Best Dupuytren Contracture Doctors in Lucknow

Dupuytren contracture is a hand deformity that gradually develops over several years. The condition affects the layer of tissue lying under the skin of the palm, causing knots of tissue to form, leading to progressive and often disabling hand impairment. It is believed to be an interplay of genetic and environmental factors, with a notable hereditary component. Key risk factors include having a family history of the disease, being male aged over 50, Northern European descent, or having certain medical conditions such as diabetes, alcoholism, and epilepsy.

In Lucknow, a team of Dupuytren contracture doctors at Apollo Hospitals are ready to help residents manage this condition effectively. Their fasciectomy doctors and palmar fibromatosis specialists blend expertise with compassionate care to ensure the best treatment outcomes.

Types/Stages of Dupuytren Contracture

Dupuytren contracture typically progresses through three phases:

• Early Nodular Stage: Small lumps or nodules form in the palm at this stage. These nodules are tender and may cause the skin on the palm to appear dimpled.

• Intermediate Cord Stage: As the disease progresses, these nodules thicken into fibrous cords extending into the fingers. These cords can easily be felt under the skin.

• Late Contracture Stage: The fibres continue to thicken and constrict movement by forcing the fingers into a bent position.

Symptoms of Dupuytren Contracture

The main symptoms related to Dupuytren contracture include:

• A thickening or pitting of the skin on the palm

• Formation of small lumps or nodules in the palm

• Development of fibrous cords under the skin

• Difficulty in fully straightening the fingers

• Decreased hand function and dexterity

Tests to Diagnose Dupuytren Contracture

To diagnose the condition, Dupuytren's disease specialists may suggest various diagnostic tests, such as:

• Medical History Assessment: This involves a detailed conversation with the patient about their symptoms and any family history of the disease.

• Physical Examination: Careful examination of the hands for nodules or cords.

• Hand Functionality Tests: These help in assessing the impact of the condition on daily activities.

• Grip and Pinch Strength Testing:

  Measurement of the patient's grip and pinch strength, which can be affected by Dupuytren's contracture

• Exclusion of Other Conditions:

  Ruling out other potential causes of finger contractures, such as trigger finger, ganglion cysts, or soft tissue masses

Treatment or Surgery Options for Dupuytren Contracture at Apollo Hospitals Lucknow

Dupuytren's syndrome specialists may suggest individualised treatment options based on the severity of the patient's condition, including:

• Steroid Injections: These are used to reduce pain and swelling in early nodules.

• Enzyme Injections: This treatment weakens fibrous cords and allows for finger straightening.

• Needle Aponeurotomy: This non-invasive procedure involves dividing the diseased tissue through small needle punctures.

• Open Fasciotomy: In severe cases, fasciectomy doctors may perform this surgical procedure to remove the thickened tissue and restore mobility.