness;
• limited extension of one or more fingers;
• impaired grip and discomfort during movement;
• a feeling of tension or heaviness in the fingers, even at rest.

Who is most commonly affected

 The exact cause of Dupuytren’s contracture is not fully understood, and its development mechanisms are still being studied. However, several risk factors have been identified:

• genetic predisposition (family history of the condition);
• age over 50, especially in men;
• diabetes mellitus;
• smoking and regular alcohol use;
• repetitive hand strain or work involving vibrating tools.

Accurate diagnosis of Dupuytren’s contracture

Diagnosis is usually clinical. During the consultation, the orthopedic specialist evaluates the size and location of nodules, the presence of fibrous cords, the degree of joint flexion, and overall hand function.

Additional imaging studies may be required to assess tissue condition or differentiate from similar conditions, such as trigger finger (stenosing tenosynovitis), where the finger may lock during movement. In such cases, X-ray, ultrasound, or MRI may be recommended.

Comprehensive treatment of Dupuytren's contracture in our center

The treatment approach for palmar fibromatosis depends on the stage of the disease and the degree of functional limitation. Active treatment is indicated when contracture causes significant discomfort or interferes with daily activities.

Therapeutic massage of the hand and forearm

Massage is used as a supportive method to reduce muscle tension, relieve spasms, and improve tissue sensitivity in overloaded areas.

It does not affect the fibrous cords directly but may help improve comfort and prepare the hand for further treatment.

In addition, patients receive individualized recommendations for home exercises.

Physiotherapy for Dupuytren’s contracture

Physiotherapy helps maintain finger mobility, reduce stiffness, and support safe functional recovery after treatment. Exercises are selected individually based on the degree of contracture, pain level, and skin condition. This is especially important for returning to work, sports, and daily activities.

Device-based therapy

 Physical therapy modalities may help reduce pain, muscle tension, and  slow reactive changes around the affected area. However, hardware methods are not a substitute for surgical treatment, but only a tool that helps to make recovery easier. Modern physiotherapy and rehabilitation programs are available at our medical center.

Needle aponeurotomy (needling)

Needling is a minimally invasive treatment option for Dupuytren’s contracture. It involves targeted release of fibrous cords using a needle to restore range of motion. The procedure is typically performed under local anesthesia, without incisions, and allows for a rapid return home.

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It is important to understand that conservative and minimally invasive methods have limitations. They may be less effective in advanced contractures with large nodules, and recurrence is possible. In more severe cases, surgical treatment may be recommended. The decision is made individually based on the extent of the condition and the degree of functional impairment.

Rehabilitation and recovery after treatment

The recovery plan depends on the treatment method and the initial condition of the hand. After minimally invasive procedures, active movement is usually restored early, and many patients notice improvement within 3–7 days. Mild swelling, tenderness, and a feeling of tightness may occur during the first 1–2 days.

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Within 2–3 weeks, most patients can comfortably perform everyday hand activities, provided excessive strain is avoided. Full recovery of strength and function typically takes several weeks.

After surgery, recovery is longer and may take 4–12 weeks. The first phase focuses on swelling control, wound healing, and gradual restoration of finger mobility. This is followed by exercises to improve strength, coordination, and grip function. Return to heavy physical activity or sports is determined individually based on progress and symptoms.

It is important to dose the load safely: the doctor provides a structured rehabilitation plan, including exercises and guidance on safe daily activities.

Treatment results and prognosis

In most cases, treatment helps restore finger mobility and improve hand function. However, outcomes may vary depending on the stage of the disease and individual patient factors.

Why should you contact our center?

1. Over 30 years of experience. Our doctors have internationally recognized qualifications and extensive experience in surgical, minimally invasive, and conservative treatment methods.
2. Individual approach. We recommend treatment strategies tailored to each patient. Treatment plans are discussed and adjusted as needed.
3. Modern techniques. Mashtaler Ortho&Trauma Medical Center actively uses minimally invasive methods that reduce tissue trauma and shorten recovery time.
4. Patient comfort. We provide convenient appointment scheduling, a comfortable environment, and clear guidance at every stage of treatment and recovery.

Price for treatment of Dupuytren's contracture at Mashtaler Ortho&Trauma

 To determine the cost of treatment, we recommend scheduling a consultation with an orthopedic specialist. Basic procedure prices are listed below, and a full price list is available at the clinic. The final treatment plan and cost are determined individually after examination, taking into account disease severity, chosen method, and rehabilitation needs.