What does reduced range of motion feel like with Dupuytren's contracture?

Most people with Dupuytren's contracture notice reduced range of motion as a gradual loss of finger extension rather than a sudden joint problem. A firm cord or nodule in the palm may feel tight as the finger moves. The ring finger or little finger is often involved, although other fingers can be affected.

You may find that the affected finger remains partly bent when your hand is relaxed, or that it resists gentle straightening. Sliding the hand into a pocket, putting on gloves, shaking hands, gripping a cup, or reaching into a flat palm position may feel awkward. The restriction can be more noticeable than pain; soreness or tenderness may occur around a nodule, but severe pain is not required for movement to be limited.

Reduced movement can be checked by seeing whether the palm and fingers rest flat on a table. This simple observation does not identify every cause of finger stiffness, so an examination is needed if the change persists or interferes with use.

Arrange an assessment with a clinician experienced in hand conditions if the finger is becoming more bent, the palm cord is enlarging, or everyday tasks are changing. Note which finger is affected, when you first noticed the restriction, and whether you can place the hand flat.

Until you are assessed, use the hand within a comfortable range and avoid forceful stretching or repeatedly pushing the finger straight. A clinician or hand therapist can explain whether observation, exercises, splinting, an injection, or a procedure fits the examination findings.

Seek prompt medical advice for a rapidly changing finger position, new marked swelling, redness or warmth, a wound, fever, or severe pain. Urgent assessment is also appropriate after an injury if the finger suddenly cannot move, becomes numb, or changes colour. These features can point to a problem that needs attention beyond the gradual contracture pattern.

Ask: Which structure is limiting my finger movement? How will you measure the contracture? Should I see a hand therapist? What changes would make a procedure worth considering? Which activities should I modify while we monitor it?