What is the first treatment for Dupuytren's contracture?

Dupuytren's contracture causes thickened tissue in the palm to form cords that can pull one or more fingers toward the palm. A small lump or cord does not always need immediate intervention. A clinician may check finger extension, grip, skin changes and how the hand affects work or household tasks.

Hand therapy can help you preserve useful movement, learn safe stretching and adapt activities. It cannot remove a tight cord, so the plan depends on whether the finger is becoming harder to straighten.

Arrange an assessment if you notice a growing palm lump, reduced finger extension or difficulty placing the hand flat. Track which tasks are changing and whether the limitation is progressing. Use exercises only after a hand professional has shown you an appropriate routine; forceful stretching can irritate the hand.

If contracture interferes with function, a specialist may discuss Dupuytren's Surgery and other options. The choice depends on the cord, the affected finger, skin condition, recurrence risk and your goals.

Seek prompt medical care for sudden severe hand pain, marked swelling, redness, warmth, fever, a rapidly changing finger position or a finger that becomes pale, blue, numb or unusually cold. These features need assessment because they can signal an acute problem rather than the usual slow pattern.

Ask: Is observation suitable for my current finger movement? Would Hand Therapy help me maintain function? What change would make a procedure reasonable, and how might treatment affect grip and finger extension?