Dupuytren's contracture private treatment

Dupuytren's contracture is a condition that affects the hand with small lumps or thickening under the skin of the palm.

Our leading hand and wrist consultants offer treatment for Dupuytren's contracture that can help restore function and regain movement.

Hand and wrist review

At HCA UK we:

  • Will confirm a consultation with a hand and wrist specialist within 24 hours
  • Provide the latest technology for imaging and scans.
  • Are rated as very good or excellent by 97% of orthopaedic patients.

What is Dupuytren's contracture?

Dupuytren's contracture (or palmar fibromatosis) is a common condition affecting the hand. It begins as small thickened lumps under the skin of your palm. These lumps contain collagen, a type of protein. As the protein builds, a rope-like cord develops and stretches from the palm to a finger. As the cord tightens, it becomes harder to fully stretch your finger and it loses function. The ring and little fingers are most often affected but it's also possible to experience thickening of the skin on your palm and tenderness in the area.

The condition is benign, meaning it is not cancerous. In many cases it develops slowly, resulting in very few symptoms. However, in a small proportion of people with Dupuytren's contracture, one or many fingers can curl into the palms of both hands, restricting movement and making daily tasks difficult.

What causes Dupuytren's contracture?

Genetics play a big role in the development of the disease. Those with close family members who have Dupuytren's contracture are at higher risk than others, with an increased incidence in males and those from Northern Europe and Scandinavia.

Other risks include being middle aged or older, smoking or heavy alcohol use and diabetes.

What treatment options are available for Dupuytren's contracture?

In the early stages, Dupuytren's contracture treatment often involves a watch-and-wait approach, especially if there are no significant symptoms other than a small lump on the palm. If the surgery is performed on these small lumps, they often return quickly.

If the fingers curl towards your palm or start affecting your daily life, there are non-surgical treatment methods available that will be considered before the recommendation of surgery.

Percutaneous needle fasciotomy

Percutaneous needle fasciotomy involves inserting a needle into your palm in several locations. This needle is moved in a sawing-type motion to separate the thickened cord, allowing the surgeon to straighten the affected finger. The procedure is carried out under local anaesthetic, so you'll be awake throughout and, due to the nature of the procedure, you won't need stitches. Often it can be performed in the outpatient clinic, avoiding the need to go to the operating theatre. It is simple, effective and has a fast recovery.

Dupuytren's contracture surgery

In more severe cases of finger contracture, surgery can be carried out to improve worsening symptoms. This can help if you are having difficulty with daily tasks such as dressing or picking up objects. 

Open fasciectomy

In some cases, open fasciectomy is recommended. This is a more invasive surgical procedure performed in an operating theatre. Here, an incision is made into the palm and finger. A surgical blade is used to remove the thickened cord in several places. This allows your finger or fingers to be straightened. 

This type of surgery is usually performed under a general anaesthetic or sometimes an injection that numbs the arm. It is a daycase procedure, meaning you would be expected go home on the day of surgery. Generally, your recovery takes longer than after a needle fasciotomy. The wounds need time to heal and a course of specialist hand therapy is important to guide your recovery.

Rarely, in very severe cases, a skin graft from the forearm is used to cover the skin on the finger. Your surgeon will discuss this if there is a chance this is required.

Dupuytren's contracture surgery FAQs

If you're experiencing symptoms of the condition, with difficulty using your hand due to the curled fingers, you should see aspecialist hand and wrist surgeon. If symptoms are mild, you might be asked to have regular follow-ups to check if any progression has occurred before treatment is suggested. If symptoms are more severe, our consultant will discuss your treatment options and tailor these to your needs. 
Your consultant will explain the procedure to you and answer any questions you might have. Like all procedures, there may be risks and side effects, which will vary depending on your specific treatment or surgery. Your consultant will explain these to you and advise you on how to prepare for your particular treatment.

The main risk associated with more conservative treatments, such as the percutaneous needle fasciotomy, is the chance of the thickened tissue returning in the same place (recurrence). Other risks include nerve or tendon injury. 

If you receive surgery for Dupuytren's contracture, the main risks or complications include:

  • Pain
    Nerve injury
    Skin sensitivity
    Return of the thickened tissue (recurrence)

Needle fasciotomies are usually successful procedures. However, there has been reported return of Dupuytren's contracture after five years in 60-80% of people. In this case, your consultant may suggest surgery. Surgery provides better long-term outcomes and decreases the chances of the condition returning.

After surgery you will need specialist physiotherapy. Our hand therapy team will work with you to help you regain movement in your finger. In some cases, a hand splint might be recommended to stretch the healing tissues.

After surgery for Dupuytren's contracture, you will likely have stitches and a bandage, so you won't be able to drive until these are removed. This is usually after 12 to 14 days. A week or so after this, you should make sure you're able to hold the steering wheel and change gears safely without pain before driving again. Always discuss this with your surgeon.
After surgery, you can expect to return to work within two to four weeks, depending on your recovery and what your job involves. Your consultant will discuss this with you. After the percutaneous needle fasciotomy, you can often go back a day or two later. 
Why choose HCA UK

Why choose HCA UK?

Tailored treatment plan: Should you require treatment for Dupuytren's contracture, your hand consultant will suggest a plan personalised to your condition

Convenient appointments: We'll confirm your appointment request within one working day

Specialised care: Our consultants treat the most cases of orthopaedic conditions in London, as reported by the Private Healthcare Information Network (PHIN).

High patient satisfaction: Our 2022 patient satisfaction surveys showed that 97% of patients rated our orthopaedic services as very good or excellent, while 96% would also recommend us to others.

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How much does private Dupuytren's contracture surgery cost?

Costs can vary and are dependent on your specific treatment. Once you've made the decision to go ahead with Dupuytren's contracture treatment or surgery, the payment options will be explained to you. Options to pay include through your medical insurance or via self-pay. If you choose to self-pay, it's simple to make payments online or over the phone if needed.

How to book an appointment

Book an appointment with a hand and wrist consultant

Use our online enquiry form or call us to book a consultation with one of our hand and wrist specialists. At your consultation, our specialist will discuss potential treatment options with you, and we can make other appointments including imaging if required.

Dupuytren's contracture private treatment Consultants

Mr Omar Haddo

Mr Omar Haddo

Orthopaedic Surgery

Mr Aditya Prinja

Mr Aditya Prinja

Orthopaedic Surgery

Mr Jagwant Singh

Mr Jagwant Singh

Orthopaedic Surgery

Mr Henry Colaco

Mr Henry Colaco

Orthopaedic Surgery

Our locations

Institute of Sport Exercise and Health (ISEH)

170 Tottenham Court Road W1T 7HA London
The Portland Hospital

The Portland Hospital

205-209 Great Portland Street W1W 5AH London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.