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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29649
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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My doctor has diagnosed me with Dupyentures contracture disease.

Customer Question

My doctor has diagnosed me with Dupyenture's contracture disease. She said it was from a repeated action in my right hand. In addition, my right shoulder hurts which she also said was from a repeated action. When I showed her the lump on my left arch she diagnosed it as a ganglion cyst. I think it is another disease called Ledderhouse disease. Any help? Also what kind of doctor would treat these diseases?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Greetings.

You are very likely to be right. The lump on the left arch of the foot is possibly Ledderhose disease because of two reasons;

1) ganglion cysts are not common in this area.
2) the microscopic and structural features of Ledderhose and Dupuytren's disease are the same. Thus the diagnosis of Dupuytren's disease in hand is suggestive of same pathological problem in the arch.

 

The cause of Dupuytren's contracture is not known. The important factors seems to be;

 

a) family history

b) smoking history

c) diabetes

The specialist to handle these is orthopedic doctor.


The pain in the shoulder should be investigated by an MRI. The causes of consideration would be;

 

1) Bicipital tendinitis

2) Frozen shoulder

3) Biceps rupture

4) Brachial neuritis

5) Rotator cuff disease

 

Majority of people with above problems will respond to physical therapy alone. The program should be aggressive, daily and assisted by the physical therapist. The regimen consists of active and active-assistive range-of-motion exercises combined with stretching. Pain may occur early but within six to eight weeks progress is usually made. Other treatment modalities such as heat and massage may help. Nonsteroidal anti-inflammatory analgesics may also be beneficial. Deep electrotherapy in the form of short wave diathermy, Interferential current, trans cutaneous electrical stimulation, iontophoresis, phonophoresis also is very help initially.

 

Those people who do not respond to the initial physical therapy are considered for the following;

 

1) A subacromial corticosteroid injection

 

2) A glenohumeral intra articular injection

 

3) Surgery; arthroscopic or open surgery

 


Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

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Customer: replied 1 year ago.


Okay, I am happy ?// that you see the connection between the lump on my palm and foot and from you answer it appears that an orthopedist would be the best to advise me for both. As far as the shoulder, it appears that you do not think that is connected to either tendon problem and is separate, correct???


In your experience are there any exercises etc that I can do to slow down the Dupenture's because I fear that I am also getting it in the left hand which I can understand as I had a major Colies fracture to that wrist.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello and welcome,

Yes, the shoulder problem is not likely to be related to Dupuytren's contracture or Ledderhose disease. Exercises / physical therapy can help in arresting or slowing the progression of Dupuytren's contracture. Please see these resources;

http://www.livestrong.com/article/483801-dupuytrens-contracture-exercises/


http://inhealth.cnn.com/understanding-dupuytrens-contracture/dupuytrens-contracture-hand-exercises/


It is privilege assisting you.

Customer: replied 1 year ago.

Okay thanks for your help. I have printed out the exercises for the Dupyenture's contractions and will make an appointment with an orthopedist in January. My next question is what about the Ledderhouse disease, should the orthopedist take care of this and also any exercises that could help???

Expert:  Dr. Arun Phophalia replied 1 year ago.
You are very welcome.

The foot arch problem is also dealt by the orthopedist. The exercises may help in preventing the progression. Thus no harm in trying them. Please see these resources for the arch strengthening exercises;

http://www.livestrong.com/article/376702-foot-exercises-for-arch-pain/


http://pilates.about.com/od/pilatesmat/a/Learn-Arch-Lifts-A-Foot-Strengthening-Exercise.htm

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