What are the symptoms of Dupuytren's contracture?

The condition affects the layer of tissue beneath the skin of the palm. Early signs may include a firm nodule, thickened skin, or a cord that can be felt beneath the palm. As the tissue tightens, the ring or little finger is often harder to straighten, though other fingers can be involved. [Finger Stiffness](/symptoms/finger-stiffness/) and reduced hand opening may interfere with putting a hand flat on a table, wearing gloves, washing the face, or reaching into a pocket. The skin may develop a small dimple or crease over the cord. Pain is not always prominent, so painless change still deserves assessment.

Compare both hands and note whether a finger remains bent during rest or only during certain tasks. Do not force the finger straight or massage a firm cord aggressively. Arrange a hand assessment if the change is progressing or affects washing, dressing, work, or household tasks. [Hand Therapy](/treatments/physiotherapy-and-rehabilitation/hand-therapy/) can help assess movement and function. A clinician may monitor a mild contracture or discuss procedures when the finger position limits use.

Arrange timely review if a finger is increasingly bent, cannot be placed flat, or loses useful movement. Seek prompt care for sudden swelling, severe pain, colour change, numbness, or a hand injury, because these features may point to another problem rather than the gradual pattern of Dupuytren's contracture. If function is being restricted, a specialist may discuss [Dupuytren's Surgery](/treatments/reconstructive-orthopedic-surgery/dupuytren-surgery/) and suitable rehabilitation.

Ask: Is the lump or cord typical of Dupuytren's contracture? Which fingers and joints are affected? How should I track the finger angle and hand function? Would hand therapy help now? What changes would make a procedure worth considering, and what recovery plan would follow it?