Introduction
Dupuytren’s contracture is a condition that affects the palm and fingers, causing them to curl inward toward the hand. It develops when scar tissue forms beneath the skin, creating thick cords that pull the fingers down. While often painless at first, the condition can progress until it limits daily function. Patients in Dawsonville who are struggling with hand and wrist problems can turn to Dr. Thomas Neustein, a board-certified orthopedic hand surgeon at Specialty Orthopaedics, for advanced treatment options.
Understanding Dupuytren’s Contracture
This contracture is not the same as arthritis, tendonitis, or a trigger finger. Instead, it involves changes in the soft tissue of the palm itself. Over time, scar tissue thickens and shortens, restricting movement. It most often affects the ring finger and little finger but can involve different parts of the hand. Dr. Neustein explained that while the exact cause is not fully understood, family history, diabetes, smoking, and age are all known risk factors.
Symptoms and Diagnosis
Common signs include firm nodules in the palm, progressive curling of the finger, and difficulty straightening the hand. While it may not be painful, the condition can create discomfort and limit function. Diagnosis is made with a simple physical exam. No X-rays are usually required since the problem lies in the tissue rather than the bones or joints. Early diagnosis allows Dr. Neustein to discuss a full range of treatment options with patients before the contracture worsens.
Non-Surgical Treatment Options
In mild cases, no immediate intervention may be necessary, and patients can simply monitor the condition. When treatment is needed, Dr. Neustein offers enzyme injections that soften scar tissue, or a small needle procedure that releases tight cords without a large incision. These options are performed in the office or at a local surgery center and can help restore mobility. However, recurrence is possible, so ongoing follow-up is recommended.
Surgical Procedure for Dupuytren’s Contracture
For more advanced cases, surgery may be the best option. As a fellowship-trained hand and upper extremity surgeon, Dr. Neustein performs precise surgical procedures to release or remove the thickened tissue. An incision is made in the palm, and the involved tissue is carefully excised to allow the finger to straighten. This type of hand surgery is usually performed at a nearby hospital or outpatient surgery center. The entire surgical staff is focused on patient safety and providing the highest standard of medical care. Patients often remark that Dr. Neustein did an outstanding job guiding them through surgery and recovery.
Recovery and Rehabilitation
After surgery, splinting and hand therapy are vital parts of the healing process. Rehabilitation exercises help reduce stiffness, improve tendon glide, and restore hand and wrist function. The healing process may take weeks, but most patients see significant improvement. Dr. Neustein and his team provide close follow-up, ensuring that patients achieve the best possible recovery. With dedicated therapy, patients regain the ability to perform daily tasks and enjoy better quality of life.
Everyday Life After Treatment
Patients often report that their ability to grip, write, and use their hand improves dramatically after treatment. While Dupuytren’s contracture can recur, surgery or other procedures usually provide long-term relief. With ongoing medical care and occasional follow-up, patients in Dawsonville can feel confident about their results. Many patients state they highly recommend Dr. Neustein and Specialty Orthopaedics to friends and family because of the expertise, professionalism, and compassion shown by the entire staff.
Other Hand and Wrist Conditions Treated
In addition to Dupuytren’s contracture, Dr. Neustein treats a wide range of hand and wrist conditions, including:
- Trigger finger and trigger thumb
- Carpal tunnel syndrome
- CMC joint arthritis
- Tennis elbow and soft tissue injuries
- Wrist fractures and broken bones
- Joint replacement surgery for advanced arthritis
This broad expertise in hand and upper extremity surgery means patients receive comprehensive care for nearly any hand and wrist injury or condition.
Why Choose Dr. Thomas Neustein in Dawsonville?
As a board-certified orthopedic physician specializing in hand and wrist surgery, Dr. Neustein offers advanced expertise, clear communication, and compassionate care. Patients frequently share that he took the time to explain their diagnosis, treatment options, and surgical procedures in a way that was easy to understand. Many accounts highlight that Dr. Neustein and his entire staff provide outstanding medical care, making patients feel supported throughout the healing process. His training, experience, and commitment to excellence make him the trusted choice for Dupuytren’s contracture treatment in Dawsonville, GA.
Schedule an Appointment Today
If you are experiencing symptoms of Dupuytren’s contracture or any other hand and wrist condition, don’t wait until it interferes with your daily life. Contact Specialty Orthopaedics in Dawsonville to schedule an appointment with Dr. Thomas Neustein. From non-surgical treatment to advanced surgical repair, he and his team provide the highest level of care to help you regain function and reduce discomfort.
