Dupuytren Contracture Release

Non-Surgical Treatments

Start With the Least-Invasive Options

Non-Surgical Hand & Wrist Treatments

• Collagenase Injections (Xiaflex) This FDA-approved enzyme injection breaks down the collagen in the contracted tissue, allowing for improved finger extension. The treatment is performed in-office and can significantly reduce contracture without surgery.
  • Targeted injection into the contracted cord
  • Finger manipulation 24-48 hours after injection
• Needle Aponeurotomy A minimally invasive procedure where a needle is used to puncture and weaken the contracted tissue. This office-based treatment can provide immediate improvement in finger extension with minimal downtime.
  • Local anesthesia for patient comfort
  • Multiple needle punctures to release the cord
• Hand Therapy and Splinting Our certified hand therapists provide specialized exercises and custom splinting to maintain finger flexibility and prevent progression. While not curative, these treatments can slow disease progression in early stages.
  • Custom night splints to maintain extension
  • Stretching exercises and manual therapy
• Activity Modification Our specialists work with you to identify and modify activities that may worsen your condition. We provide ergonomic recommendations and adaptive techniques to protect your hands while maintaining function.
  • Ergonomic assessment of daily activities
  • Adaptive tools and techniques training
• Steroid Injections For early-stage disease with painful nodules, corticosteroid injections may help reduce inflammation and slow progression. These injections are most effective when the contracture is minimal and nodules are tender.
  • Anti-inflammatory medication directly to affected tissue
  • Pain reduction and nodule softening

Many patients with mild to moderate Dupuytren's contracture experience significant improvement with non-surgical treatments, avoiding the need for surgery while maintaining hand function.