Dupuytren’s Contracture is a condition that affects the connective tissue beneath the skin of the palm, causing the fingers to become permanently bent or curled towards the palm. This abnormal thickening and tightening of the fibrous tissue can progressively worsen over time, leading to severe limitation in hand function and significantly impacting one’s daily life. At North Florida Hand and Wrist, Dr. Richard D. Curtis and Dr. Jose Baez are committed to providing their patients with the highest quality of care and the most advanced surgical techniques to help manage Dupuytren’s Contracture and restore hand function.

In this in-depth blog, we will discuss the possible causes of Dupuytren’s Contracture, enabling a better understanding of this condition and its risk factors. We will also present the signs and symptoms for early detection, as the sooner the diagnosis, the more effective the treatment and management of the disorder will be. Delving into the available treatment options, we will explore both conservative and surgical approaches tailored to suit individual needs. Finally, we will offer valuable insights into Dupuytren’s Contracture prevention and post-treatment rehabilitation, ensuring comprehensive care at every stage.

Arming yourself with knowledge about Dupuytren’s Contracture and seeking timely intervention from expertly-trained hand and wrist surgeons like Dr. Curtis and Dr. Baez is key to preserving hand function and enhancing your quality of life. Let the dedicated team at North Florida Hand and Wrist guide you through your journey with Dupuytren’s Contracture, from understanding the condition to exploring treatment options and long-term management strategies. Trust their expertise and commitment to help you overcome the challenges of Dupuytren’s Contracture and regain the life you deserve.

Exploring the Causes and Risk Factors of Dupuytren’s Contracture

The exact cause of Dupuytren’s Contracture remains unclear, but researchers believe it is a combination of genetic predisposition and environmental factors. Some of the known risk factors include:

  1. Genetics: Having a family history of the condition significantly increases the likelihood of developing Dupuytren’s Contracture.
  2. Age: The risk of developing the condition increases with age, typically affecting individuals over 50 years old.
  3. Gender: Men are more likely to develop the disorder and tend to experience more severe symptoms.
  4. Lifestyle Factors: Smoking, excessive alcohol consumption, and certain medications can also contribute to the development of Dupuytren’s Contracture.

Recognizing the Signs and Symptoms of Dupuytren’s Contracture

The early detection of Dupuytren’s Contracture can improve treatment outcomes and help prevent long-term complications. Be vigilant for the following signs and symptoms:

  1. Thickening or nodules formation in the palm
  2. Tightening or puckering of the skin over the affected tissue
  3. Finger(s) bending towards the palm and unable to fully straighten
  4. Tenderness, discomfort, or pain in the affected hand

If you notice any of these symptoms, consult a hand and wrist specialist for a comprehensive assessment and individualized treatment plan.

Conservative Treatment Approaches: When Surgery Isn’t Necessary

Initial treatment for Dupuytren’s Contracture often focuses on non-surgical methods. Conservative approaches aim at slowing the progression of the condition and managing symptoms but may not cure the underlying fibrous changes. Some common conservative treatments include:

  1. Physical Therapy and Hand Exercises: A specialized hand therapist can help you develop a personalized exercise plan to maintain finger flexibility and hand function.
  2. Splinting and Orthotic Devices: Wearing a splint or custom-made orthotic device can help stretch the affected hand and maintain finger alignment.
  3. Steroid Injections: Injecting corticosteroids into the nodules or cords may help reduce inflammation and alleviate pain or discomfort.

Surgical Treatment Options: Restoring Hand Function

If conservative treatments fail to provide sufficient relief or the condition progresses significantly, surgery may be recommended. Surgical options aim to release the contracture and restore hand function. Here are some common surgical procedures:

  1. Needle Aponeurotomy: A minimally invasive procedure that involves the use of a small needle to divide and release the contracted cords, allowing the fingers to straighten.
  2. Open Fasciotomy: Performed under local or general anesthesia, this procedure involves making an incision in the palm or finger to divide and remove the affected tissue responsible for the contracture.
  3. Fasciectomy: A more extensive procedure that involves the surgical removal of the diseased tissue, providing long-lasting relief from contractures.

Dupuytren’s Contracture Prevention and Post-Treatment Rehabilitation

There is no foolproof way to prevent Dupuytren’s Contracture, but managing risk factors and seeking early intervention can help slow its progression. Adopt a healthy lifestyle, quit smoking, and limit alcohol consumption to minimize your risk.

After surgical treatment, continued care is essential for a successful recovery. Your hand and wrist specialist may recommend a combination of the following post-treatment strategies:

  1. Hand Therapy: Working with a specialized hand therapist can help regain strength, flexibility, and function in the affected hand.
  2. Splinting: Wearing a custom-made splint or orthotic device post-surgery may help maintain finger alignment and prevent contracture recurrence.
  3. Wound Care: Proper care of the surgical site is crucial to prevent infection complications and promote healing.


Dupuytren’s Contracture is a complex condition that requires specialized care from expert hands. Dr. Richard D. Curtis and Dr. Jose Baez of North Florida Hand and Wrist are dedicated to guiding you through every step of your journey, from understanding the causes and symptoms to exploring the most suitable treatment options.

By embracing a proactive approach, seeking timely intervention, and working closely with your hand and wrist specialists, you can overcome the challenges Dupuytren’s Contracture poses and reclaim your life. Trust the expertise and commitment of the team at North Florida Hand and Wrist to help you navigate this journey and achieve the best possible outcome, restoring your hand function and quality of life.