Introduction
If you’ve noticed your fingers starting to curl toward your palm and you can’t straighten them fully, you may be experiencing Dupuytren’s contracture. This hand condition can slowly affect mobility, make daily activities painful, and interfere with your quality of life. At Specialty Orthopaedics in Duluth, GA, Dr. Thomas Neustein, a fellowship-trained hand surgeon, provides advanced treatment options for Dupuytren’s contracture and other hand and wrist conditions. Patients across North Georgia trust Dr. Neustein for his expertise, his training at Emory University School of Medicine, and his dedication to delivering exceptional care.
What Is Dupuytren’s Contracture?
Dupuytren’s contracture is a condition that affects the tissue just beneath the skin of the palm. Over time, this tissue thickens and tightens, forming cords that pull one or more fingers—most often the ring finger and thumb—toward the palm. Unlike arthritis, which affects the joints, Dupuytren’s directly involves the connective tissue in the hand.
The symptoms may start subtly, such as a small lump or nodule in the palm, but can progress until the fingers bend and will not straighten. This can make it difficult to shake hands, grip objects, type, or perform other everyday tasks.
Causes and Risk Factors
Doctors and researchers don’t know the exact cause, but several factors are linked to Dupuytren’s contracture:
- Age: Most common in people over 50.
- Gender: Men are more frequently affected.
- Family history: Genetics play a role.
- Geography: Higher prevalence in people of Northern European descent.
- Other conditions: Associated with arthritis, diabetes, and sometimes sports injuries or trauma.
Symptoms to Watch For
Patients often describe early discomfort or notice a firm lump in the palm. As the disease progresses, cords develop, and fingers such as the ring finger or trigger thumb bend inward. Unlike carpal tunnel syndrome, Dupuytren’s does not usually cause numbness, tingling, or weakness.
Common symptoms include:
- Lumps or pits in the palm
- Difficulty placing the hand flat
- Gradually worsening mobility of affected fingers
- Tight cords causing painful bending
Diagnosis in Duluth
A thorough evaluation with a skilled hand surgeon is the best way to confirm Dupuytren’s contracture. Dr. Neustein performs a careful physical examination, reviews your history, and evaluates your ability to straighten your fingers. Imaging such as X-rays is not usually required, since the condition primarily affects soft tissue rather than bones or fractures.
Non-Surgical Treatment Options
Not every patient requires immediate surgery. Mild cases may simply be monitored. For those with early signs or functional problems, treatment options may include:
- Needle aponeurotomy: A minimally invasive procedure that uses a fine needle to break the tight cords and improve mobility.
- Steroid injections: Used in some cases to reduce painful nodules in the palm or slow progression.
- Splinting and exercises: While wrist splinting does not stop progression, specific exercises can help maintain flexibility.
- Medications: Over-the-counter pain relievers may help reduce discomfort, though they do not alter the disease itself.
Dr. Neustein takes time to discuss each treatment approach so that patients understand the risks, benefits, and expected outcome.
Surgical Treatment Options
When Dupuytren’s contracture severely affects hand function, surgery may be recommended. Several procedures are available:
- Fasciectomy: The diseased tissue is surgically removed through a small incision in the palm and fingers.
- Dermofasciectomy: Diseased tissue and skin are removed, and a skin graft may be performed.
- Trigger finger release surgery: Sometimes performed alongside Dupuytren’s treatment if a patient also has a locking trigger finger.
- Joint replacement: In severe, advanced cases with associated arthritis, this may be considered to restore mobility.
These procedures, performed by an experienced surgeon, are designed to improve function, reduce pain, and help patients regain their daily activities.
Recovery and Rehabilitation
Recovery depends on the severity of the condition and the type of procedure performed. Many patients begin gentle exercises within days to maintain mobility and prevent stiffness. Occupational or physical therapy may be recommended to optimize outcomes.
Post-surgical pain is typically well managed with medications and ice. Most patients gradually return to normal daily activities, though some may take longer depending on age, the number of fingers affected, and overall well-being.
Everyday Life After Treatment
Successful treatment of Dupuytren’s contracture often means restored ability to straighten the hand, grip objects, and perform normal tasks without discomfort. While recurrence is possible, ongoing monitoring and early treatment of new nodules can help manage the condition effectively.
Patients in Duluth, GA who undergo orthopedic surgery for Dupuytren’s often report improved quality of life and reduced stress in daily routines. Dr. Neustein emphasizes stress free care by guiding patients through each step, from diagnosis to recovery.
Other Hand and Wrist Conditions Treated
In addition to Dupuytren’s, Dr. Neustein treats a wide range of conditions, including:
- Carpal tunnel syndrome
- Trigger thumb and trigger finger
- Sports injuries and tendon repair
- Wrist fractures and ligament injuries
- Tennis elbow and other elbow conditions
- Arthritis of the hand and thumb
- Nerve injuries causing numbness or weakness
This broad expertise ensures patients receive comprehensive treatment options tailored to their needs.
Why Choose Dr. Thomas Neustein in Duluth, GA?
Dr. Neustein is a board-certified hand surgeon who trained at Emory University and is dedicated to providing exceptional care. His background in orthopaedic surgery and hand surgery allows him to treat complex cases with precision. Patients appreciate his clear explanations, compassionate approach, and commitment to their long-term well-being.
New patients at the Duluth location benefit from a welcoming practice environment, personalized treatment plans, and the convenience of local access to advanced care. Whether you need non-surgical management, surgery, or ongoing rehabilitation, Dr. Neustein’s expertise ensures the best possible outcome.
Schedule an Appointment
If you’re struggling with curled fingers, difficulty using your hand, or any other hand and wrist problem, it may be time to seek expert care. Schedule an appointment with Dr. Neustein today to discuss your treatment options and take the first step toward restoring your mobility and quality of life.
