The delicate nerves, arteries, and tendons in the hand are protected by strong tissue called fascia. In some people this fascia can thicken and contract in tight cords or bands. This causes the fingers to flex or bend into the palm and gradually prevents them from straightening out. There is no therapy or splinting that can prevent the progress of this contracture.
There are three ways of dealing with the problem:
In the office using a small needle and a drop of a local anesthetic, a cord can be divided bringing about immediate improvement with just a needle puncture.
In the office this medication can be injected directly into the site of Dupuytren's disease. This drug as an enzyme that digests the thick fascia. The patient returns in 24-72 hours for a manipulation of the finger to break up residual contracture.
These two techniques may be done separately or together and may prevent the need for any surgery.
In some circumstances surgery may be the best or only option.