Palmar fibromatosis( Dupuytren's contracture) is a disease in which the tissue on the palms covering the fingers and tendons thickens and becomes scarred. The affected tissue, called the palmar fascia, becomes rigid and wrinkles over time, provoking the fingers to curl inward towards the palm.
The development of the disease usually occurs for many months, although in rare cases the ailment can develop suddenly. Palmar fibromatosis can affect any fingers, although most often affects the nameless or little finger. In rare cases, the disease affects the thumb and forefinger. The disease can only touch one hand, and maybe both.
- Causes of the disease
- Symptoms
- Stages of the disease
- Diagnosis
- General recommendations
- Use of needles
- Enzyme injections
- Radiation therapy
- Surgical intervention
- How to treat folk remedies and methods?
- Ingredients for grinding of chestnuts
- Infusion of kerosene
- Treatment of aloe
- Treatment of decoction of needles
- Treatment with expander
- Tray of
- Massage
- Diet in case of
disease Causes of disease
Dupuytren's contracture is relatively common, but its causes are still not fully understood. More often the disease occurs in men, usually it affects people of mature age. More at risk of getting adult men aged 60 years.
Palmar fibromatosis is inherited.
The most common causes include:
- Diabetes mellitus( first or second type);
- Epilepsy;
- Thyroid problems;
- Smoking is the most likely cause of the disease;
- Alcohol abuse( especially when the liver is seriously affected);
- Production work( vibration);
- Against the background of the adoption of anti-epileptic drugs, the disease can also make itself felt.
Characteristic symptoms of
Dupuytren's disease progresses slowly. The first symptom that can be noticed visually is thickening of the skin on the palms( or on the fingers).
The skin may begin to wrinkle, the patient discovers the appearance of dimples or solid cones, similar to the wen under the skin. These bumps may be sensitive to palpation, but, as a rule, are not painful.
In the later stages of the disease thick thick knots begin to form under the skin. When these knots thicken and increase, the fingers begin to bend inward in the palm of the hand.
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Stages of the disease
- Proliferative phase - during this phase the nodule develops. At the beginning of the disease, patients experience discomfort, rarely: pain. Pain is a consequence of the fact that nerve fibers are introduced into the fibrous tissue or because of the pinched nerves. At visual inspection, paleness is noticeably paler on the palms.
- Involutionary phase - the disease spreads inside the tissue, longitudinal thickened nodes are formed.
- Residual phase - the disease continues to spread into tissues, the node is condensed, forming contractures.
Diagnosis
The diagnosis is made by the doctor, based on all of the above characteristics and symptoms of the disease. The formal diagnosis of the condition is made on the basis of an assessment of the medical history and physical examination.
General recommendations
If the disease develops at a slow pace, has little effect on the patient's ability to use hands( or has no effect at all), he does not need treatment.
Usually treatment involves surgical removal of nodes, which can be done in several ways. The choice of method of treatment depends on the severity of the disease, on the frequency of relapses, on the severity of symptoms and health problems.
Using needles
A large needle pierces the knot, thereby tearing the fabric that does not allow the fingers to unbend. After such a local operation, relapses often occur, but the procedure can be repeated.
The main advantages of this method - a cut of tissues is not required, the operation can be carried out immediately on several fingers, the rehabilitation period is short.
Enzyme Injections
Injections soften the knot and weaken it. After the injection, the attending physician will try to straighten the fingers.
Radiation Therapy
In 2010, the National Institutes of Health( NICE) issued guidelines on the use of radiation therapy for the treatment of Dupuytren's contracture. Radiation therapy is aimed at excluding the need for surgical intervention. These are controlled doses of radiation( usually X-rays) that affect the nodes.
The course of treatment is 5-7 days.
The NICE Institute studies have shown that the condition of three out of ten patients improved after treatment.
Possible side effects of radiation therapy include dry skin, peeling and its easy thinning.
Radiation therapy is not suitable for everyone. Like any other type of radiation, it increases the risk of malignant tumors, it is important to consult your doctor and discuss all possible treatment options.
Surgical intervention
An option for people with a progressive form of the disease.
The main advantage of surgical removal of the affected tissue is the practical absence of relapses in the future. After surgery, a long course of physiotherapy is shown, recovery can take months.
Most patients with Dupuytren's contracture show stretching exercises using heat( for example, in warm water).If the patient experiences pain and discomfort, the choice is made in favor of ultrasound treatment. Sometimes local inflammation is removed with the help of injections of cortisone( a hormonal drug).
