My late wife and I both had ours show up at the same time, despite our age difference, but there is a commonality in our ancestry, i.e. NW Europe/ Germany. At that time the doctor's approach was to leave it alone, which proved to be wise.
Hi…. Great, professional presentation. I go for surgery next Month. I thought it was funny when you said “If you can slide a Pencil under your hand”… I could drive a Bus under mine. Thanks, Nigel.
@@AmazS41Thanks for asking… I postponed it until the 7th of November .. in the meantime I’m getting a Steroid Shot as it’s still rather aggressively “Growing”… that’s happening on the 7th of August. Regards, Nigel.
I only know about DC because Bill Nighy (my favourite actor) has this condition. He has, for many decades, brilliantly disguised it on film/ TV When being interviewed, people (who don’t know of his condition) think he is “flipping the bird” or “giving the middle finger”.
Interesting presentation; My GP said that it wasn't serious enough to refer me; after several years of hounding him I've now been referred and the consultant told me that it has been left untreated for far too long; three fingers bent almost at right angles; at last, I'm going in for surgery!
I left mine too long, until it was bent at 90 degrees thanks to a doctor who didn't know what he was talking about. I eventually had the fasciectomy it did straighten the finger out to about 15 degrees, I was told it wouldn't be a total success and if it returns as it's a one off operation due to scar tissue then only amputation is left, fortunately it's not got any worse in the last 20 years since it was done. Good luck in November.
I am 60 and have noticed bumps on my palms for a while now. I thought I'm not working that hard lately to have all these callouses. My ancestors came from Iceland, so it makes perfect sense that I've got Viking Hand. Thankfully, I don't have any bent fingers though!
Thanks for info. Brother has in both hands and his doctors says worst he has ever seen.but he had had the needle treatment several times. I am 74 and it started with slowly and fingers are not terrible but not flat. You are very articulate in your presentations.
My Doctor told me that I had this 'Vikings disease' a couple of years ago. At the time I thought, well if you're going to have a disease, at least this one has a cool name!. I then had a DNA test. My dad was from Essex; and what do you know, I'm 25% Scandinavian. I have since read the Vikings popped over to Essex around 1000 years ago. Now it all makes sense!
Hey, everything will be OK. I’m an actor and I try and hide it every time I go on a film set. I feel so relieved that my pinky finger is straighter and my middle finger as well now comes the healing and I’m definitely going to be wearing a brace and doing lots of stretches. I’ve also heard you shouldn’t drink and smoke. I don’t know if that’s true, but I definitely don’t do both. Maybe it’s a godsend.
Yes Smoke & too much alcohol it’s one of the cause Stop both & eat vit c & E reach foods - it will almost go away with stretching 4-6 times days - each session may be 5-8 minutes Open & close fist fully in air Best exercise
I am Irish and developed Dupuytren's in my right hand after the age of 60. The middle fingers curled right back over a few years but an operation totally fixed it. My surgeon told me it could come back within 10 years but I was thrilled with the result. No sooner was my hand straight when I noticed the little finger on my left hand start to curl. Another operation, slightly more complicated and difficult, did the trick. The only trace now left is slight scarring on my palms. In the meantime, I got my DNA done but found only one Viking marker out of 1,000. My surgeon reckoned he was the culprit lol! It is far more common than you might think, although I'd never heard of it until I got it. 🇮🇪
I am 26 yrs old and not of Nothern European decent but I am fully Southern European (Half Serbian, Half Maltese) and I got diagnosed with dupuytrens around last October. I got this condition after I have punched a wall and fractured my hamate bone and the 4/5 finger knuckles. As a resulf of trauma I got the Dupuytrens condition. As I noticed the lumps on my hand I went to visit a physiotherapist who referred me to do an ultrasound to confirm the condition. Since its in the early stages I am currently taking care by grip strenghtening, finger/hand palm stretching, dipping my hand in hot water with dead sea salt, overnight castor oil pack and vitamin E oil. Also I am reducing alcohol and cigarettes intake as I was drinking lots and lots of alcohol (which honestly I think flared this condition) hopefully if I keep it under control by doing the mentioned treatment I will not get any severe contractures. A weird condition but I guess I m paying for my anger management issues too. Never will punch a wall again.
Hi. You can be reassured that the injury didn’t cause the Dupuytren’s. It just activated it earlier but it would have happened at some point in the future anyway. I hope it stays minimal and doesn’t progress. Best wishes. Stephen.
@@qwertt-tg8rd yes indeed. It’s essentially the same condition. We think caused by the same genes but its phenotype is much less common than in the hand.
Good God. I have that too! I noticed that long ago and assumed it was related to foot surgery. I've never had an issue with those little lumpy nodules really, over 20 years now. They did an MRI but no one used that term. (I also... recently had a prolonged episode with a frozen shoulder. My connective tissue is a bit wonky for sure.) @@PhysioMSK
@@CitizenTurtleIsland that’s interesting because researchers suspect a link between Dupuytren’s / lederhosen’s and frozen shoulder. The lumps in the foot also get called a plantar fibroma but it’s all the same thing. We are at the mercy of our genes.
Thank you. So far stretching, hydro-therapy and warm weather works wonders. Every male in my family has this and their doctors diagnosed it as tendonitis. I can clearly see by the triangular puckering and problem finger identifiers that I and my sister have Dupuytrens. Our DNA (surprisingly) shows we both have high neanderthal DNA.
This is excellent. I was just diagnosed today. I will have to keep my eye on it. I'm 61. I definitely had some north European ancestors. My mom passed away long ago and I didn't know my father.
If you’ve just started with symptoms at 61, chances are it won’t be aggressive and may never progress to bent fingers … fingers crossed 🤞(so to speak).
I was diagnosed rhis past fall after noticing a bump just below my middle finger on the palm. I've completed my first of two, 5 day courses of radiation therapy to treat it. That was in January, but it still too soon to say it has helped. So far I don't see any difference. How are you doing?
I was told to keep my eye on it. That's it. No treatment was offered and I understand it's not necessary to be honest. I do look and touch that little hard, bump, daily. Oh well. I hope your treatment evenutally helps. @@iansutube
I have it. I think my mother has it, but she won't let me look at her hands. Sometimes she says she has arthritis, but when pressed, she admits her doctor said it was something else. Then she says I am making everything up. My mother has always had her ownversion of reality.
Myself and 3 of my brothers have DD, but none of my sisters, so is it confined to men only? My surname, originally Oda le Arledekin, is of Norman and Viking origin.
Thank you for this explanation o the hand fascia! My husband do not have Dupuytren´s contracture but had an accident where he became hanging from a ladder in his rings almost cutting his finger of. The tendon did not break but now, about a year later, he has get the same problems as in this syndrome. He met his doc but could not explain to me what had broken down in his hand but now I understand. He will get an op where they will lay some incisions in the fascia to straighten up the finger again. Thank you again!
Great video very well presented and informative thank you. I have been applying 70% DMSO and it’s made a massive difference. Nodules have decreased, skin tightness has lessened and I have recovered some flexibility in my ring finger. Hope this helps someone !
Thank you for this informative video. I have surveyed many videos on this topic and this is tops! It is an excellent overview of the diverse factors involved and explained with good detail while simultaneously presenting for the non-technical viewer.
Thank you for this interesting and comprehensive explanation of dupuytrens. I was diagnosed with DC 8 years ago by a hand surgeon who told me it would definitely progress. Both my palms had one visible cord and one nodule each. Over the past 8 years nothing has changed and I never had any progression or problem. I am of northern European and Viking descent. To my knowledge no one in my family has or had this condition.
Thank you very much for your explanations; it has given me some reassurance. As a pianist, I noticed a nodule in my hand a year ago, but fortunately, my hands remain very flexible, and I have had no issues so far. In Belgium, we have one of Europe’s best hand surgeons who told me that nodules can appear in different places for each person and that mine is in a spot that is unlikely to cause problems. I hope I won’t have any issues, but I will keep monitoring it. It is unfortunate to have this condition, especially since I rely so heavily on my hands and am very anxious about any potential surgery.
Many thanks, took a while to describe the condition well enough to pick up your video which exactly describes the early onset of the condition. At 77 years of age I think I will take your suggestion and use hand cream and stretching to manage the situation. Again my thanks.
I have the pit type that happens in my seventies on both hands. One hand is a little more than the other hand. Fortunately, it is mildly noticeable. My grandfather on my mother side had it on one hand and probably comes through my father side, too. My father side came trace ancestors back to about 80AD in Scandinavia. Had brown hair and a red beard which is now grey/white.
Hi. It’s not usually a painful condition. Are you sure it’s DC? If it is then it’s an unusual variant. I would definitely see a hand surgeon if you are struggling with it.
Mine started about 6 years ago too with the nodule lumps. Very painful from the beginning, especially when they seem to be growing. I hopefully will get fasciectomy surgery on my pinkie in the next couple months. I wish you good luck and good health.
