Best Dupuytren Contracture Doctors in Delhi

Dupuytren Contracture is a condition that progressively thickens and tightens the tissue beneath the skin of the palm and fingers. This results in nodules and cords that pull the fingers into a bent position, making it difficult to straighten them. While the exact cause remains unknown, it appears to have a familial pattern and may be linked to certain risk factors such as older age, male gender, Northern European or Scandinavian descent, smoking, alcoholism, diabetes, and usage of seizure medications.

In Delhi, Dupuytren contracture doctors have noticed that this condition is becoming increasingly common. It is often seen among middle-aged smokers or those with a family history of the condition. The best fasciectomy specialists in Delhi are equipped with state-of-the-art medical technology to diagnose and treat this disease.

Types/Stages of Dupuytren Contracture

Dupuytren's contracture primarily impacts the hands, causing progressive finger contractures due to fibrous tissue buildup in the palm. However, similar fibrotic conditions can also affect other areas of the body, such as the feet (Ledderhose disease), the penis (Peyronie's disease), and the knuckles (Garrod's pads). Recognizing these types aids in understanding the broader spectrum of fibrotic disorders related to Dupuytren's contracture.

According to fasciectomy doctors, Dupuytren contracture can be divided into three distinct stages:

• Nodules: The early stage wherein lumps form under the skin in the palm.

• Cords: The intermediate stage where tough bands of tissue develop under the skin causing fingers to bend.

• Contracture: The advanced stage where fingers are pulled into a bent position, making it challenging to straighten them.

  Symptoms of Dupuytren Contracture

The symptoms of Dupuytren contracture are quite distinct:

• Presence of lumps or nodules in the palm

• Thickening and tightening of the skin

• Fingers bending towards the palm

• Difficulty placing the hand flat on a table (tabletop test)

• Decreased hand function and grip strength

Tests to Diagnose Dupuytren Contracture

The Dupuytren contracture doctors perform the following tests to confirm the diagnosis:

• Physical Exam: The doctor will examine your hand for the presence of nodules or cords.

• Tabletop Test: Testing your ability to place your hand flat on a table.

• Grip Test: This test measures the grip strength of your hand.

• Hand Function Test: This test assesses the functionality of your hand.

  Treatment or Surgery Options for Dupuytren Contracture at Apollo Hospitals Delhi

At Apollo Hospitals Delhi, there are several treatment options available for Dupuytren contracture depending on the severity of the condition:

• Nonsurgical treatments: These include stretching exercises and steroid injections in the early stages. Enzyme injections (Xiaflex) and needle aponeurotomy are used to break up the cords.

• Surgical treatments: In advanced cases, Dupuytren's syndrome specialists and surgeons may recommend open fasciotomy to remove thickened tissue, dermofasciectomy to remove affected skin and tissue, or skin grafting in severe cases.