Although the standard causal default suspicion of Dupuytren’s Contracture (DC) is usually ‘genetic,’ I strongly feel this is a historical cop out, or at the very least, merely a thread in the fabric of the condition. The usual treatment for Dupuytren’s Contracture thus is seen as drugs and surgery.
In my opinion – and from my experience – the best treatment for Dupuytren’s Contracture is full ROM (range of motion) hand exercise – with controlled resistance, beginning at the first sign of palmar fascia tightness… or before (in prevention)! I suspect DC may be caused by prolonged unprepared tearing and micro-trama, and thus may be helped by blood flow. This statement is assuming the patient still has full or nearly full ROM at the hand. If any advanced DC or trigger finger situation is present, surgery indeed may be necessary.
Yes, I have personally seen Dupuytren’s Contracture cases do very well using Handmaster Plus. And I believe I know why.
Handmaster Plus provides resistance through FULL, NATURAL ROM’s (closing, opening, spreading), so maximizes BLOOD FLOW AND VENOUS/LYMPHATIC DRAINAGE to the entire hand. Thus, maximum nutrients & oxygen arrive to the palmar surface of the hand … and maximum ridding of toxins and by-products occurs away…. the same way all tissues repair and stay healthy…
I have been very critical of repetitive grip environments and ‘grip-only’ exercise/training that overworks/brings imbalance to the palmar musculature and soft tissue (causing repair tissue change and adhesions) and minimizes blood flow & draining (due to ‘grip-only’ small ROM environment, where there is no attention to opening of the hand against resistance).. In summary, like any body
area, exercise & training must be through full ROM’s for the tissue to stay healthy.
My father-in-law is a auto-body mechanic, had Dupuytren’s Contracture when I met him (though mild), he has done very well… and now loves Handmaster Plus. Treatment of Dupuytren’s Contracture can stop, reverse, or slow the progression, a key advantage my father in law has witnessed. Many other cases exist with similar results. Blood flow, blood flow, blood flow. Full ROM exercise & training is VITAL. Standard hand exercise to this point in time, has been poor… using grip-only devices.
Of course, if the Dupuytren’s Contracture is simply too far along in progression, and especially if there are adhesions restricting tendon slide through a flexor pulley (i.e. trigger finger), surgery will be first, then Handmaster Plus rehab therapy will help re-establish health, strength, balance & blood flow and minimize risk for a return of the condition.
The best use of Handmaster Plus as a treatment for Dupuytren’s Contracture is as a preventative tool… i.e. identify high force repetitive grip activities, hobbies and professions, then start to train the hand PROPERLY… through FULL ROM’s… both open and closed.
Try Handmaster Plus as part of your protocol with any patient as a rehabilitative exercise treatment for Dupuytren’s contracture that has not progressed chronicallly. Handmaster Plus is one continuous hand exercise that patients will understand and comply with. Simply ‘open and close the hand alternately’ until a comfortable fatigue is experienced. Each session should last between 30 seconds – 2 minutes. Repeat 1-3 times per day, depending upon your advice (i.e. the advice of a health care professional is essential in any treatment protocol requiring exercise).
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