Being 50% Norwegian I've got it in both ring fingers. I asked 3 doctors what it was and got ??? as an answer. Broke a finger at work and the company doctor asked if I had any Scandinavian blood. Thats how I found out what it was - he even wrote down the name so I could look it up. Keep bending it backwards and you might keep it from progressing like I did.
It’s one of those conditions that doctors either know about or they don’t. In some parts of the world a doctor would never see it, whereas in other parts it’s fairly common.
76yr old female here, my dupuytrens started at age 59, 10 operations on both hands various fingers and joints including repeats, now on the NHS list again for three fingers - (repeats), luckily the recovery time is only a few weeks.
In retrospect, they might have been better doing a dermofasciectomy first time round. That might have reduced the number of procedures you ended up having. I hope you get a good result from the next op. Best wishes.
@@PhysioMSK yes that was the case when I was diagnosed a few years ago. Quite a bit more research out there now and I’m so grateful for it. Still not a 100% guarantee but for me, worth the process. The radio oncologist didn’t bat an eyelid when I went to him. My old family doctor at the time didn’t know about the radiotherapy but my new doctor (recently moved) knew about it. I thought your explanation video was quite good. Thank you.
I have this condition in my left hand and arthritis in both my hands. I play the ukulele which helps to stop the arthritis from progressing. The lump in my hand from Viking finger is now getting smaller because I now routinely push my fingers right back and stretch them until it is quite painful. I also try to spread my fingers individually as an exercise ....as they say no pain no gain. My brother also has this condition and his consultant told him that it only effects people ho have Viking in their blood line.
Yes, as far we as we know, the genetic mutation occurred in a Viking, and has been passed down the generations since then. I'm glad yours is doing well. Fingers crossed it stays that way.
I have it mildly but semi painful in my fingers, but my thumb also. It is very painful in my thumb and causes me issues every day. I hate this disease. I also have it in my feet. I've had it since I was about 21. 48 now. I would also add that one major sign something was wrong is numbness. For me, with my thumb dropping everything is an issue. Hardly any video refer to the thumb.
The palmer fascia can extend into the web space between the thumb and index finger and occasionally into the thumb itself in some people, but its fairly infrequent. I haven't heard of numbness as a symptom of Dupuytrens but I suppose the small nerves in the skin could become irritated. Or you might have a separate problem such as carpal tunnel syndrome.
I first noticed that my right hand had a problem when I lifted two 12 foot pieces joined together of half inch drywall when squeezing it from the top. All of a sudden, my hand really hurt and there was this weird bump where the pain was. So, I started ripping off the paper strips, that connected the two sheets, so I only had to lift one piece at a time. Had to push the fingers back and massage the hand to restore the hand's function after a couple days. The left hand developed the same problem. My "bone" doctor told me it was a northern European trait. I was just glad it wasn't some other weird defect passed down to me.
@@PhysioMSK It may be a dominant gene but there is no way of telling if that gene didn't come from some other region because the Vikings didn't stay in one place when they went a-Viking, and they returned many times with slaves and wives.
@@jameswest4819yes your quite right. The precise gene has yet to be discovered so our theories are based on the geographical prevalence of the disease, which just coincides with the countries we know that the Viking’s travelled to.
Yes James, it is another *something weird* passed down to you. I have it in spades as did my mother and my son and probably her father. A noble and very annoying disorder. 😅
@PhysioMSK Actually the gene has been located and to make it even funnier it has been traced to Norwegians of Neanderthal decent...who also happened to rape and pillage in Scotland . Thus all of us lucky lads and lasses with crooked fingers.
Omg I have that. My right hand on my liile finger. My dad is a Scot from the highlands. Im blonde,blue eyed,thin skinned. I have a Viking Hand!!! Cool.
I have a pit that all of sudden showed up over 20 years ago below ring and little finger. Also on the other hand I have a noticable lump. Little finger curlis in a bit. Always wondered what they were from. Thank you.
Mine started about 6 years ago at 52. The nodules I have are very painful, especially when growing. One oddly went away, one started but hasn't changed and the last one to start on my pinkie has grown the fastest over the last 3 years to where I now have multiple areas of thickening and about a 30degree contracture. All the doctors said they couldn't do anything until it got to this point, and now need the surgery. Have you ever heard of anything that actually slows the progression or smooths the nodules, like triamcinolone (kenalog) injections or radiotherapy? I will be getting the surgery as soon as I can pay for it, but would like to find something to keep the other ones from getting worse! I'm not even 60 and still need full use of my hands!
I’m afraid I don’t have good news. There is no good evidence to suggest steroid injections or radiotherapy can slow the disease process. What will be will be. Don’t stretch it though or do aggressive massage. These things can only serve to aggravate it. Best advice is just try to ignore it and only seek treatment at the right time.
My DC started in my late thirties. By the time I reached my 50s, my ring and middle fingers were raised up, most noticeably when I tried to do pushups. Absolutely no pain; just inconvenience. Since surgery about 8 years ago, there have been no recurring symptoms. There is some scar tissue, but it's hardly noticeable to the sight. And yes, on the Viking angle, my father's side of the family hails from Sweden.
Thank you for the explanation. I am of African descent and my Dupuytren condition became noticeable in my 70’s. About 73. I haven’t had a formal diagnosis, but all the symptoms mentioned were present, except nodules or cords don’t seem to be prominent. When the condition made its introduction, I was able to bend fingers (2) on both hands in a downward position and they stayed that way until I straightened them by pulling them up. Today, Only the left middle finger has a slight bend. I use a finger splint and do exercises to keep the finger straighter. Hopefully, there won’t be any greater deterioration since the onset of Dupuytrens’s contracture started in my 70’s.
@@LewisDickeymmmm. Are you sure this is Dupuytren’s? It sounds like trigger finger to me. I’ve done another video on that. It might be worth checking out.
Im glad it helped but the pain would have gone anyway. I’m not convinced about the evidence for radiotherapy but a few people on here have told me it’s worked for them. It’s supposed to slow the disease process but the research is not convincing at the moment. More studies need to be done. Best wishes and thanks for commenting.
I have had this on my right hand for 10 years I am 54 now and doesn’t give me any problems. I had it on my left had originally as well. But it went away. I am part Norwegian on my father’s side.
Your presentation is excellent! Down to earth, not the 'big sell' - typically English. Ten years ago, at age 59, whenever I unclenched my left hand my ring finger (only) would not open but remain clenched. If I moved that finger with my other hand, it would suddenly flick open. This phenomenon seemed to develop suddenly - in a matter of days or weeks - not over months and certainly not years. There was an absence of any visual signs. My doctor euphemistically referred to this as 'trigger finger', simply gave me one injection (of 'something' - cortisone?) and that fixed it! I was super impressed. It has never returned. Would this have been Dupuytren's? However ten years later, one month ago when I clenched that same left hand I experienced extreme pain at the base of that same finger and, also, my middle finger, in the area where they meet at the top of my palm. Operating the clutch on my Honda, for example, is REALLY painful. The pain has diminished significantly but is still there. Over the past @ 5 years I have been occasionally (but regularly) experiencing such soreness in the thumb knuckle of my right hand and put this down to arthritis. I therefore naturally thought this latest condition in my left hand could also be 'simple' arthritis. Could it however instead be associated with Dupuytren's?
Hi and thanks for your comment. To answer your question, none of these symptoms are typical of Dupuytren’s. The clicky finger certainly sounds like trigger finger. I’ve done a previous video about this if you’re interested. Thumbs can also trigger. You tend to feel the pain (and tenderness to deep touch) on the palm side of the thumb at the 2nd joint from the end. If the pain is on the other side of the joint then it might well be arthritis. You’d need an x-Ray to confirm. Hope that helps. Best wishes. Stephen.
@@PhysioMSK Thank you very much Stephen for taking the time to reply and 'putting me right'. As a former primary and high school teacher and afterwards a lecturer (in another field of endeavour which I studied in your country (England)), I must complement you on your 'teaching' skills. The simple clarity and logical sequence of your explanations, your obvious knowledge and experience, excellent diagrammatic representations and use of 'concrete objects' presented at a well metered pace without racing or reliance upon hype (and instead what I would describe as English calm) make your videos both easy and pleasurable to understand. I am now one of your subscribers ... and will definitely explore your other videos to learn more about the increasing range and frequency of muscular and skeletal ailments my ageing body are manifesting.🦘
Thanks v much for the nice comments. I try to present these videos as if I’m talking to one of my patients in a typical 20 min consult, and just hope that other people find them helpful. Really appreciate the feedback. Thanks v much for taking the time. Best wishes. Stephen.
It started in my thirties, had an operation in my fifties on my right hand, then collagenase a few years later in my left. Had eight lovely years of pretty straight fingers, but over the last five they’ve got steadily worse. The NHS can’t get collagenase from the American suppliers any more and I don’t want another op. It was fine the first time, but there is a lot of scarring despite wonderful surgeons, so I’m considering how to compel American to start supplying collagenase again 😊
Yes the supplier withdrew the product from the European market in 2020. I’m really not sure why. Must be a legal issue I guess. Hopefully they can get it resolved.
