Dupuytren’s Contracture is a hand disorder where the connective tissue in the palm thickens and tightens, gradually pulling one or more fingers into a bent position. Unlike tendonitis or arthritis, this condition doesn’t typically cause pain, but it can limit mobility and function, making simple tasks like shaking hands, putting on gloves, or gripping objects difficult.
While there is no permanent “cure,” a combination of splints, therapy, injections, and in some cases surgery can slow progression and improve daily function. Early management is key to maintaining hand flexibility and independence.
Key Symptoms of Dupuytren’s Contracture
Nodules (small lumps) in the palm, usually near the base of the fingers
Thickened cords of tissue extending toward the fingers
One or more fingers (often the ring and little fingers) bending inward
Difficulty fully straightening the fingers
Usually painless, though some patients report tenderness in early stages
👉 Unlike arthritis, Dupuytren’s does not cause joint swelling. Unlike tendonitis, it is not linked to repetitive strain.
Causes and Risk Factors
The exact cause of Dupuytren’s is not fully understood, but research highlights several contributing factors:
Genetics – Family history strongly increases risk
Age – Most common in adults over 50
Gender – Men are more likely to develop severe cases
Ethnicity – Higher prevalence in people of Northern European descent
Lifestyle – Smoking and heavy alcohol use may increase risk
Medical conditions – Diabetes, epilepsy, and liver disease are associated
Non-Surgical Treatments
1. Splints & Night Supports
While splints cannot “cure” Dupuytren’s, they may slow progression by keeping fingers extended during rest.
👉 See: Best Splints & Supports for Dupuytren’s (2025)
2. Hand Therapy & Stretching
Gentle stretching routines, often guided by a hand therapist, help maintain mobility and reduce stiffness.
3. Injections
Collagenase (Xiaflex) injections break down thickened cords in the palm, often improving mobility without surgery.
Corticosteroid injections may relieve tenderness in early nodules.
4. Needle Aponeurotomy
A minimally invasive technique where a needle is used to break the cords and straighten fingers.
Surgical Options
If contracture is severe (fingers bent >30°), surgery may be required:
Fasciotomy – Cutting the tightened cords
Fasciectomy – Removing affected tissue in the palm
Dermofasciectomy – Removing both tissue and overlying skin, followed by a skin graft (for recurrent cases)
Surgery can restore mobility but requires a recovery period with physical therapy.
Best Products for Dupuytren’s Contracture (2025 Picks)
While no device can reverse Dupuytren’s, these supports may improve comfort and mobility:
3-Point Products Fix Comfort Finger Splint – Provides gentle finger extension
Vive Night Extension Splint – Helps prevent worsening during sleep
Soft Neoprene Hand Brace – Offers flexible comfort in early stages
Therapy Putty & Stretch Bands – Aid in post-treatment strengthening
👉 Full guide: Best Splints & Supports for Dupuytren’s Contracture (2025)
Preventive & Lifestyle Tips
Although Dupuytren’s cannot always be prevented, these steps may help:
Stretch fingers daily to maintain mobility
Avoid activities that worsen tightness (heavy gripping)
Quit smoking and limit alcohol intake
Manage underlying conditions such as diabetes
Monitor hand changes early and seek medical advice promptly
Final Takeaway
Dupuytren’s Contracture is a progressive condition, but with early recognition and management, you can maintain function and slow its impact. From splints and stretching to injections and surgery, there are proven ways to reduce limitations and regain independence.
👉 Explore our expert recommendations: Best Splints & Supports for Dupuytren’s Contracture (2025)