We believe in absolute candor with our patients: there is currently no permanent cure for Dupuytren’s disease. Because it is a genetic condition, your body will always have the underlying tendency to produce this thickened tissue. A palmar fasciectomy physically removes the diseased cords causing your current contracture, "resetting the clock" on your hand function. While the surgery is highly effective, the condition can recur in the same finger or appear in other fingers years down the road.

A palmar fasciectomy is the gold-standard surgical treatment for Dupuytren's. During the procedure, we make precise incisions along the natural creases of your palm and the affected finger. We then meticulously separate the vital nerves and blood vessels from the thick, diseased cords of fascia. Once the underlying anatomy is protected, we carefully excise (remove) the diseased tissue, physically releasing the tension so your finger can straighten out.

We do not recommend surgery if you only have painless nodules or mild dimpling in your palm. Surgery is only indicated when the contracture begins to interfere with your life. You can try the "Table Top Test" at home: try to place your hand completely flat, palm down, on a table. If you cannot get your hand flat because your finger is permanently bent, it is time to discuss a surgical release.

Depending on the specific type of cord you have, you may be a candidate for a less invasive procedure called Needle Aponeurotomy. Instead of opening the hand to remove the tissue, we use a fine needle to systematically puncture and weaken the tight cord beneath the skin until it "snaps," releasing the finger. While the recovery is much faster (a few days), the recurrence rate is significantly higher and faster than with a formal surgical fasciectomy.

Hand therapy after surgery is a must! Following surgery, your hand therapist will guide you in regaining your range of motion. They will also fabricate a custom plastic splint that holds your fingers in an extended, straight position. You will continue to wear it every night while you sleep for up to 3 to 6 months. This prolonged night splinting is critical to counteracting the natural shrinking of the healing tissue.