Not just hands. I now have it in the foot. A thickening on the major tendon under the arch. Making its a bit difficult to keep it under control with physiotherapy like I do in the hands.
@@Harve955 it won’t be a tendon. It will be the plantar fascia. It’s called plantar fibroma or lederhosen’s disease. It’s the foot equivalent of Dupuytren’s.
Good video. Informative. Very concise. I have it on both hands. Have snapped the tissue a couple of times due to falls. Very painful when it snaps! Does not impair daily living. Just adapt and modify behaviours.
I had this in my right hand. My mother had it too She was English. My father did have some german heritage. My little finger was bent probably about 20 degrees. I had the operation . That was when i was 64 yrs old.I am nearly 70 and it shows no signs of coming back
I'm 72 and noticed this condition about 2 or 3 years ago. About 6 months ago it seemed to be getting a bit worse and I got more concerned about it. I stretched out my hands frequently and rubbed castor oil in whenever I remembered and lately it is definitely improving, to the point of being almost unnoticeable. I have no idea if what I have been doing has caused the improvement, or if the condition can improve on its own but I thought I would mention it in case it is of use to anyone else.
Ive got it on my left hand went to local doctors and he had no idea how to treat it got a online appointment with a specialist and he was just as clueless 😊❤
My dad had this. My first one started when I was 22 on my rh little finger. Had 3 ops, then lopped off the finger as it started again. Then ring finger started.... 6 operations on that hand. Kind of munted now but has settled down after the last slicing 🤣 oh well
I'm Spanish, very healthy person. Working with the laptop. When day i saw I have this illness. It could practising with the bike? I have some pain sometimes. My main problem is worry about the future. Because I like painting and pottery. Anyone could continue with normal activities. In my case I didn't see evolution from 4 years ago (time that I saw the dot)
Hi there, and thanks for commenting. I would not worry about it because there is absolutely nothing you can do to help it. It's a genetic condition and so you are powerless to prevent it progressing, or indeed just staying the same. The only decision you have to make is to choose to see a hand surgeon if your fingers bend to the degree where they interfere with your hand function. And they might never do, so relax and get on with your life. What will be will be.
Thank you for your video, it is very informative. I'm 52 this year and I have noticed a lump in my left palm below my wedding ring finger. It feels hard to touch and was initially itchy. In fact, I first thought that it was an insect bite. I haven't been to see my GP yet because getting an appointment is difficult. Anyway, after some researching I think it could be what you describe in your video. It makes sense since my grandma's fingers were all bent over. And 5 of her son's had the same condition. One son had surgery to have his fingers straightened. My mum didn't have it though which I think strange, and my brother who is 12 years older that me doesn'thave it. Perhaps it skipped them! 🤷♀️
Yes your mum might not have inherited the gene or it just never became activated ie. the gene stayed switched off. It often starts with a small lump so it probably is Dupuytren’s. Hopefully it won’t progress too much 🤞
I developed DC in my 60's. No bend . Hopefully it will not happen. I suffer from arthritis and carpal tunnel. They are all bad. I was a Barber for 40 years. Thank you for explaining DC.
I think if it’s not progressed to a bend by now then it probably never will. You’re in good company with it though; Ronald Reagan, Frank Sinatra and Bill Murray all had DC.
If the game started that late I wouldnt worry. I noticed a cord forming when I was around 13. Im 44 now. Now its very progressed on the ring finger of my right hand. It also has effected my thumb. I have not had surgery yet but it think I will need to do something soon.
I have it both hands but much worse in right hand. Trying to get surgery. Wondering why they the scars are so zig zagged. Is a straight cut not possible?
No. if you do a straight cut then it tends to stretch and look much worse in long term. The idea of the zig-zag is to create some 'flexibility' into the palm and avoid aggressive scarring the longer term.
I honestly don’t understand the point of that treatment. The nodules on their own are rarely painful or give any problems. It seems like complete overkill to irradiate them. What did you think when they suggested this ? Can I also ask what country you live in ?
I've been having big nodules on my hands and I am just 24 years old. I got diagnosed with Dupuytren last week and I am kind of worried because I do climbing (boulding) and I want to be able to do it for a long time. But I think some day I have to stop because of my dupuytren getting worse.
Yes, You are very young to develop Dupuytren’s. But there is no evidence that exercising your hand will cause contractures. I would suggest using your hand normally including bouldering. If and when the fingers start to bend, go and see a hand surgeon. Because of your age they might consider a dermofasciectomy.
Thanks for the video . Just turned 36 and was diagnosed with dupuytren a month ago . two finger on my left hand are already starting to bend . i have to be very carefull when i open a door or a jar because it can be very hurtfull to my finger joint. i just hope it wont get too aggresive .
Hi there thank you so much for this video. I have had the injections and I’ve had surgery twice. I am only 55 years old. I started getting it 10 years ago. I don’t know how I’m just he from surgery seven days ago and I’m looking forward to taking your advice on the stretchingand wearing a brace thank you so much for these videos. I wish there was a Facebook group I could join maybe I should create it.
I’m glad you found it helpful. I’m not on FB but if there isn’t a patient interest group on there already then I’m sure it would be appreciated if you set one up.
It’s from damage to tissue in your hands. You tear the tissue & the body is hardening the tissues. It’s NOT a Disease at all whatsoever. It’s simply the Body healing Damaged tissue. I know cuz I thought I had broken my pinky yet everybody confused by Dupuytrens yet I’m fully aware I damaged the tissue & never went to the Doctor. That’s probably what everybody else is doing too yet I was 20 years old & healthy as can be hence these theories are all wrong.
I don’t mean to sound like a know-it-all. I literally thought my pinky was broken but now they wanna do a Digit Widget treatment which is NOT gonna happen cuz it’s either XIAFLEX or no thanks. The Digit Widget only forces the finger to go straight & I am certain such is achievable minus actual drilling into my pinkies. Simple hand splint w/ applied pressure would do exactly the same so why are we doing things like it’s the 1800s
I wish you well bro. I am 46 now & my Dupuytrens existed since the early 2000s so yeah man. It’s NOT your old age bro. Just do NOT overexert the strength in your hands like opening Jars or heavy lifting. I’m NOT a Doctor yet that’s the advice I have learned the hard way for my own self at least. It’s not genetics or old age or low sugar or diabetes or this that & the other. It’s simply trying too hard to do things w/ your hands & we tore the tissues.
@@PhysioMSK yeah I was thinking about that. I just didn’t know how to start it. I’m on Instagram and I have about 17,000 followers because I’m an actor performer however I wouldn’t know where to begin to create us group for this crazy syndrome that we suffer from.
Going to cph in 2 weeks,another vacation. Retired,airline perk, but I have viking hand. Can't wait to walk around and look at everyone's hands. I can say 👋👋," HI I HAVE VIKING HAND" 😂😂😂😂😂👋👋👋👋👋
I'm 38 and I just been diagnosed with Dupuytren's. I have a knot in my palm and my pinky hasn't lost mobility, but it's sore when I type and hurts a fair amount when I play guitar. I saw John Elway had this disease and he said he had treatment to completely free his hand. Does anyone know what he had done? I read a bit about radiation therapy at beginning stages, needling, and surgery. Was considering looking more into radiation since my condition is less than 4 weeks new. The knot popped up overnight.
Just leave it Scott. The pain nearly always settles down within a few months. Treatment is only needed if the finger starts to bend - which might never happen. If the current pain is bothering you a lot and you can’t wait for it to settle naturally then try anti inflammatory gel or occasionally they might give you a cortisone injection to help with pain. Best wishes. Stephen.
@@PhysioMSK You were totally right. The nodule has settled down and no longer bothers me the way it did when it first appeared. I'm sure stress made it 2x worse. So thankful to have a good community for advice.
Scott, I was diagnosed at a similar age. Thought it was just a callus but soon developed the pit and beginings of a cord on both hands. I saw a consultant who advised me to just "get on with my life", which I did. 10 years later and so far it hasn't got any worse - I can completely flatten both hands on a table and even lift the ring finger (which is the one affected) off the table, just not as far as my unaffected fingers. I believe that everyone is different but hopefully this gives some comfort that it is not a foregone conclusion that it will progress quickly to the later stages. I have had a little pain but only when I've aggressively stretched the fingers. I've read in several places that reducing alcohol and cleaning up your diet is beneficial so good excuse to address those things if there's room for improvement (there was for me). The only thing I should say is that I had previously done a lot of heavy grip work. I did stop that following diagnosis but i did not stop exercising and lifting weight. I'm not sure if that bought it on early for me...
