Does Dupuytren's Contracture Cause Finger Stiffness?

Dupuytren's Contracture affects connective tissue beneath the skin of the palm. A firm lump or rope-like band may develop, often near the ring or little finger. The skin can look puckered, and placing the hand flat on a table may become difficult. Stiffness may be more noticeable when you try to open the hand fully than when you make a fist. It can progress gradually, but the pattern and pace vary between people. Pain is not required for the condition to limit movement.

Finger stiffness can also arise from joint arthritis, a tendon problem, an old injury, swelling, or nerve irritation. A clinician examines the palm, checks active finger movement, and compares both hands to help distinguish these causes.

Arrange a non-urgent assessment if stiffness persists, worsens, or interferes with washing, dressing, typing, gripping, or other daily tasks. Note which finger is affected, when the change began, whether a palm lump or skin dimpling is present, and whether the finger can still be straightened. Do not forcefully pull a contracted finger straight, because this may irritate the tissues. A hand specialist or physiotherapist can discuss observation, hand exercises suited to your movement, and treatment options when function is becoming limited.

Seek prompt medical advice for sudden stiffness after an injury, marked swelling, redness, warmth, severe pain, a blue or pale finger, new numbness, or a finger that cannot move. These features can point to an injury, infection, circulation problem, or nerve issue rather than the gradual pattern associated with Dupuytren's Contracture. Contact emergency services for a hand that becomes suddenly cold, pale, or severely painful.

You could ask: Is the reduced movement coming from a palm cord, the finger joint, or another structure? How much straightening is currently limited? Which activities should I modify, and which exercises are appropriate? What changes would mean it is time to review treatment?