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Managing Dupuytren's Contracture: A Conservative Approach That Prioritizes Comfort and Function

Dupuytren's ContractureDupuytren’s Contracture is a genetic condition that causes the connective tissue in the palm and fingers to thicken and tighten. Over time, this can form firm nodules and cords under the skin, leading to bent or contracted fingers. The pinky and ring finger are most often affected, though other fingers can also be involved. Approximately five percent of people experience this condition to some degree.

The progression of Dupuytren’s can make simple tasks like grasping objects or shaking hands difficult. While there is no cure, early and consistent management can often help maintain function and slow the condition’s impact.

Dr. Berenstein’s Experience

Since first writing about Dupuytren’s Contracture in 2013, Dr. Berenstein has met many patients from Downtown Toronto and surrounding areas who sought guidance for this condition. Some have even reached out from other parts of the world after learning about his conservative approach.

“Since the 2013 blog, patients from Downtown Toronto and neighbouring cities in Ontario have visited my office for my conservative approach to treating the condition,” Dr. B shares. “I’ve even been contacted by patients from all over the world to chat about my method.”

He emphasizes that his care methods are focused on ongoing management and patient comfort rather than a cure.

“My approach is not curative,” says Dr. B. “It’s an ongoing management of a condition in hopes of avoiding surgery when it becomes severe. It works best when managed in the early phases before the fingers are contracting significantly.”

An Individualized Care Process

Dr. B’s care process typically combines several conservative methods.

“My care plan includes cold laser therapy applied to the palm’s nodules and cords to promote pain relief and tissue repair,” he explains. “I also use soft tissue therapies, including Graston Technique and myofascial release, to soften the connective tissue and improve the fingers’ range of motion.”

Self-care plays an important role as well. He encourages patients to stretch and mobilize their finger joints between visits, helping them stay active in their care and maintain flexibility over time.

Results and Ongoing Management

Many patients report softer nodules, greater comfort, and improved range of motion after consistent care.

“I continue to manage some patients’ Dupuytren’s Contracture with varying degrees of success,” says Dr. B. “Success is largely measured by the patient’s satisfaction through reduction in pain, softening of the nodules or cords, and improved finger movement.”

Because Dupuytren’s Contracture is progressive, ongoing management remains key.

Discover a Conservative Path Forward

Dupuytren’s Contracture doesn’t have to mean loss of hand function. With professional assessment and consistent, personalized care, many people find lasting comfort and improved mobility.

Schedule a consultation with Dr. B to learn how individualized care may help you manage Dupuytren’s Contracture.

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