I'm a female diagnosed with DC in my early 40s. It's been about 12 yrs now. Don't know of any family members having it or any Vikings in the bloodline. I have it in both hands and on several nuckles which can be painful. Had needling on my right palm early on which helped. I haven't found any solution for the nuckles. Docs said it's to risky to do surgery on them.
I had it in my little finger on my right hand.I broke my little finger which healed but then started to curl and had the hardened nodule.Eventually had open surgery which was successful and so far hasn't returned .The surgeon told me that mine was triggered by the break whereas with some people it occurs without a trigger.My great grandmothers maiden name was Dagg which interestingly sounds Scandinavian.
Yes the condition can be dormant and then become activated by trauma. I'm glad the surgery worked well. Fingers crossed that it stays quiet for you in the future.
My grandpa, uncle & cousin had/have this and to a lesser extent, my dad & aunt all on the same side of family. My uncle & his son both had surgery. Uncle passed a few years ago and my cousin's fingers is starting to curl a little bit again after 3 years of surgery. That side of my family are also of northern Europe decent.
I have it also. In 2020 I was diagnosed with a rare blood cancer called WM. At that time the bumps in both of my palms were large, visible and sore. After I received chemo and Retuxin treatment over four months the bumps shrunk to almost nothing. Some are no longer visible and those that remain are not sore. Could there be a connection between the blood cancer and the growth of the bumps? My oncologist didn’t seem surprised.
Someone else commented recently that their breast cancer treatment reduced their Dupuytren’s nodules. I don’t think there is a link between any cancer and Dupuytren’s but I do think that chemotherapy can affect the progression of the disease and it seems, reduce the degree of fibrous dysplasia.
I've had this about 10 years in left little finger. I didnt know it was a facia problem and since I now have plantar faciitis I'm now wondering if theres a link? I haven't told my children about the DC as I don't want them to worry about getting it.
Yes I agree. No point is worrying about something that might never develop. Plantar fasciitis is a different condition entirely (see my other video) but plantar fibroma is a similar condition and although a genetic link hasn’t been described, some researchers think the 2 conditions might be related.
Is this related to trigger finger , my husband has this where a couple of fingers will fold over into his palm ( usually after he has gripped something like the lid of a jar ) and he has to try to release them into the open position by grasping them forcibly , he is 80 years old and finds this very painful
I've just had my hand done but I went to the doctors a couple of years ago when my finger was like 2:43 and he said it wasn't bent enough for surgery. I then went back early 2023 and my finger was then like 8:46 and they said they would operate. January 2024 I had the operation and I'm just convalescing now and they will take the stitches out in 2 weeks. I did watch the operation on here when I first went to the doctors.
Neuro spine injuries affecting the spinal cord and blood flow at the brain stem can cause dehabilitating aging effects on everyday activities and cause duypentrays disease and the contraction.
I have the condition significantly affecting 3 fingers on the right hand and mildly to the ring finger on my left hand. I'm of Scotch-Irish ancestry. No one in my family, going back to my great grandparents (yes, I knew them), had this condition. A hand surgeon who examined my condition told me that the condition can skip multiple generations before showing up. The genetic problem is passed on from one generation to the next without appearance, but will eventually crop up in some descendant. I happened to be the one it showed up in. In other instances, the condition can rear its ugly head from one generation to the next. In my lineage, I'm the only one who has had this condition. However, going back beyond my great grandparents, I have no idea who else was affected by it. It's possible that my parents or grandparents had the condition but that it just wasn't significant enough to be noticed. What's your understanding about it? Can it skip multiple generations without incident even though the genetics are passed on?
Hi and thanks for your interesting story. I think … and it’s just my opinion … that it doesn’t skip generations so to speak. I think many of your older ancestors will have had the Dupuytren’s genes but they just didn’t express themselves within their lifetimes. Something has to activate these genes otherwise symptoms would occur from birth. We know it’s more common in diabetics so there is something about type 2 diabetes that makes gene expression more likely. There are likely to be many other factors, perhaps environmental, perhaps associated with certain viruses etc, which can activate these genes but we don’t know what they are. And I think that’s why some people with the genetics will develop symptoms in their 20’s and some people just never will develop symptoms or whose life ends before those genes might have activated. It’s just my opinion but it’s based on what we know about the symptoms and the current understanding of how some genes are expressed. Very interesting topic though. Thanks for sharing 🙏
Dad is a white blonde hair man blue eyes thin skinned. Me too. Dad is a Scotland from the highlands of Scotland. I even have a kilt! Going to Copenhagen in 2 weeks on a vacation.going to look at hands😂😂😂😂
Mine developed about 2 years ago at age 60..i am middle child of 7...none of the others have it..and i don't recall either of my parents having a problem...genetic🤔🤔?????
I’m Danish, my dad had this,and now I do as well !! My family literally go back to Viking age,so this makes sense :)
Yes it certainly does. I hope it stays calm and quiet and your fingers stay straight :-)
Knowing that this is also called "Viking Hand" makes me feel a lot better.
😂👍
I’m still going with “Celtic Claw” 😅
@@JenSell1626 definitely
Its also called German hands.
@@jonlen100 ok. I didn’t know that. 👍
Once I found out what its called and where it comes from ,I was quite proud of it😊
Absolutely. Own it !
Same
My late wife and I both had ours show up at the same time, despite our age difference, but there is a commonality in our ancestry, i.e. NW Europe/ Germany. At that time the doctor's approach was to leave it alone, which proved to be wise.
I have to agree with leaving it alone. It's in my family too.
Hi…. Great, professional presentation. I go for surgery next Month. I thought it was funny when you said “If you can slide a Pencil under your hand”… I could drive a Bus under mine. Thanks, Nigel.
Definitely sounds like surgery is needed then 😂 Good luck. I hope you get a great result.
I hope your surgery went well🎉
@@AmazS41Thanks for asking… I postponed it until the 7th of November .. in the meantime I’m getting a Steroid Shot as it’s still rather aggressively “Growing”… that’s happening on the 7th of August. Regards, Nigel.
I only know about DC because Bill Nighy (my favourite actor) has this condition.
He has, for many decades, brilliantly disguised it on film/ TV
When being interviewed, people (who don’t know of his condition) think he is “flipping the bird” or “giving the middle finger”.
Yep. He’s a Dupuytren’s legend !
Interesting presentation; My GP said that it wasn't serious enough to refer me; after several years of hounding him I've now been referred and the consultant told me that it has been left untreated for far too long; three fingers bent almost at right angles; at last, I'm going in for surgery!
@@paulspittel1924 it’s a shame you weren’t referred earlier. I hope you get a good result 🤞 Best wishes. Stephen.
My brother had his hand operated on to correct the problem which it did for a while but the condition slowly returned
I cured mine by massaging the area for a few minutes a day. Gone in six months
@@bg588 that can’t be Dupuytren’s disease. I suspect a misdiagnosis. Might be a tendon nodule.
I left mine too long, until it was bent at 90 degrees thanks to a doctor who didn't know what he was talking about.
I eventually had the fasciectomy it did straighten the finger out to about 15 degrees, I was told it wouldn't be a total success and if it returns as it's a one off operation due to scar tissue then only amputation is left, fortunately it's not got any worse in the last 20 years since it was done.
Good luck in November.
My grandfather and father had this. Wow, I am part Viking!!
@@Eekyellie you certainly are 👍
Knowing the wonderful actor Bill Nighy has this, I’m ok with it!
Absolutely 👍
I am 60 and have noticed bumps on my palms for a while now. I thought I'm not working that hard lately to have all these callouses.
My ancestors came from Iceland, so it makes perfect sense that I've got Viking Hand. Thankfully, I don't have any bent fingers though!
Lets hope it stays that way. Thanks for commenting.
Thanks for info. Brother has in both hands and his doctors says worst he has ever seen.but he had had the needle treatment several times. I am 74 and it started with slowly and fingers are not terrible but not flat. You are very articulate in your presentations.
Thanks for taking the time to comment Mary. I appreciate the feedback. I hope it stays mild and manageable for you.
Best wishes. Stephen.
I have it in both hands
My Doctor told me that I had this 'Vikings disease' a couple of years ago. At the time I thought, well if you're going to have a disease, at least this one has a cool name!. I then had a DNA test. My dad was from Essex; and what do you know, I'm 25% Scandinavian. I have since read the Vikings popped over to Essex around 1000 years ago. Now it all makes sense!
Thank you so much for this video, I have this issue now and was terribly scared about my options, this made me feel so much better
I'm glad you found it helpful. Generally this condition is nothing to worry about.
Best wishes. Stephen.
Hey, everything will be OK. I’m an actor and I try and hide it every time I go on a film set. I feel so relieved that my pinky finger is straighter and my middle finger as well now comes the healing and I’m definitely going to be wearing a brace and doing lots of stretches. I’ve also heard you shouldn’t drink and smoke. I don’t know if that’s true, but I definitely don’t do both. Maybe it’s a godsend.