How to treat folk remedies and methods?
At the initial stage, the disease can be tried to treat it with folk remedies.
Most popular: rubbing, compresses, baths or warming, herbal infusions.
Ingredients for grinding from chestnuts
You will need:
- 200-400 grams of chestnuts
- 500 ml of vodka.
Peel chestnuts from the peel, chop them( using a mortar or a conventional fork), pour the crushed chestnuts 500 ml of vodka( 40%).This solution should be infused for one or two weeks in a cool place. Next, you must strain the infusion with gauze and rub the resulting mixture of affected areas of hands before going to bed.
To avoid allergies, first apply the solution on a small area of the body( for example, on the wrist) and make sure that there is no inflammation and redness.
Infusion of kerosene
You will need:
- 200 ml kerosene;
- 200 ml of sunflower oil;
- 3-5 fruits of red hot pepper.
Grinded pepper pods in the meat grinder, mix with oil and kerosene. Insist such a solution should be on the order of 8-9 days. The container with the mixture is important to keep in a dark warm place, every day it must be mixed. After 9 days of infusion, strain the solution and rub into the painful areas with light massaging movements. Then put on the affected area bandages of gauze( or wool, if you are not allergic to the latter).
Attention: if you are allergic to pepper, this infusion does not suit you. Possible development of hives.
Treatment of aloe
You will need one dense mature leaf of aloe.
Slightly press on the leaf to make juice out of it, and start to gently lubricate the diseased areas. Aloe juice can be left on the affected places for a while( about 20-30 minutes).
Treatment with decoction of needles
You will need:
- A bunch of needles or bumps with resin;
- Cotton or cotton wool.
Place a lump or bundle of needles in a glass of warm water( weight should be about 100-150 grams).Pour the needles with boiling water and leave to insist on the day. Take a small piece of cotton wool or a round cotton pad, dip this tampon into a coniferous broth and attach a homemade compress to the sore spots. Apply for 10-15 minutes.
Treatment with expander
The expander is a small sports device for hands.
It's important not to forget to use it, at least 8-10 sets of 10-20 compressions per day should be made.
Attention: if you experience pain when compressing your hands, the expander does not suit you, give up this method of treatment. Symptoms of Restless Leg Syndrome and Treatment at Home.
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Potato bowl
You will need:
- potato cleaning( about 5-7 potatoes);
- 1 beet;
- 1 carrot;
- 1 onion.
In a large container, pour 4-5 liters of water, add potato peelings and other vegetables, one tablespoon of salt and 15-20 drops of iodine. Cook this mixture should be about 30-40 minutes. After remove the pan from the heat, cool it. When the temperature of the mixture is approximately 30-40 degrees, lower the limbs into a saucepan for 7-15 minutes. Try to squeeze and unclench the brushes in the water.
Massage
Massage with creamy or olive oil has shown great efficiency. Home oil is best( but if this is not available, then purchased).With light movements, first massage the fingers for 5 minutes, then the palm.
Caution: Do not press the too hard on the palm of your hand. It can cause pain.
Diet for
Disease Low carbohydrate diet with complete elimination of alcohol, strong coffee and bread has shown great effectiveness as a supporting therapy. It is necessary to increase the consumption of antioxidants, for example, tomatoes. This is due to the high content of lycopene( antioxidant) in tomatoes. It reduces and softens the nodes.
You can also try to adhere to the Paleolithic diet( Stone Age Diet ).
What you can eat:
- Eggs;
- Nuts and seeds;
- Healthy oils - olive and coconut;
- Fresh fruits and vegetables;
- Any meat;
- At least 1.5 liters of water per day.
What must be completely eliminated:
- Dairy products;
- Refined sugar;
- Potatoes;
- Table salt;
- Refined vegetable oils, such as rape;
- Cereals;
- Beans.
Attention: this diet requires careful monitoring, check with your doctor. Perhaps it will have to be supplemented with vitamin D and probiotics. The levels of magnesium and iodine should also be optimized.
Specialists working with patients with palmar fibroblasts every day, note that the frequency of relapses is high. After treatment, the symptoms may return.
It is very important to follow all the advice and instructions of your doctor, take care of your diet, do not limit yourself in movement. The good news is that this is practically a painless condition, and most patients who seek help on time are recovering.
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