Dupuytren's contracture - palmar fasciitis
Soft tissue hand conditions
Dupuytren's contracture is a thickening and shortening of tissue/fibres in the palm of the hand, resulting in clawed fingers as they are pulled towards the wrist. The ring and little finger are usually the most impacted, but any finger can be affected. Knots of tissue form under the skin — eventually creating a thick cord that can pull one or more fingers into a bent position. In many instances it becomes impossible to completely straighten the fingers and simple activities such as eating and drinking become a challenge.
The cause is unknown, but risk factors include advancing age, male gender and Northern European ancestry, The condition tends to progress in fits and starts, and may take decades to finally limit the functioning of the hand.
Dupuytren's isn't the only problem which can affect the fascia of the palm. Inflammation of the palmar fascia (palmar fasciitis) may be due to less common problems, and is usually painful. The two conditions are completely different problems which happen to affect the same structure.
Palmar fasciitis may be part of a syndrome associated with arthritis, a problem following trauma or part of a syndrome associated with malignancy.
SportsMed TENS therapy
After a diagnosis of Dupuytren's or fasciitis, your injury management plan should include treatment as often as possible.
SportsMed is the physical therapy product we suggest to aid recovery of a hand condition or injury.
SportsMed electrotherapy can be used everyday - outside the clinic - for drug-free, on-demand pain relief. It is also designed and programmed to aid circulation, reduce inflammation, hasten healing and help with muscle strengthening.
- RELIEVE mode:
- Pain relief (modulated low and high frequency TENS; continuous, comfortable intensity)
- Early stage injury treatment (modulated low to medium frequency ECS; continuous, low intensity)
- RECOVERY mode - injury healing
- Later stage injury treatment (modulated low to medium frequency EMS and ECS; surging, medium intensity)
- EXERCISE mode - muscle strengthening
- Rehabilitation stage (high frequency EMS; surging, medium to high intensity)
Pad placement - Hand injury
SportsMed treatment guide
|Pain relief||RELIEVE||Low to medium||Minimum 60 minutes||On demand|
|Muscle soreness||RELIEVE||Low||Several hours||Daily for 1 or 2 days|
|Scar tissue||RELIEVE||Low||Several hours||Daily as needed|
|Soft tissue healing||RECOVER||Medium||10 to 20 minutes||3 times per day|
|Circulation||RELIEVE or RECOVER||Low||60 minutes||as often as needed|
|Rehabilitation||EXERCISE||Medium||5 to 15 minutes||3 times per day|
|Rehabilitation||EXERCISE||Medium to high||10 to 20 minutes||3 times per day|
|On RELIEVE mode – muscles should not contract or twitch|
|On RECOVER mode – muscles should contract, mildly|
|On EXERCISE mode – muscles should contract, mildly or strongly – as required|