Yes
Smoke & too much alcohol it’s one of the cause
Stop both & eat vit c & E reach foods - it will almost go away with stretching 4-6 times days - each session may be 5-8 minutes
Open & close fist fully in air
Best exercise
I am Irish and developed Dupuytren's in my right hand after the age of 60. The middle fingers curled right back over a few years but an operation totally fixed it. My surgeon told me it could come back within 10 years but I was thrilled with the result. No sooner was my hand straight when I noticed the little finger on my left hand start to curl. Another operation, slightly more complicated and difficult, did the trick. The only trace now left is slight scarring on my palms. In the meantime, I got my DNA done but found only one Viking marker out of 1,000. My surgeon reckoned he was the culprit lol! It is far more common than you might think, although I'd never heard of it until I got it. 🇮🇪
Yours is a very typical story. Seems like you got a great surgical result. Fingers crossed (pardon the pun) they stay straight 🤞
I am 26 yrs old and not of Nothern European decent but I am fully Southern European (Half Serbian, Half Maltese) and I got diagnosed with dupuytrens around last October. I got this condition after I have punched a wall and fractured my hamate bone and the 4/5 finger knuckles. As a resulf of trauma I got the Dupuytrens condition. As I noticed the lumps on my hand I went to visit a physiotherapist who referred me to do an ultrasound to confirm the condition. Since its in the early stages I am currently taking care by grip strenghtening, finger/hand palm stretching, dipping my hand in hot water with dead sea salt, overnight castor oil pack and vitamin E oil. Also I am reducing alcohol and cigarettes intake as I was drinking lots and lots of alcohol (which honestly I think flared this condition) hopefully if I keep it under control by doing the mentioned treatment I will not get any severe contractures. A weird condition but I guess I m paying for my anger management issues too. Never will punch a wall again.
Hi. You can be reassured that the injury didn’t cause the Dupuytren’s. It just activated it earlier but it would have happened at some point in the future anyway. I hope it stays minimal and doesn’t progress.
Best wishes.
Stephen.
@@PhysioMSK Hi Stephen. Could be because on my right foot I have a leddehorse too
@@qwertt-tg8rd yes indeed. It’s essentially the same condition. We think caused by the same genes but its phenotype is much less common than in the hand.
Good God. I have that too! I noticed that long ago and assumed it was related to foot surgery. I've never had an issue with those little lumpy nodules really, over 20 years now. They did an MRI but no one used that term. (I also... recently had a prolonged episode with a frozen shoulder. My connective tissue is a bit wonky for sure.) @@PhysioMSK
@@CitizenTurtleIsland that’s interesting because researchers suspect a link between Dupuytren’s / lederhosen’s and frozen shoulder. The lumps in the foot also get called a plantar fibroma but it’s all the same thing. We are at the mercy of our genes.
Excellent discussion...clear, straightfoward...well done!
Thanks ☺️
Thank you. So far stretching, hydro-therapy and warm weather works wonders. Every male in my family has this and their doctors diagnosed it as tendonitis. I can clearly see by the triangular puckering and problem finger identifiers that I and my sister have Dupuytrens. Our DNA (surprisingly) shows we both have high neanderthal DNA.
@@Carmen-xe7gx interesting. Let’s hope it stays as it is and doesn’t progress.
This is excellent. I was just diagnosed today. I will have to keep my eye on it. I'm 61. I definitely had some north European ancestors. My mom passed away long ago and I didn't know my father.
If you’ve just started with symptoms at 61, chances are it won’t be aggressive and may never progress to bent fingers … fingers crossed 🤞(so to speak).
I was diagnosed rhis past fall after noticing a bump just below my middle finger on the palm. I've completed my first of two, 5 day courses of radiation therapy to treat it. That was in January, but it still too soon to say it has helped. So far I don't see any difference. How are you doing?
I was told to keep my eye on it. That's it. No treatment was offered and I understand it's not necessary to be honest. I do look and touch that little hard, bump, daily. Oh well. I hope your treatment evenutally helps. @@iansutube
I have it. I think my mother has it, but she won't let me look at her hands. Sometimes she says she has arthritis, but when pressed, she admits her doctor said it was something else. Then she says I am making everything up. My mother has always had her ownversion of reality.
Myself and 3 of my brothers have DD, but none of my sisters, so is it confined to men only? My surname, originally Oda le Arledekin, is of Norman and Viking origin.
Thank you for this explanation o the hand fascia! My husband do not have Dupuytren´s contracture but had an accident where he became hanging from a ladder in his rings almost cutting his finger of. The tendon did not break but now, about a year later, he has get the same problems as in this syndrome. He met his doc but could not explain to me what had broken down in his hand but now I understand. He will get an op where they will lay some incisions in the fascia to straighten up the finger again. Thank you again!
@@Passioakka very interesting. The injury could have activated the previously dormant Dupuytren’s ? I hope the surgery helps. Best wishes. Stephen.
Great video very well presented and informative thank you.
I have been applying 70% DMSO and it’s made a massive difference. Nodules have decreased, skin tightness has lessened and I have recovered some flexibility in my ring finger. Hope this helps someone !
Very interesting. I’ve not heard of that being used for Dupuytren’s before. Thanks for sharing.
Thank you, I’ll try it!
Thank you for this informative video. I have surveyed many videos on this topic and this is tops! It is an excellent overview of the diverse factors involved and explained with good detail while simultaneously presenting for the non-technical viewer.
Thanks very much. That’s exactly what I’m aiming to achieve. Appreciate the feedback 🙏
Thank you for this interesting and comprehensive explanation of dupuytrens.
I was diagnosed with DC 8 years ago by a hand surgeon who told me it would definitely progress.
Both my palms had one visible cord and one nodule each.
Over the past 8 years nothing has changed and I never had any progression or problem.
I am of northern European and Viking descent.
To my knowledge no one in my family has or had this condition.
Yes it’s an unusual condition. Difficult to predict its progress and its family links. Seems to follow its own rules !
Thank you very much for your explanations; it has given me some reassurance. As a pianist, I noticed a nodule in my hand a year ago, but fortunately, my hands remain very flexible, and I have had no issues so far. In Belgium, we have one of Europe’s best hand surgeons who told me that nodules can appear in different places for each person and that mine is in a spot that is unlikely to cause problems. I hope I won’t have any issues, but I will keep monitoring it. It is unfortunate to have this condition, especially since I rely so heavily on my hands and am very anxious about any potential surgery.
You’re very lucky to have such local expertise. I’m sure they are right. I hope it stays mild and manageable.
Many thanks, took a while to describe the condition well enough to pick up your video which exactly describes the early onset of the condition. At 77 years of age I think I will take your suggestion and use hand cream and stretching to manage the situation. Again my thanks.
You’re very welcome. I hope it was helpful & informative.
I have the pit type that happens in my seventies on both hands. One hand is a little more than the other hand. Fortunately, it is mildly noticeable. My grandfather on my mother side had it on one hand and probably comes through my father side, too. My father side came trace ancestors back to about 80AD in Scandinavia. Had brown hair and a red beard which is now grey/white.
I am in my early 50s and have a 100% Swedish last name. I always wondered why my ancestors had this condition and now I know why I have it also.
Thankyou for the video. I am 30 I have had DC for the last 6 years and it is very painful I can barely do any chores. I am considering the surgery.
Hi. It’s not usually a painful condition. Are you sure it’s DC? If it is then it’s an unusual variant. I would definitely see a hand surgeon if you are struggling with it.
Mine started about 6 years ago too with the nodule lumps. Very painful from the beginning, especially when they seem to be growing. I hopefully will get fasciectomy surgery on my pinkie in the next couple months. I wish you good luck and good health.
Mine is extremely painful , was told by my consultant that is rare to be painful, but is definitely DC. I've always liked to be "not the norm" .😂😂
Mine is painful too
So accurate...I have had multiple operations, and what you said is 100% correct. Thanks !
Thanks for the lovely feedback. Much appreciated. Best wishes. Stephen.
Being 50% Norwegian I've got it in both ring fingers. I asked 3 doctors what it was and got ??? as an answer. Broke a finger at work and the company doctor asked if I had any Scandinavian blood. Thats how I found out what it was - he even wrote down the name so I could look it up. Keep bending it backwards and you might keep it from progressing like I did.
It’s one of those conditions that doctors either know about or they don’t. In some parts of the world a doctor would never see it, whereas in other parts it’s fairly common.
That's a very good explanation especially with the visuals.
Thanks. I appreciate the feedback 🙏
My mother in law had this, she was told it was because her ancestors had been descendants of Vikings, she was from the north east of England.
Could well be quite right 👍
76yr old female here, my dupuytrens started at age 59, 10 operations on both hands various fingers and joints including repeats, now on the NHS list again for three fingers - (repeats), luckily the recovery time is only a few weeks.
In retrospect, they might have been better doing a dermofasciectomy first time round. That might have reduced the number of procedures you ended up having. I hope you get a good result from the next op. Best wishes.
