Dupuytren’s contracture is also known as palmar fibromatosis. It is the tightening of tissue below the skin in the palm, leads to deformity.
- SIGNS AND SYMPTOMS OF DUPUYTREN’S CONTRACTURE
- CAUSES OF DUPUYTREN’S CONTRACTURE
- PATHOPHYSIOLOGY OF DUPUYTREN’S CONTRACTURE
- DIAGNOSIS OF DUPUYTREN’S CONTRACTURE
- TREATMENTS FOR DUPUYTREN’S CONTRACTURE
- PROGNOSIS OF DUPUYTREN’S CONTRACTURE
- COMPLICATIONS OF DUPUYTREN’S CONTRACTURE
- DUPUYTREN’S CONTRACTURE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF DUPUYTREN’S CONTRACTURE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF DUPUYTREN’S CONTRACTURE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DUPUYTREN’S CONTRACTURE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF DUPUYTREN’S CONTRACTURE
- AYURVEDIC PROGNOSIS OF DUPUYTREN’S CONTRACTURE
- CHIKITSA- AYURVEDIC TREATMENT FOR DUPUYTREN’S CONTRACTURE
- AYURVEDIC LOCAL TREATMENT FOR DUPUYTREN’S CONTRACTURE
- AYURVEDIC SAMANA TREATMENT FOR DUPUYTREN’S CONTRACTURE
- AYURVEDIC SHODHANA TREATMENT FOR DUPUYTREN’S CONTRACTURE
- COMMONLY USED AYURVEDIC MEDICINES FOR DUPUYTREN’S CONTRACTURE
- HOME REMEDIES FOR DUPUYTREN’S CONTRACTURE
- DIET AND BEHAVIOUR FOR DUPUYTREN’S CONTRACTURE
- YOGA FOR DUPUYTREN’S CONTRACTURE
SIGNS AND SYMPTOMS OF DUPUYTREN’S CONTRACTURE
- It progresses gradually
- Painful lump in the palm
- One or more fingers are in bend position
CAUSES OF DUPUYTREN’S CONTRACTURE
- Family history
- Injuries
- Smoking
- Alcohol
- Certain medications
- Diabetes
PATHOPHYSIOLOGY OF DUPUYTREN’S CONTRACTURE
Due to the above-mentioned causes, it happens when the tissue under the skin near your fingers becomes thicker and less flexible.
DIAGNOSIS OF DUPUYTREN’S CONTRACTURE
- EXAMINATIONS
- Inspection
- Palpation – tenderness
- Movements – Flexion, Extension of wrist and fingers
- INVESTIGATIONS
- X – rays
TREATMENTS FOR DUPUYTREN’S CONTRACTURE
- A splint that holds the palm.
- A few cases may require surgery.
- Medications – Non-steroidal anti-inflammatory drug, Analgesic.
- Treatment of underlying pathology.
- Needling
PROGNOSIS OF DUPUYTREN’S CONTRACTURE
- Prognosis is based on the cause of the disease, duration and condition of the patient
COMPLICATIONS OF DUPUYTREN’S CONTRACTURE
- It progresses gradually and all fingers may bended leads to unable to do any movement with palm.
DUPUYTREN’S CONTRACTURE AND AYURVEDA
- In Ayurveda, Dupuytren’s contracture falls under Vata vyadhi or a Vata dosha imbalance disorder.
- According to Ayurveda, it may be considered as Vata vyadhi with mamsakshaya
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis of pain, numbness, tingling sensation.
NIDANA- AYURVEDIC CAUSES OF DUPUYTREN’S CONTRACTURE
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
- Trauma
- Injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF DUPUYTREN’S CONTRACTURE
- Dull intermittent pain and tenderness in the palm on movement.
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DUPUYTREN’S CONTRACTURE
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the palm and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF DUPUYTREN’S CONTRACTURE
- Toda – Pain
- Sada – weakness
- Bending of fingers – sankocha
AYURVEDIC PROGNOSIS OF DUPUYTREN’S CONTRACTURE
- Pain and deformity associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR DUPUYTREN’S CONTRACTURE
Ayurvedic local treatment for dupuytren’s contracture
- Svedam – local fermentation
- Pain-relieving lepa application
AYURVEDIC SAMANA TREATMENT FOR DUPUYTREN’S CONTRACTURE
- Balarishtam
- Maharasnadi kashayam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR DUPUYTREN’S CONTRACTURE
- NASYA-Ksheerabala
COMMONLY USED AYURVEDIC MEDICINES FOR DUPUYTREN’S CONTRACTURE
Internal administration
- Balarishtam
- Maharasnadi kashayam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
HOME REMEDIES FOR DUPUYTREN’S CONTRACTURE
- Heat application on the affected area by a towel dipped with hot water
- Massage the painful area for 15 minutes ( NOT too much pressure )
DIET AND BEHAVIOUR FOR DUPUYTREN’S CONTRACTURE
- Avoid food items which produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on affected area advised. Which alleviates vata dosha
- Give proper rest to the hand.
YOGA FOR DUPUYTREN’S CONTRACTURE
- Nadi Shuddi Pranayam – done if possible
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Regular finger stretching yoga asanas like anjali mudra