Therapy & Customized
Splinting > Finger,
Hand, Wrist, Forearm & Elbow Conditions > Dupuytren Disease Hand
Dupuytren Disease Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
Dupuytren disease, also known as Dupuytren contracture, is a condition in the hand that causes the fascia, or layer of tissue beneath the skin, to tighten and draw the fingers into the palm.
Dupuytren disease develops over time and is most common in the ring and small fingers; however, it may be found in any digit of the hand.
What are the symptoms of Dupuytren disease?
Initially patients may feel a lump or thickening of tissue in the palm; however, with time, Dupuytren disease can progress and worsen.
Thick cords may develop in the palm and make it
- difficult to open the hand to hold change
- difficult to place the hand in a pocket
- any movement that involves or requires opening of the hand/palm
The cords may also become sensitive and limit the ability to grip tools.
The tightness of skin in the palm and the bent position of the fingers may take months or years to develop. Dupuytren disease can occur in both hands, although one hand is typically worse than the other.
What causes Dupuytren disease?
Unfortunately, the exact cause of Dupuytren disease is not known.
Dupuytren disease is found most often in older males. Risk factors are
- diabetes and
- having a family member with Dupuytren disease
What is the treatment for Dupuytren disease?
Dupuytren disease is typically diagnosed by a physical exam.
Your physician may monitor the nodules for change in size or thickness. For many, the nodules in the palm do not progress or become painful; however, when the fingers become stiff and limit the ability to use the hand, a referral to a hand surgeon is necessary.
Surgery may be performed to remove the nodules and thick tissue in the palm. Your surgeon may also recommend a special injection and manipulation to straighten the fingers.
What can a hand therapist do for me?
Our senior hand therapists works closely with orthopedic doctors to help treat Dupuytren disease after surgery.
Post-operative care involves
- fabrication of an customized splint to keep the fingers extended
- a home exercise program to perform active range of motion and scar management and
- a strengthening program to regain functional use of the hand
Custom-fabricated orthosis for Dupuytren disease
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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