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Category Archives: Dupuytren’s Contracture

More on Xiaflex and Dupuytren’s Contracture

Here is another example of Xialex, the new non-surgical way to treat Dupuytren’s contracture. I will be collecting my results in this blog so people can see for themselves. This is an impressive drug folks, and obviates the need for expensive surgery and a long and painful rehab. I wa a doubter, but now, as The Monkees sing, ‘I’m a Believer!”

Here is the initial photo of the hand:

This is post injection of Xiaflex. The hand gets black & blue, but was not excessively painful. The patient did report if was sore but tolerable. I encouraged the use of ice continuously the first few days.

As you can see 3 fingers are involved–the ring, long, and small. Note: I had previously operated  on the small finger, and it was a long and painful rehab, which resulted, as you can see, in recurrence.

Now, here is the post of photo:


And here is the kicker:


This is a video after manipulation. Even I was impressed.

So, as you can clearly see,  this patient had severe Dupuytren’s contracture in 3 fingers (ring, long, and small). I used Xialex in the major cords, and needle aponeurectomy in the minor cords to get this excellent inital result. The small finger (as I noted)  was done in the traditional open surgery, which was painful and took an long time to rehabilitate. Xiaflex is a total game changer.

Here is one of the first ones I did.

Currently, she is doing well with no problems. Never went to PT/OT

Of note, one week out, the patient is stable and is very pleased with the results.

I will keep you posted in the future. Feel free to contact me for an appointment, or ask any questions.



Xiaflex and Dupuytren’s Contracture

Xiaflex and Dupuytren’s Contracture

I have written about Dupuytren’s contracture in the past, and here is the link if you would like to learn some of the more interesting aspects of it. I recently was able to inject Xiaflex, the new drug for Dupuytren’s contracture, into the hand of one of my patients who didn’t want surgery. Xiaflex isContinue Reading

Dupuytren’s Contracture: A Hand Surgeon’s Thoughts

Recently, I have joined a discussion group on Facebook about Dupuytren’s contracture, in order to help me understand what people who have this disease  are thinking. It has been an interesting experience, and I feel that I have learned a lot because the published data, what people think and feel who have experience this diseaseContinue Reading