Dupuytren’s Contracture: When Progression Requires Treatment

Dupuytren’s contracture is not just a cosmetic issue — it is a progressive condition that can significantly impair hand function over time. Many patients in Montreal, Laval, Brossard, and Longueuil initially notice small nodules in the palm and assume it is harmless. However, as the disease progresses, fibrous cords form under the skin and begin pulling the fingers toward the palm.

This progression can take months or years, but once contracture develops, it becomes increasingly difficult to reverse without medical intervention.

How the Condition Evolves

Dupuytren’s disease typically follows stages:

• Early stage: small nodules or lumps in the palm
• Intermediate stage: formation of cords under the skin
• Advanced stage: fingers (often ring and little finger) bend toward the palm

At advanced stages, patients may struggle with simple tasks such as:

• Shaking hands
• Wearing gloves
• Placing the hand flat on a surface

When Should You Seek Treatment?

A key clinical indicator is the inability to place your hand flat on a table (tabletop test). Once this limitation appears, treatment should be considered.

Delaying intervention may lead to:

• Permanent joint stiffness
• Reduced surgical outcomes
• Increased complexity of correction

Treatment Options in Montreal

Dr. Durand offers several treatment approaches depending on severity:

• Observation for early stages
• Needle-based techniques
• Enzyme injections (in select cases)
• Surgical fasciectomy for advanced contractures

Surgical treatment aims to remove the diseased tissue and restore finger extension.

Long-Term Outlook

Dupuytren’s can recur, but early and appropriate treatment significantly improves long-term hand function and quality of life.