Conservative Treatments

The most conservative method to treat Dupuytrens contracture is with a medication called Xiaflex. This helps break down the collagen that builds up and causes the finger to flex. Once the injection is performed, the finger is manipulated after the prescribed wait time. The manipulation essentially breaks the tendon free from the adhered tissues (this should only be done by your surgeon!). Once the manipulation is performed, your surgeon will provide a splint for immobilization and to ensure that the fingers stay straight. It is encouraged to move and stretch the fingers several times a day after this to ensure that the tendon glides and moves independently. Strengthening is discouraged until the doctor determines that it’s appropriate.

Surgical Intervention

When surgery is determined by the doctor to be the best course of action, the doctor cuts along the tendon and separates the tendon from the palmar fascia. The fingers are splinted to be positioned in extension to prevent the fingers from contracting and healing in a flexed position. It’s encouraged to provide gentle stretches several times a day to ensure that the tendon doesn’t adhere to the scar tissue. Sutures are typically removed 10-14 days after the surgery where massage and ROM exercises are continued.