Non-surgical treatment of Dupuytren's disease

Spire Tunbridge Wells is pleased to announce that we now offer a non-surgical treatment method for Dupuytren's disease using a collagenase enzyme injection. This new injection treatment will be carried out by our specialist hand surgeon Mr Harry Belcher here at Spire Tunbridge Wells Hospital.

Spire Tunbridge Wells offers a new treatment set to revolutionize the way Dupuytren's has been treated so far

What is Dupuytren's disease?
Dupuytren's disease (or condition) is a common condition and usually affects the hand, however, it can affect other body areas like the sole of the foot. When Dupuytren's disease develops in the hand, the gristle under the skin on the palm of the hand becomes thickened and contracts pulling the fingers into a rolled-up position. With the finger stuck in a bent position the function of the hand is compromised.

What causes it?
Factors like excessive alcohol, smoking, diabetes and epilepsy predispose to the development of the disease. In the vast majority of patients we do not know why they develop the disease, but is probably inherited to some extent.

Which fingers?
The ring finger is most commonly affected followed by the small, middle, thumb and index finger.

Innovations in the treatment of Dupuytren’s
More recently it has become possible to treat Dupuytren's without surgery by injecting an enzyme into the thickened cords. This is followed by careful manipulation and stretching of the finger under local anaesthetic. The enzyme is collagenase Clostridium Histolyticum. This treatment is new in the UK and is set to revolutionize the way Dupuytren's has been treated so far.

How will the treatment be given?
When you attend the clinic you will be assessed by Mr Harry Belcher. If your hand condition is appropriate for this type of treatment you will be offered the new enzyme injection. In some cases surgery for Dupuytren's will still be required.

The injection will be administered by Mr Harry Belcher who are specially trained in the use of collagenase enzyme injections. Once the injection is administered you will be allowed to go home. You will be requested to return to clinic the following day by which time the injection will have broken down the collagen in the cord of your finger.

A local anaesthetic will be administered enabling manipulation of the finger to take place. Once your finger has been straightened you might have to wear a bespoke splint for you to hold the finger in the straightened position until healing is completed. The injection is relatively pain free, but you may find it necessary to take some pain relief. It is expected that you will be able to return to normal light activity soon after the procedure.

Patient's story

Mr Paul Keyton of Crowborough started noticing problems five years ago “I just wasn’t aware of what the condition was”.  Going to his GP Mr Keyton was diagnosed with Dupuytren’s contracture.  

 “I didn’t really understand it and thought it could be from tension in my arm”. After researching the condition he went back to his GP to be referred to a specialist, Mr Harry Belcher. Mr Keyton described the injection “as having much pain as having a blood test”. Overnight the hand had swollen and bruised but Mr Keyton felt no great discomfort.

Mr Harry Belcher is one of the few Consultants in the UK to perform this type of procedure.  He says “The Xiapex injection has revolutionised the way we deal with these types of patients and gives people an alternative to surgery.  It is easier, quicker and less painful for the patient”.

After the manipulation Mr Keyton was able to move his finger into a straight position for the first time in years and was very happy with the result.

Mr Keyton's hand before and after the non-surgical injection:




Call us today for more information on our new treatment!

For more information, prices or to book an appointment with Mr Harry Belcher please phone 01892 741 150 

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