3 Unusual cases: Duputryen's Contracture

[Guest guest]

E Hale <da_guo

RE: 3 Unusal cases

 

 

>>>I'm a fairly new practitioner. I have 3 unusual

cases to deal with. I

know general things to do, but if you have specifics

let me know. 1.

Dupuytren's Contracture - fascial contracture that

effects the 4th and

5th fingers.<<<

 

E Hale,

I, too am a new practitioner, but my first and most

loyal patient during my internship at school was a

late 40s gentleman with the onset of DC. Phillipe

Sionneau has some good information in volume 6 of The

Treatment of Diseases...of the limbs, etc. However,

before I saw these clinical pearls, I treated what I

saw, which was across all the systems, Liv Blood xu.

In WM, the first thing the docs say about DC is " it

happens to alcoholics. " However, I think we have the

capacity and compassion to look a little deeper, even

if there is some alcohol use/abuse in the patient

history...Herbally, I started him on some soaks that I

found through a web search on " hit medicine, " (since

my school had no information on external

applications), as well as some decoctions. Also,

despite the discomfort, I always surrounded the dragon

around the main " knot " of contracture on his palm.

Over 4-5 months, this knot had softened considerably,

and the patient had no worsening of pain nor

furthering of contracture.

I don't know how advanced your patient's DC is, but I

believe you can help.

In good health,

Melanie

 

 

 

 

 

 

 

Movies - Buy advance tickets for 'Shrek 2'

http://movies./showtimes/movie?mid=1808405861

[Guest guest]

I'm not sure when a diagnosis of DC is made, but I have treated a man with

thickening through his whole palmar aponeurosis for several years, mostly

with agressive massage with a little widget and stretching exercises and

some needling between the fingers and SI 3 and LI 4 medially. He never had

a substantial functional issue, but getting his fingers to fully extend was

problematic and he didn't like the thickening of the tissue. I too used

some linament. Results were OK, there was no decrease in ROM, possibly

slight improvement, and the tissue is much softer, though still palpable as

a mass. He seems content and has consequentially stopped coming for

treatment as frequently.

 

There is the fact that it seems to effect alcoholics, but it also effects

epileptics taking anti-convalsants (which might be equatable with heavy wind

calming medicinals), and diabetics, and seeing as it is marked by painless

masses it seems like some sort of phlegm pathology. The linament I used was

a general purpose bi formula (wind damp cold), but maybe something for

treating scars and phlegm nodulation would be more effective, like seaweeds

and other salty softeners, I think wu bei zi is supposed to be useful for

scars also. Does anybody have thoughts on topical scar treatments?

 

Par

-

" Melanie Katin " <mmkatin

 

Wednesday, May 12, 2004 8:30 PM

Re: 3 Unusual cases: Duputryen's Contracture

 

 

> E Hale <da_guo

> RE: 3 Unusal cases

>

>

> >>>I'm a fairly new practitioner. I have 3 unusual

> cases to deal with. I

> know general things to do, but if you have specifics

> let me know. 1.

> Dupuytren's Contracture - fascial contracture that

> effects the 4th and

> 5th fingers.<<<

>

> E Hale,

> I, too am a new practitioner, but my first and most

> loyal patient during my internship at school was a

> late 40s gentleman with the onset of DC. Phillipe

> Sionneau has some good information in volume 6 of The

> Treatment of Diseases...of the limbs, etc. However,

> before I saw these clinical pearls, I treated what I

> saw, which was across all the systems, Liv Blood xu.

> In WM, the first thing the docs say about DC is " it

> happens to alcoholics. " However, I think we have the

> capacity and compassion to look a little deeper, even

> if there is some alcohol use/abuse in the patient

> history...Herbally, I started him on some soaks that I

> found through a web search on " hit medicine, " (since

> my school had no information on external

> applications), as well as some decoctions. Also,

> despite the discomfort, I always surrounded the dragon

> around the main " knot " of contracture on his palm.

> Over 4-5 months, this knot had softened considerably,

> and the patient had no worsening of pain nor

> furthering of contracture.

> I don't know how advanced your patient's DC is, but I

> believe you can help.

> In good health,

> Melanie

>

>

>

>

>

>

>

> Movies - Buy advance tickets for 'Shrek 2'

> http://movies./showtimes/movie?mid=1808405861

>

>

>

>

> Chinese Herbal Medicine offers various professional services, including

board approved continuing education classes, an annual conference and a free

discussion forum in Chinese Herbal Medicine.

>

>

>

>

[Guest guest]

I'm not sure when a diagnosis of DC is made, but I have treated a man with

thickening through his whole palmar aponeurosis for several years, mostly

with agressive massage with a little widget and stretching exercises and

some needling between the fingers and SI 3 and LI 4 medially. He never had

a substantial functional issue, but getting his fingers to fully extend was

problematic and he didn't like the thickening of the tissue. I too used

some linament. Results were OK, there was no decrease in ROM, possibly

slight improvement, and the tissue is much softer, though still palpable as

a mass. He seems content and has consequentially stopped coming for

treatment as frequently.

 

>>>>>>>While its nice to get these small changes with months of treatments, one

can get large changes with three DMSO/steroid injections followed by stretching.

I think that serves the patient more than months of treatment

Alon

 

 

[Guest guest]

I suppose that's true, but I have access to neither of these therapies, and

I was seeing him as a massage patient anyhow, so the addition of some

needling & c didn't constitute a whole lot of extra work for me or expense

for the patient, though he did come more often for a while... He had gotten

the impression from his MD that eventual surgery was the main available

option, so he asked me and I said I would see what I could do.

 

Does the treatment you mentioned eliminate the problem? Would that be

avilable from any hand specialist or orthopedic type? If so I will pass it

on to him as I still see him once a month.

 

Thanks,

 

Par

-

" Alon Marcus " <alonmarcus

 

Thursday, May 13, 2004 11:24 AM

Re: Re: 3 Unusual cases: Duputryen's Contracture

 

 

> I'm not sure when a diagnosis of DC is made, but I have treated a man with

> thickening through his whole palmar aponeurosis for several years, mostly

> with agressive massage with a little widget and stretching exercises and

> some needling between the fingers and SI 3 and LI 4 medially. He never

had

> a substantial functional issue, but getting his fingers to fully extend

was

> problematic and he didn't like the thickening of the tissue. I too used

> some linament. Results were OK, there was no decrease in ROM, possibly

> slight improvement, and the tissue is much softer, though still palpable

as

> a mass. He seems content and has consequentially stopped coming for

> treatment as frequently.

>

> >>>>>>>While its nice to get these small changes with months of

treatments, one can get large changes with three DMSO/steroid injections

followed by stretching. I think that serves the patient more than months of

treatment

> Alon

>

>

[Guest guest]

Does the treatment you mentioned eliminate the problem? Would that be

avilable from any hand specialist or orthopedic type? If so I will pass it

on to him as I still see him once a month.

>>>Depending on severity it works very well. He will need an orthopedic medicine

Dr that does some alternative type of treatments

alon