What is Dupuytren’s Contracture?

Dupuytren’s contracture is a condition that affects the hand, where fibrous tissue beneath the skin of the palm thickens and tightens over time. This can cause one or more fingers—most commonly the ring and little finger—to gradually bend inwards.

The condition typically progresses slowly and may initially present as small nodules or lumps in the palm before developing into cords that restrict finger movement.

While not usually painful, Dupuytren’s can interfere with everyday activities such as gripping objects, shaking hands, or placing the hand flat on a surface.

What Causes Dupuytren’s?

The exact cause is not fully understood, but it is associated with a combination of genetic and environmental factors.

It is more commonly seen in:

• Men over the age of 40
• Individuals with a family history of the condition
• Those of Northern European descent
• Patients with diabetes or certain lifestyle factors

Injury or overuse of the hand does not cause the condition.

How Do We Treat Dupuytren’s?

We offer a minimally invasive, scar-less needling technique known as needle fasciotomy.

This involves using a fine needle to carefully divide the tight cords beneath the skin, allowing the affected finger to straighten.

Unlike traditional surgery, this technique:

• Does not require incisions
• Leaves little to no visible scarring
• Is performed under local anaesthetic
• Takes only a short amount of time

What Are the Benefits of Needle Treatment?

This modern approach offers several advantages over open surgery:

• Minimal downtime with rapid return to normal activities
• Reduced risk of complications
• No stitches or surgical wounds
• Immediate improvement in finger movement in most cases

For many patients, this provides an effective and convenient solution.

Is It Safe?

Needle fasciotomy is a well-established and safe procedure when performed by experienced clinicians.

As with any treatment, there are some risks, including:

• Minor bruising or swelling
• Temporary discomfort
• Risk of recurrence over time

We will always discuss these fully during your consultation.

What Happens on the Day of Treatment?

On the day of your procedure, you will meet with your clinician to confirm your treatment plan.

The area will be numbed with local anaesthetic, and the procedure will be performed using a fine needle to release the tightened cords.

The treatment typically takes less than 30 minutes, and you will be able to use your hand shortly afterwards.

What Happens After Treatment?

Recovery is quick, with most patients returning to normal activities within a day or two.

You may experience mild soreness or bruising, but this usually settles quickly.

In some cases, we may recommend simple hand exercises or physiotherapy to optimise your result.

Will It Come Back?

Dupuytren’s is a progressive condition, meaning recurrence can occur over time.

However, the minimally invasive nature of needle treatment means it can be repeated if necessary, without the risks associated with more invasive surgery.