New Xiapex treatment at Spire Cheshire offers relief without surgery

Mr W is a lovely gentleman who was referred to Mr Nasir Shah, Consultant Orthopaedic Surgeon by his GP after he discovered that he was unable to grip with his hand and was having difficulty carrying out simple everyday tasks such as washing and dressing.

No anaesthetic is necessary for this and this procedure is performed in the clinic.
Mr N Shah, Consultant Orthopaedic Surgeon

Mr W said: “Eighteen years ago, I had an operation on my hand as I was having trouble gripping and picking things up. About two years ago, I noticed that the same thing was happening again. It came on very suddenly and the symptoms seemed to be getting worse over time.

I went along to see my GP who referred me to Mr Nasir Shah, Consultant Orthopaedic Surgeon at Spire Cheshire Hospital. At my consultation, Mr Shah  carried out all the necessary tests and he came to the conclusion that I was suffering from Dupuytren’s contracture; a condition which causes a build up of connective tissue in the palm which gradually thickens over time and can cause one or more fingers to become permanently bent inwards.

Mr Shah was very caring and professional and explained that there were two ways to alleviate my symptoms:  I could either have another operation or I could have a Xiapex injection. Mr Shah very clearly explained about the Xiapex injection to me and also gave me a booklet which was very useful.’’

Mr Nasir Shah, Consultant Orthopaedic Surgeon explains how Xiapex works. The Xiapex injection contains an enzyme called Collagenase, which is injected into the thickened Dupuytrens tissue to dissolve it. No anaesthetic is necessary for this and this procedure is performed in the clinic. Twenty-four hours later, the finger is manually manipulated under a local anaesthetic in the clinic. The fingers can then be used straight away, but it may take two to three weeks to regain full use.

Mr W said: “When I had the operation eighteen years ago I had to have at least three to four weeks off work. This time after the injection I did not take any time off work and within a couple of days my fingers were straight. I did however have to wear a plastic hand support at night for about six months and I also had to follow the exercises that had been given to me.

I cannot thank Mr Shah and the team at Spire Cheshire enough for their help and support, I have now got my grip back and my fingers are straight.  I would definitely recommend the Xiapex injection to anyone who is in the same position as I was. My only advice is to not leave it too long to seek medical attention.’’

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