Shockwave Therapy for Dupuytren's Contracture

Dupuytren's contracture is a condition that causes the fingers to bend inward, typically affecting the ring and little fingers. This progressive condition occurs when fibrous tissue beneath the skin in the palm of the hand thickens, forming cords that pull the fingers toward the palm, leading to reduced hand function. While surgery has traditionally been the primary treatment for severe cases, shockwave therapy is emerging as an effective, non-invasive alternative for treating Dupuytren's contracture. shockwave therapy Spruce Grove At Sunrise Physical Therapy, we offer shockwave therapy as part of a comprehensive treatment plan designed to improve hand function, reduce symptoms, and prevent further progression of the condition.

Understanding Dupuytren’s Contracture

Dupuytren’s contracture typically begins as small, painless lumps or nodules in the palm, which can gradually develop into thick cords that restrict finger movement. The exact cause of Dupuytren’s contracture is not well understood, but factors such as genetics, age, and lifestyle may contribute to its development. The condition is more common in individuals over the age of 40, and men are more likely to be affected than women. It can also be associated with conditions like diabetes, epilepsy, and alcohol use.

Traditional Treatment Approaches for Dupuytren’s Contracture

In its early stages, Dupuytren’s contracture can often be managed with manual therapy and stretching exercises. However, in more advanced cases, surgical interventions such as fasciotomy (cutting the cords of tissue) or needle aponeurotomy (a minimally invasive procedure to break up the cords) may be necessary to restore function. These treatments, however, come with risks, including scarring, limited hand function, and the potential for recurrence of the condition.

Shockwave Therapy for Dupuytren’s Contracture

Shockwave therapy (extracorporeal shockwave therapy, or ESWT) is a non-invasive treatment that uses high-energy acoustic waves to target the affected area. In the case of Dupuytren’s contracture, shockwave therapy helps by:

Breaking Down Collagen Deposits

✔ Shockwave therapy helps to break up the thickened tissue in the palm that causes the fingers to contract. The high-energy waves penetrate the skin and help dissolve the fibrous bands that restrict movement, leading to improved flexibility.

Stimulating Collagen Remodeling

✔ Shockwave therapy also promotes collagen regeneration in the affected tissues, which can help restore the hand’s natural function. By stimulating blood flow to the area, it encourages healing and reduces the formation of new fibrous tissue.

Pain Reduction and Improved Mobility

✔ One of the key benefits of shockwave therapy is its ability to reduce pain and discomfort associated with Dupuytren’s contracture. By relaxing the tight muscles and tissues, shockwave therapy can improve the overall mobility of the fingers and decrease the tightness and pulling sensation that often accompanies the condition.

Non-Surgical, Quick, and Effective Treatment

✔ Shockwave therapy offers a non-invasive solution that avoids the need for surgery, which can have a lengthy recovery time and potential complications. 

What to Expect During Shockwave Therapy for Dupuytren’s Contracture

At Sunrise Physical Therapy in Spruce Grove, our team will perform a thorough assessment to determine whether shockwave therapy is the right option for you. A typical treatment session involves:

Application of a conductive gel on the affected area to facilitate the passage of shockwaves.

The shockwave device delivers pulses of energy to the fibrous tissue, which may cause a mild sensation of discomfort during the procedure.

Sessions usually last 15-20 minutes, and patients often require multiple treatments (usually 4-6) 

spaced a week apart for optimal results.

When to Consider Shockwave Therapy for Dupuytren’s Contracture

Shockwave therapy is ideal for individuals who have Dupuytren’s contracture in its early to moderate stages, where the tissue is still flexible but symptoms are causing discomfort or restricting finger movement. It may also be beneficial for people who are not yet ready for surgery or who want to explore non-invasive options before opting for a more aggressive intervention.

Conclusion

Shockwave therapy offers a promising, non-invasive solution for managing Dupuytren’s contracture, helping to reduce pain, improve hand mobility, and break down the fibrous tissue that causes finger contraction. At Sunrise Physical Therapy in Spruce Grove, we provide a comprehensive treatment plan that incorporates shockwave therapy to help improve hand function and prevent further progression of the condition. If you’re dealing with Dupuytren’s contracture, contact us today to explore how shockwave therapy can be a safe, effective part of your treatment plan.

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