I’m so glad I had mild radiotherapy treatment on the nodules. Both hands. Nodules have stopped growing and no more pain at normal night.
That's interesting to know because radiotherapy is still fairly unproven according to the research. Thanks for commenting.
@@PhysioMSK yes that was the case when I was diagnosed a few years ago. Quite a bit more research out there now and I’m so grateful for it. Still not a 100% guarantee but for me, worth the process. The radio oncologist didn’t bat an eyelid when I went to him. My old family doctor at the time didn’t know about the radiotherapy but my new doctor (recently moved) knew about it. I thought your explanation video was quite good. Thank you.
I have this condition in my left hand and arthritis in both my hands. I play the ukulele which helps to stop the arthritis from progressing. The lump in my hand from Viking finger is now getting smaller because I now routinely push my fingers right back and stretch them until it is quite painful. I also try to spread my fingers individually as an exercise ....as they say no pain no gain.
My brother also has this condition and his consultant told him that it only effects people ho have Viking in their blood line.
Yes, as far we as we know, the genetic mutation occurred in a Viking, and has been passed down the generations since then. I'm glad yours is doing well. Fingers crossed it stays that way.
Very thorough and easy to understand. Thank you!
Clearly simplified
I have it mildly but semi painful in my fingers, but my thumb also. It is very painful in my thumb and causes me issues every day. I hate this disease. I also have it in my feet. I've had it since I was about 21. 48 now. I would also add that one major sign something was wrong is numbness. For me, with my thumb dropping everything is an issue. Hardly any video refer to the thumb.
The palmer fascia can extend into the web space between the thumb and index finger and occasionally into the thumb itself in some people, but its fairly infrequent. I haven't heard of numbness as a symptom of Dupuytrens but I suppose the small nerves in the skin could become irritated. Or you might have a separate problem such as carpal tunnel syndrome.
My dad had this problem with hands (Had surgery twice) doctor said you must be Norse…we are related to Rollo…many others. I have nodules in my hands…
I first noticed that my right hand had a problem when I lifted two 12 foot pieces joined together of half inch drywall when squeezing it from the top. All of a sudden, my hand really hurt and there was this weird bump where the pain was. So, I started ripping off the paper strips, that connected the two sheets, so I only had to lift one piece at a time. Had to push the fingers back and massage the hand to restore the hand's function after a couple days. The left hand developed the same problem. My "bone" doctor told me it was a northern European trait. I was just glad it wasn't some other weird defect passed down to me.
Nothing weird about it James. Its fairly common but ... you can now officially call yourself a Viking !
@@PhysioMSK It may be a dominant gene but there is no way of telling if that gene didn't come from some other region because the Vikings didn't stay in one place when they went a-Viking, and they returned many times with slaves and wives.
@@jameswest4819yes your quite right. The precise gene has yet to be discovered so our theories are based on the geographical prevalence of the disease, which just coincides with the countries we know that the Viking’s travelled to.
Yes James, it is another *something weird* passed down to you. I have it in spades as did my mother and my son and probably her father. A noble and very annoying disorder. 😅
@PhysioMSK Actually the gene has been located and to make it even funnier it has been traced to Norwegians of Neanderthal decent...who also happened to rape and pillage in Scotland . Thus all of us lucky lads and lasses with crooked fingers.
I have it as well. As did my father and brother. I’m getting mine (right hand) surgically corrected next week. 🙄
Best of luck. I hope you get a great result.
Yes, extremely helpful! Thank you! 🤲🏻
I’m glad you found it helpful.
Best wishes
Stephen.
I've currently got this problem and I'm currently on the waiting list for a operation , I was told I have Irish or Viking heritage
Yes you probably do have Viking blood in you. Good luck with the surgery.
@@PhysioMSK ok
Thank you
Well done. Clear and informative thanks.
You’re very welcome. Thanks for the feedback 🙏
Omg I have that. My right hand on my liile finger. My dad is a Scot from the highlands. Im blonde,blue eyed,thin skinned. I have a Viking Hand!!! Cool.
I have a pit that all of sudden showed up over 20 years ago below ring and little finger. Also on the other hand I have a noticable lump. Little finger curlis in a bit. Always wondered what they were from. Thank you.
Glad it was helpful. Lets hope the stay calm and well behaved.
Mine started about 6 years ago at 52. The nodules I have are very painful, especially when growing. One oddly went away, one started but hasn't changed and the last one to start on my pinkie has grown the fastest over the last 3 years to where I now have multiple areas of thickening and about a 30degree contracture. All the doctors said they couldn't do anything until it got to this point, and now need the surgery. Have you ever heard of anything that actually slows the progression or smooths the nodules, like triamcinolone (kenalog) injections or radiotherapy? I will be getting the surgery as soon as I can pay for it, but would like to find something to keep the other ones from getting worse! I'm not even 60 and still need full use of my hands!
I’m afraid I don’t have good news. There is no good evidence to suggest steroid injections or radiotherapy can slow the disease process. What will be will be. Don’t stretch it though or do aggressive massage. These things can only serve to aggravate it. Best advice is just try to ignore it and only seek treatment at the right time.
My DC started in my late thirties. By the time I reached my 50s, my ring and middle fingers were raised up, most noticeably when I tried to do pushups. Absolutely no pain; just inconvenience. Since surgery about 8 years ago, there have been no recurring symptoms. There is some scar tissue, but it's hardly noticeable to the sight. And yes, on the Viking angle, my father's side of the family hails from Sweden.
Sounds like you’ve done very well with it considering you were so young when it started. Fingers crossed it stays quiet for you 🤞
Thank you for the explanation. I am of African descent and my Dupuytren condition became noticeable in my 70’s. About 73. I haven’t had a formal diagnosis, but all the symptoms mentioned were present, except nodules or cords don’t seem to be prominent. When the condition made its introduction, I was able to bend fingers (2) on both hands in a downward position and they stayed that way until I straightened them by pulling them up. Today, Only the left middle finger has a slight bend. I use a finger splint and do exercises to keep the finger straighter. Hopefully, there won’t be any greater deterioration since the onset of Dupuytrens’s contracture started in my 70’s.
@@LewisDickeymmmm. Are you sure this is Dupuytren’s? It sounds like trigger finger to me. I’ve done another video on that. It might be worth checking out.
I had radiotherapy 8 years ago - it stopped the pain and my hands haven’t deteriorated at all.
Im glad it helped but the pain would have gone anyway. I’m not convinced about the evidence for radiotherapy but a few people on here have told me it’s worked for them. It’s supposed to slow the disease process but the research is not convincing at the moment. More studies need to be done. Best wishes and thanks for commenting.
A big help thanks. I'm 70+ plus and the condition is mild so no action. I'm a Scot but - 2% Norwegian DNA apparently.
Let’s hope it stays mild 🤞 Thanks for commenting.
I have had this on my right hand for 10 years I am 54 now and doesn’t give me any problems. I had it on my left had originally as well. But it went away. I am part Norwegian on my father’s side.
You’ve definitely got Viking genes ! Fingers crossed that it stays calm for you 🤞
the English-language subtitles keep stating "palmer" fascia -- surely it should be "palmar"?
@@carlawiberg6282 yes you’re right. Il have a look and see if I can correct it. Thanks.
All corrected now. Thanks for letting me know.
Your presentation is excellent! Down to earth, not the 'big sell' - typically English.
Ten years ago, at age 59, whenever I unclenched my left hand my ring finger (only) would not open but remain clenched. If I moved that finger with my other hand, it would suddenly flick open. This phenomenon seemed to develop suddenly - in a matter of days or weeks - not over months and certainly not years. There was an absence of any visual signs.
My doctor euphemistically referred to this as 'trigger finger', simply gave me one injection (of 'something' - cortisone?) and that fixed it! I was super impressed. It has never returned. Would this have been Dupuytren's?
However ten years later, one month ago when I clenched that same left hand I experienced extreme pain at the base of that same finger and, also, my middle finger, in the area where they meet at the top of my palm. Operating the clutch on my Honda, for example, is REALLY painful. The pain has diminished significantly but is still there.
Over the past @ 5 years I have been occasionally (but regularly) experiencing such soreness in the thumb knuckle of my right hand and put this down to arthritis. I therefore naturally thought this latest condition in my left hand could also be 'simple' arthritis. Could it however instead be associated with Dupuytren's?
Hi and thanks for your comment. To answer your question, none of these symptoms are typical of Dupuytren’s. The clicky finger certainly sounds like trigger finger. I’ve done a previous video about this if you’re interested. Thumbs can also trigger. You tend to feel the pain (and tenderness to deep touch) on the palm side of the thumb at the 2nd joint from the end. If the pain is on the other side of the joint then it might well be arthritis. You’d need an x-Ray to confirm. Hope that helps. Best wishes. Stephen.
@@PhysioMSK Thank you very much Stephen for taking the time to reply and 'putting me right'.
