Treatment

Treating Dupuytren Contracture

Choose a preferred language

Dupuytren contracture may need no treatment if your symptoms are mild. You may need treatment if your symptoms are more severe or they get worse. Steroid or enzyme injections can be done to weaken and disrupt the cords. Another choice is surgery. Surgery may be done to remove the affected tissue. You may need physical therapy afterward to get the best results. Recovery may take several months. Your healthcare provider may suggest surgery if use of your hand is sharply limited.


Your surgery experience

Surgery removes some of the palmar fascia. This can take a few hours. You may be awake but drowsy during surgery. Or you may have general anesthesia. This lets you sleep during the surgery. Your healthcare provider may use a zigzag-shaped incision to reach the fascia. A zigzag allows better healing and finger motion. When surgery is complete, part of your incision may be left open to help drainage. It will close on its own as you heal. A thick bandage or cast will be placed over your hand and forearm. You most likely will go home the day of surgery.

Palm view of hand showing palmar fascia removed with an inset showing a zigzag incision.


After surgery

Keep your hand elevated above your heart to reduce swelling and pain in the first few days. And take any pain pills your healthcare provider prescribed. Follow your healthcare provider’s advice if you're asked to use ice. Your stitches will be removed in about a week or two. You then may need to wear a splint. Soon you’ll start hand therapy and exercises that can help you heal.


Risks and possible complications

Your healthcare provider will give you details about the possible risks and complications of surgery. These may include:

  • Stiff fingers

  • Thick scarring on palm

  • Numbness in hand

  • Swelling around finger joints

  • Impaired blood flow to hand

  • Long-term pain or permanent stiffness in hand (rare)

  • Infection

Online Medical Reviewer: Rahul Banerjee MD

Online Medical Reviewer: Raymond Turley Jr PA-C

Online Medical Reviewer: Stacey Wojcik MBA BSN RN

Date Last Reviewed: 09/01/2025

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Find a Provider

View Our Directory

Find a Location

View Our Practices
Related Articles
Read article
Orthopedics
Hip Replacement Surgery

Hip replacement (total hip arthroplasty) is surgery to replace a worn out or damaged hip joint. The surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture or for severe pain because of arthritis.

Read article
Orthopedics
Treating Bunions

Bunions don't go away. Wearing shoes that fit correctly will often relieve the pain. Learn about how choose the right shoes and about other ways to treat bunions.

Read article
Orthopedics
Having Ankle Replacement Surgery

Ankle replacement surgery is a procedure to treat arthritis of the ankle joint. This surgery will be done by an orthopedic surgeon. This is a surgeon who specializes in treating bone, muscle, joint, and tendon problems.

Read article
Orthopedics
Treating Frozen Shoulder: Preparing for Your Exercises

Doing special exercises is the first way to treat frozen shoulder. You may see a physical therapist who can help you learn to do them. If these exercises don’t help, you may need further medical treatment.