Hands and Skin

Dupuytren’s Disease

Dupuytren’s disease is a common hand condition in which the connective tissue beneath the skin of the palm gradually thickens. Over time, firm nodules or cords can develop, drawing one or more fingers into a bent position and making it difficult to straighten the hand fully. Although not harmful, Dupuytren’s disease can affect grip, hand function and confidence in daily activities. It often runs in families and is more common in men over 40, people with diabetes and those of Northern European ancestry, though women can also be affected.

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When to Consider Treatment

Treatment is considered when the condition begins to interfere with daily life — for example, if you cannot place your hand flat on a table or if the fingers start to curl significantly.

Not all cases require surgery. In the early stages, observation may be appropriate, particularly if the contracture is mild or not progressing. However, when function is affected, several effective treatments can help restore movement.

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Procedure length

30–90 minutes, depending on extent

Anaesthesia

Local

Dressings

2 weeks

Hand therapy

Begins early; essential for regaining movement

Return to work

Desk: 1–2 weeks · Manual: 4–6+ weeks

Final results

Improved finger extension and grip over several months

Treatment Options

Treatment is carefully tailored to the severity and pattern of the condition. In milder cases, a needle fasciotomy may be performed — a minimally invasive technique that uses a fine needle to divide the tight cord through a tiny puncture in the skin. More advanced or established contractures are often treated with a fasciectomy, where the thickened tissue is precisely removed through a small incision to release the finger and restore movement.

In recurrent or more severe cases, a dermofasciectomy may be recommended, which involves removing both the affected tissue and overlying skin, then replacing it with a fine skin graft to reduce the risk of recurrence and improve long-term results. All procedures are performed with precision to protect delicate structures such as nerves and blood vessels, ensuring a safe and functional recovery.

Final Results

Following treatment, most people regain freedom in their hands — the ability to straighten, move and create with ease once more. As scars soften and strength returns through therapy and gentle movement, the hand gradually rediscovers its natural rhythm.

While Dupuytren’s disease can occasionally recur, thoughtful technique and dedicated aftercare help support lasting improvement. Our aim is not only to restore motion, but to bring back comfort, confidence and the joy of using the hands for the things that matter most.

FAQs

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1. Is the procedure painful?

No. The area is fully numbed with local or regional anaesthetic. Mild soreness is expected for a few days afterward.
2. Can Dupuytren’s return?

Yes, recurrence is possible, particularly in younger patients or those with extensive disease. Regular follow-up and early management of new nodules help minimise this risk.
3. When can I use my hand again?

You can gently move your fingers immediately after surgery under guidance from your therapist. Light daily tasks are usually possible within 1–2 weeks. You will need to wear a night time splint for 6 months.
4. Will I need physiotherapy?

Yes. Hand therapy is essential to maintain flexibility, improve strength, and prevent stiffness.