As a former primary and high school teacher and afterwards a lecturer (in another field of endeavour which I studied in your country (England)), I must complement you on your 'teaching' skills.
The simple clarity and logical sequence of your explanations, your obvious knowledge and experience, excellent diagrammatic representations and use of 'concrete objects' presented at a well metered pace without racing or reliance upon hype (and instead what I would describe as English calm) make your videos both easy and pleasurable to understand.
I am now one of your subscribers ... and will definitely explore your other videos to learn more about the increasing range and frequency of muscular and skeletal ailments my ageing body are manifesting.🦘
Thanks v much for the nice comments. I try to present these videos as if I’m talking to one of my patients in a typical 20 min consult, and just hope that other people find them helpful. Really appreciate the feedback. Thanks v much for taking the time. Best wishes. Stephen.
Very well explained 👏 thank you
You’re welcome 😊
It started in my thirties, had an operation in my fifties on my right hand, then collagenase a few years later in my left. Had eight lovely years of pretty straight fingers, but over the last five they’ve got steadily worse. The NHS can’t get collagenase from the American suppliers any more and I don’t want another op. It was fine the first time, but there is a lot of scarring despite wonderful surgeons, so I’m considering how to compel American to start supplying collagenase again 😊
Yes the supplier withdrew the product from the European market in 2020. I’m really not sure why. Must be a legal issue I guess. Hopefully they can get it resolved.
Not just hands. I now have it in the foot. A thickening on the major tendon under the arch. Making its a bit difficult to keep it under control with physiotherapy like I do in the hands.
@@Harve955 it won’t be a tendon. It will be the plantar fascia. It’s called plantar fibroma or lederhosen’s disease. It’s the foot equivalent of Dupuytren’s.
I had surgery yesterday on my left hand pinky finger. We’ll see how it goes!
I hope you get a great result.
I’ve had this for years, my finger is not bent , I take no notice of it .
👍 that’s exactly right.
In the Netherlands, they call it ‘coachman’s hand’.
I bet it gets called many different names around Europe. Celtic claw over here.
All that rowing! 🚣
Good video. Informative. Very concise. I have it on both hands. Have snapped the tissue a couple of times due to falls. Very painful when it snaps! Does not impair daily living. Just adapt and modify behaviours.
Yes I bet it was painful ! You are quite right though. Just try to ignore it until it becomes intrusive enough that you would want surgery.
I had this in my right hand. My mother had it too She was English. My father did have some german heritage. My little finger was bent probably about 20 degrees. I had the operation . That was when i was 64 yrs old.I am nearly 70 and it shows no signs of coming back
Great result 👍
I'm 72 and noticed this condition about 2 or 3 years ago. About 6 months ago it seemed to be getting a bit worse and I got more concerned about it. I stretched out my hands frequently and rubbed castor oil in whenever I remembered and lately it is definitely improving, to the point of being almost unnoticeable. I have no idea if what I have been doing has caused the improvement, or if the condition can improve on its own but I thought I would mention it in case it is of use to anyone else.
Thanks for sharing. It’s an easy enough self help treatment so worth a try for anyone. Best wishes. Stephen.
@@PhysioMSK Thank you - it was only later I noticed a few other comments mentioned castor oil, I wonder if anyone has had any further results with it?
Ive got it on my left hand went to local doctors and he had no idea how to treat it got a online appointment with a specialist and he was just as clueless 😊❤
Not very specialist then ! Assuming you are right of course 😬
I worked for a general surgeon, he did many of these procedures.
My dad had this. My first one started when I was 22 on my rh little finger. Had 3 ops, then lopped off the finger as it started again. Then ring finger started.... 6 operations on that hand. Kind of munted now but has settled down after the last slicing 🤣 oh well
When it starts so young it tends to be quite aggressive. I hope is stays calm.
I used to wake up with the finger bent and painful. Since wearing a splint overnight i have had no problems.
That doesn’t sound like Dupuytren’s. That sounds like trigger finger. I’ve done another video about that.
I'm Spanish, very healthy person. Working with the laptop. When day i saw I have this illness. It could practising with the bike? I have some pain sometimes. My main problem is worry about the future. Because I like painting and pottery. Anyone could continue with normal activities. In my case I didn't see evolution from 4 years ago (time that I saw the dot)
Hi there, and thanks for commenting. I would not worry about it because there is absolutely nothing you can do to help it. It's a genetic condition and so you are powerless to prevent it progressing, or indeed just staying the same. The only decision you have to make is to choose to see a hand surgeon if your fingers bend to the degree where they interfere with your hand function. And they might never do, so relax and get on with your life. What will be will be.
Thank you for your video, it is very informative. I'm 52 this year and I have noticed a lump in my left palm below my wedding ring finger. It feels hard to touch and was initially itchy. In fact, I first thought that it was an insect bite. I haven't been to see my GP yet because getting an appointment is difficult. Anyway, after some researching I think it could be what you describe in your video. It makes sense since my grandma's fingers were all bent over. And 5 of her son's had the same condition. One son had surgery to have his fingers straightened. My mum didn't have it though which I think strange, and my brother who is 12 years older that me doesn'thave it. Perhaps it skipped them! 🤷♀️
Yes your mum might not have inherited the gene or it just never became activated ie. the gene stayed switched off. It often starts with a small lump so it probably is Dupuytren’s. Hopefully it won’t progress too much 🤞
I developed DC in my 60's. No bend . Hopefully it will not happen. I suffer from arthritis and carpal tunnel. They are all bad. I was a Barber for 40 years. Thank you for explaining DC.
I think if it’s not progressed to a bend by now then it probably never will. You’re in good company with it though; Ronald Reagan, Frank Sinatra and Bill Murray all had DC.
If the game started that late I wouldnt worry. I noticed a cord forming when I was around 13. Im 44 now. Now its very progressed on the ring finger of my right hand. It also has effected my thumb. I have not had surgery yet but it think I will need to do something soon.
I have it both hands but much worse in right hand. Trying to get surgery. Wondering why they the scars are so zig zagged. Is a straight cut not possible?
No. if you do a straight cut then it tends to stretch and look much worse in long term. The idea of the zig-zag is to create some 'flexibility' into the palm and avoid aggressive scarring the longer term.
My grandfather was Swedish and looks like I have inherited this. Have had 3 fingers fixed nw have 2 with problem🤔
I WAS BORN NEAR WODEN IN STAFFORDSHIRE I WAS BORN AND MY FAMILY NAME WAS JOHNSON. AND MY GRANDMOTHER WAS BESS
Your caps lock is stuck.
My brother had this and was told at the hospital it is those with Viking ancestry that it effects and that it is common
Yep. that's why it called 'Viking Hand'
Merci !!
Tu es le bienvenu 😊
My paternal aunt had it beginning as a child her entire hand was bent back and no use in 4th and 5th fingers. She was told she must have had polio
I’ve just had my first week of radiotherapy on my hand, currently nodules and cords and no bend
I honestly don’t understand the point of that treatment. The nodules on their own are rarely painful or give any problems. It seems like complete overkill to irradiate them. What did you think when they suggested this ? Can I also ask what country you live in ?
Where I come from it's called Vanker's Cramp..
😂
I've been having big nodules on my hands and I am just 24 years old. I got diagnosed with Dupuytren last week and I am kind of worried because I do climbing (boulding) and I want to be able to do it for a long time. But I think some day I have to stop because of my dupuytren getting worse.
Yes, You are very young to develop Dupuytren’s. But there is no evidence that exercising your hand will cause contractures. I would suggest using your hand normally including bouldering. If and when the fingers start to bend, go and see a hand surgeon. Because of your age they might consider a dermofasciectomy.
In Seattle WA we call it curse of the vikings
Had this for years, lumps on both hands but fingers only slightly bent.
@@jonlen100 let’s hope it stays that way 🤞
Thank you 😣
You’re very welcome ☺️
Thanks for the video . Just turned 36 and was diagnosed with dupuytren a month ago . two finger on my left hand are already starting to bend . i have to be very carefull when i open a door or a jar because it can be very hurtfull to my finger joint. i just hope it wont get too aggresive .
The pain usually fades away fairly quickly. I hope it behaves itself too 🤞
My dad had this, surgery didn’t work, despite even having physio, it came back
You can’t cure it. You can only try to straighten bent fingers.
Hi there thank you so much for this video. I have had the injections and I’ve had surgery twice. I am only 55 years old. I started getting it 10 years ago. I don’t know how I’m just he from surgery seven days ago and I’m looking forward to taking your advice on the stretchingand wearing a brace thank you so much for these videos. I wish there was a Facebook group I could join maybe I should create it.
I’m glad you found it helpful. I’m not on FB but if there isn’t a patient interest group on there already then I’m sure it would be appreciated if you set one up.
