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Diagnosis

     

HOW DO I KNOW IF I HAVE DUPUYTREN'S CONTRACTURE?

For many patients the internet is a good source of information and a great source for misinformation and confusion. It is sometimes very difficult to wade through all the material to find what's correct and even at that point, self diagnosis is a dangerous practice.  

The best advice is to be evaluated by your medical doctor or hand surgeon in your community to confirm your diagnosis.  Although the appearance of Dupuytren's is very characteristic and there are numerous sites describing how it starts, its appearance, and normal signs and symptoms - it is the trained eye of your doctor or hand surgeon that not only "sees" what you see, but also "sees" what you don't.  An evaluation by a hand surgeon for Dupuytren's can be a very quick visit if you hand looks classically like Dupuytren's, HOWEVER, he or she will also be checking for other problems that can be masked by the contracture or can mimic the problem. 

Dr.Grabow cannot diagnose your condition over the internet and cannot provide medical advice regarding the condition. As I am sure you are aware from visiting other physician's sites who treat Dupuytren's, long distance medical care is not yet at the point where we can initiate care for a patient we have not physically seen in our office or conferred with a referring physician. 

 

SO WHAT DO I DO IF I THINK I HAVE IT AND WANT A PERCUTANEOUS RELEASE?

You can always schedule a consultation with Dr.Grabow for any hand to shoulder problem. If you are local, this is as simple as scheduling any office visit.

If you are seen by Dr.Grabow during his regular clinic and are diagnosed with Dupuytren's Contracture he will discuss your treatment options.  If it is determined that you would benefit from treatment, and you choose to proceed with percutaneous release, you will be scheduled for your procedure on one of his Dupuytren's Clinic days.  

If you will be traveling to Las Vegas for your treatment please read on.

As you read in his philosophy of care, Dr.Grabow approaches every patient as an individual and will perform a thorough evaluation of both your hands during your consultation.  He will be evaluating your hands for all possible conditions, not just for Dupuytren's, to confirm your diagnosis and ensure the appropriate treatment is recommended.  

We do ask that you submit photographs of your hands, fill out our history form, and participate in a brief phone interview prior to scheduling a consultation for treatment of your Dupuytren's. This will help ensure a smooth consultation process.  Unfortunately, due to restrictions on long-distance medical care, Dr.Grabow cannot provide any medical advice until you are seen in the office. 

 

Last updated 10.4.08

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