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What Dupuytren’s Contracture Is and When to See a Specialist

August 22, 2025

Hand of an man with Dupuytren contracture disease.

Dupuytren’s contracture is not just another medical term. For those dealing with this condition, it can be a daily challenge affecting their hands and fingers. It can also significantly affect your overall quality of life. It often starts subtly, with a small lump in the palm of the hand that seems harmless. Yet, over time, it can progress into something far more limiting. This makes even the simplest tasks like holding a cup or typing on a keyboard difficult.

 

If you or someone you know is struggling with this condition, it is important to understand the symptoms and causes. It is also essential to know when to seek the help of a trusted Dupuytren’s contracture specialist.

What is Dupuytren’s Contracture?

Dupuytren’s contracture is a condition that impacts the connective tissue under the skin in the palm of the hand. This tissue, known as the palmar fascia, becomes thicker and tighter over time. When this occurs, it pulls the fingers inward toward the palm, creating what is called a contracture. These symptoms will not happen overnight. It is a condition that develops gradually, often over several years.

Early Signs of Dupuytren’s Contracture

The first noticeable sign of Dupuytren’s contracture is often a lump or nodule in the palm. Many people first dismiss it as something minor, such as a callus.

 

However, over time, this lump can become firmer and start forming cords that stretch toward the fingers. Common symptoms include:

  • A lump or hardened area in the palm
  • Difficulty in straightening the fingers
  • Loss of hand function

 

This condition is not always painful. The absence of pain can lead people to delay seeking medical advice. However, ignoring the condition allows the contracture to progress to a more severe stage. This makes it important to see a hand specialist as soon as you notice something unusual in your hand.

What Causes Dupuytren’s Contracture?

The exact cause of Dupuytren’s contracture is not well understood. However, several factors may increase the risk of developing this condition. Common risk factors include:

  • Age: Individuals over the age of 40 are at a higher risk.
  • Gender: Men are more likely to experience Dupuytren’s contracture than women.
  • Family History: There is a genetic component, as the condition tends to run in families.
  • Lifestyle: Factors such as smoking or alcohol consumption might increase the risk.

 

The exact triggers are unclear. However, knowing these risk factors can help spot the likelihood of developing Dupuytren’s contracture early.

When to See a Specialist

The progression of Dupuytren’s contracture can vary from person to person. For some, it may progress very slowly over several years. For others, the condition can worsen quickly.

 

A Dupuytren’s contracture specialist is an orthopedic doctor. They check how serious the problem is and talk about ways to treat it. Treatments might include things like special shots or surgery to make it easier for the fingers to straighten; your doctor will recommend the approach most suitable for your case. The goal is to help the hand work better, so it is easier to do everyday activities.

Warning Signs It Is Time to Visit an Orthopedic Doctor

Knowing when to see an orthopedist near you is crucial to managing the condition effectively. Here are three warning signs:

  • One or more fingers cannot straighten completely.
  • Gripping or holding even light objects becomes difficult.
  • You have mild symptoms, but they worsen rapidly.

 

If you experience any of these warning signs, seeking help from a Dupuytren’s contracture specialist should be a priority. A specialist can offer solutions to slow down the progression. They could also help you find methods to improve your hand function.

What Can a Specialist Do?

An orthopedic doctor can evaluate the severity of your condition with various tests. Afterward, they can determine the best course of action using their findings.

 

Some non-surgical treatment options include:

Enzyme Injections

Certain medications can be injected into the cords to weaken them. Eventually, they will loosen and your hand will return to normal.

Needle Aponeurotomy

This minimally invasive procedure uses a small needle to break up the cords under the skin.

Surgical Options

If non-surgical treatments fail to provide significant relief, surgery may help. Surgical options include the following:

  • Fasciectomy: Removing the thickened tissue completely to release the fingers
  • Dermofasciectomy: Removing the affected fascia and skin, often followed by a skin graft

 

Your treatment plan will depend on factors such as the severity of the condition, your age, and your overall health.

The Importance of Early Intervention

Early intervention can prevent Dupuytren’s contracture from reaching an advanced stage. In advanced stages, treatment options may become more invasive. By seeking help sooner rather than later, you can better preserve the function of your hand. You can also maintain your quality of life.

Dupuytren’s Contracture Specialist in St. Peters, O’Fallon, & Wentzville, MO

Living with Dupuytren’s contracture does not have to mean giving up on your daily activities. By consulting with a specialist, you can take an essential step toward finding the right treatment.

 

Are you looking for the best Dupuytren’s contracture specialist near you? You can rely on Advanced Bone & Joint. We specialize in providing comprehensive care to help our patients regain their independence and mobility. If you or someone you know is showing signs of Dupuytren’s contracture, do not wait. Call us today at (636) 241-9807 or submit an appointment request form to meet with one of our experienced orthopedic doctors.

 

The best hand specialists near you look forward to serving you!

Filed Under: Dupuytren's contracture Tagged With: dupuytren's contracture specialist, Enzyme Injections, hand specialist near me, Needle Aponeurotomy, orthopedic doctors, orthopedist near me, Signs of Dupuytren's Contracture

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Schedule an appointment online with one of our orthopedic specialist today, or call (636) 229-4222.

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Carol Owen

A+ experience from start to finish. The staff in the waiting area are very capable and personable. The wait time is short and my most recent visit was my third time there with the third specialist. I have been a patient of Dr. Frisella, Dr. Glissom and now Dr. Fallon. I always rave about their knowledge, expertise and care. I recommend them to all my friends, and give them a five star recommendation to all!

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Everyone was great and Dr Spezia is my kind of Doctor! Thorough, and a great upbeat personality!

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O’Fallon, MO 63368

378 Shadow Pines Drive
Wentzville, MO 63385

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Copyright © • Advanced Bone & Joint • All Rights Reserved
iHealthspot Medical Website Design and Medical Marketing by Hedy & Hopp.

Advanced Bone & Joint offers comprehensive care for a range of orthopedic conditions to those living near St. Peters, Wentzville, and O'Fallon, MO, through a variety of orthopedic services, including diagnostic imaging, arthritis care, wound care, sports medicine, work-related care, and injections and aspirations. We also offer an Ortho Urgent Care services at our St. Peters and O'Fallon locations.