It’s from damage to tissue in your hands. You tear the tissue & the body is hardening the tissues. It’s NOT a Disease at all whatsoever. It’s simply the Body healing Damaged tissue. I know cuz I thought I had broken my pinky yet everybody confused by Dupuytrens yet I’m fully aware I damaged the tissue & never went to the Doctor. That’s probably what everybody else is doing too yet I was 20 years old & healthy as can be hence these theories are all wrong.
I don’t mean to sound like a know-it-all. I literally thought my pinky was broken but now they wanna do a Digit Widget treatment which is NOT gonna happen cuz it’s either XIAFLEX or no thanks. The Digit Widget only forces the finger to go straight & I am certain such is achievable minus actual drilling into my pinkies. Simple hand splint w/ applied pressure would do exactly the same so why are we doing things like it’s the 1800s
I wish you well bro. I am 46 now & my Dupuytrens existed since the early 2000s so yeah man. It’s NOT your old age bro. Just do NOT overexert the strength in your hands like opening Jars or heavy lifting. I’m NOT a Doctor yet that’s the advice I have learned the hard way for my own self at least. It’s not genetics or old age or low sugar or diabetes or this that & the other. It’s simply trying too hard to do things w/ your hands & we tore the tissues.
@@PhysioMSK yeah I was thinking about that. I just didn’t know how to start it. I’m on Instagram and I have about 17,000 followers because I’m an actor performer however I wouldn’t know where to begin to create us group for this crazy syndrome that we suffer from.
Going to cph in 2 weeks,another vacation. Retired,airline perk, but I have viking hand. Can't wait to walk around and look at everyone's hands. I can say 👋👋," HI I HAVE VIKING HAND" 😂😂😂😂😂👋👋👋👋👋
I'm 38 and I just been diagnosed with Dupuytren's. I have a knot in my palm and my pinky hasn't lost mobility, but it's sore when I type and hurts a fair amount when I play guitar. I saw John Elway had this disease and he said he had treatment to completely free his hand. Does anyone know what he had done? I read a bit about radiation therapy at beginning stages, needling, and surgery. Was considering looking more into radiation since my condition is less than 4 weeks new. The knot popped up overnight.
Just leave it Scott. The pain nearly always settles down within a few months. Treatment is only needed if the finger starts to bend - which might never happen. If the current pain is bothering you a lot and you can’t wait for it to settle naturally then try anti inflammatory gel or occasionally they might give you a cortisone injection to help with pain.
Best wishes. Stephen.
@@PhysioMSK You were totally right. The nodule has settled down and no longer bothers me the way it did when it first appeared. I'm sure stress made it 2x worse. So thankful to have a good community for advice.
@@scottnichols405glad to have helped. Best wishes. Stephen.
Scott, I was diagnosed at a similar age. Thought it was just a callus but soon developed the pit and beginings of a cord on both hands. I saw a consultant who advised me to just "get on with my life", which I did. 10 years later and so far it hasn't got any worse - I can completely flatten both hands on a table and even lift the ring finger (which is the one affected) off the table, just not as far as my unaffected fingers. I believe that everyone is different but hopefully this gives some comfort that it is not a foregone conclusion that it will progress quickly to the later stages. I have had a little pain but only when I've aggressively stretched the fingers. I've read in several places that reducing alcohol and cleaning up your diet is beneficial so good excuse to address those things if there's room for improvement (there was for me). The only thing I should say is that I had previously done a lot of heavy grip work. I did stop that following diagnosis but i did not stop exercising and lifting weight. I'm not sure if that bought it on early for me...
I'm a female diagnosed with DC in my early 40s. It's been about 12 yrs now. Don't know of any family members having it or any Vikings in the bloodline. I have it in both hands and on several nuckles which can be painful. Had needling on my right palm early on which helped. I haven't found any solution for the nuckles. Docs said it's to risky to do surgery on them.
I would ask for a referral to a hand surgeon and let them decide if it’s too risky.
@@PhysioMSK Thanks for the advice and for educating us on this subject.
I had it in my little finger on my right hand.I broke my little finger which healed but then started to curl and had the hardened nodule.Eventually had open surgery which was successful and so far hasn't returned .The surgeon told me that mine was triggered by the break whereas with some people it occurs without a trigger.My great grandmothers maiden name was Dagg which interestingly sounds Scandinavian.
Yes the condition can be dormant and then become activated by trauma. I'm glad the surgery worked well. Fingers crossed that it stays quiet for you in the future.
My grandpa, uncle & cousin had/have this and to a lesser extent, my dad & aunt all on the same side of family. My uncle & his son both had surgery. Uncle passed a few years ago and my cousin's fingers is starting to curl a little bit again after 3 years of surgery. That side of my family are also of northern Europe decent.
Yep. The force is most definitely strong in your family.
I have it also. In 2020 I was diagnosed with a rare blood cancer called WM. At that time the bumps in both of my palms were large, visible and sore. After I received chemo and Retuxin treatment over four months the bumps shrunk to almost nothing. Some are no longer visible and those that remain are not sore. Could there be a connection between the blood cancer and the growth of the bumps? My oncologist didn’t seem surprised.
Someone else commented recently that their breast cancer treatment reduced their Dupuytren’s nodules. I don’t think there is a link between any cancer and Dupuytren’s but I do think that chemotherapy can affect the progression of the disease and it seems, reduce the degree of fibrous dysplasia.
My dad had Dupuytren’s.
Yep. Lots of dads do.
I've had this about 10 years in left little finger. I didnt know it was a facia problem and since I now have plantar faciitis I'm now wondering if theres a link? I haven't told my children about the DC as I don't want them to worry about getting it.
Yes I agree. No point is worrying about something that might never develop. Plantar fasciitis is a different condition entirely (see my other video) but plantar fibroma is a similar condition and although a genetic link hasn’t been described, some researchers think the 2 conditions might be related.
Is this related to trigger finger , my husband has this where a couple of fingers will fold over into his palm ( usually after he has gripped something like the lid of a jar ) and he has to try to release them into the open position by grasping them forcibly , he is 80 years old and finds this very painful
No. Trigger finger is very different. Ive done a previous video all about trigger finger. Just look through my back catalogue.
Thankyou I will go take a look, have subbed 👍
I've just had my hand done but I went to the doctors a couple of years ago when my finger was like 2:43 and he said it wasn't bent enough for surgery.
I then went back early 2023 and my finger was then like 8:46 and they said they would operate.
January 2024 I had the operation and I'm just convalescing now and they will take the stitches out in 2 weeks. I did watch the operation on here when I first went to the doctors.
Good luck with it. I hope you get a great result.
Best wishes. Stephen.
Serrapeptase worked for me
I can't see how that would work ... but i'm glad it has done for you.
Found an obscure paper on it and gave it a go ;)
It does hurt.
Neuro spine injuries affecting the spinal cord and blood flow at the brain stem can cause dehabilitating aging effects on everyday activities and cause duypentrays disease and the contraction.
Can you show me the evidence for this claim please ?
I wish I could share a picture after the surgery
I have the condition significantly affecting 3 fingers on the right hand and mildly to the ring finger on my left hand. I'm of Scotch-Irish ancestry. No one in my family, going back to my great grandparents (yes, I knew them), had this condition. A hand surgeon who examined my condition told me that the condition can skip multiple generations before showing up. The genetic problem is passed on from one generation to the next without appearance, but will eventually crop up in some descendant. I happened to be the one it showed up in. In other instances, the condition can rear its ugly head from one generation to the next.
In my lineage, I'm the only one who has had this condition. However, going back beyond my great grandparents, I have no idea who else was affected by it. It's possible that my parents or grandparents had the condition but that it just wasn't significant enough to be noticed. What's your understanding about it? Can it skip multiple generations without incident even though the genetics are passed on?
Hi and thanks for your interesting story. I think … and it’s just my opinion … that it doesn’t skip generations so to speak. I think many of your older ancestors will have had the Dupuytren’s genes but they just didn’t express themselves within their lifetimes. Something has to activate these genes otherwise symptoms would occur from birth. We know it’s more common in diabetics so there is something about type 2 diabetes that makes gene expression more likely. There are likely to be many other factors, perhaps environmental, perhaps associated with certain viruses etc, which can activate these genes but we don’t know what they are. And I think that’s why some people with the genetics will develop symptoms in their 20’s and some people just never will develop symptoms or whose life ends before those genes might have activated. It’s just my opinion but it’s based on what we know about the symptoms and the current understanding of how some genes are expressed. Very interesting topic though. Thanks for sharing 🙏
Dad is a white blonde hair man blue eyes thin skinned. Me too. Dad is a Scotland from the highlands of Scotland. I even have a kilt! Going to Copenhagen in 2 weeks on a vacation.going to look at hands😂😂😂😂
Mine developed about 2 years ago at age 60..i am middle child of 7...none of the others have it..and i don't recall either of my parents having a problem...genetic🤔🤔?????
Neither one of my parents had it. Non of my siblings have it
I did explain in the video why this might be so.