Dupuytren’s Disease

Dupuytren’s disease is a condition that causes knots of tissue to form under the skin in the connective tissue of your hand and fingers. In the early stages, symptoms are often a lump and/or dimpled skin in the palm of your hand. It usually progresses slowly, and can eventually result in one or more fingers being pulled down into a bent position, called a contracture.

Dupuytren’s disease can cause discomfort and make some activities difficult, like gardening or hand sports. It can be difficult putting gloves on or avoiding poking yourself when washing your face!

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Diagnosis

If you’re experiencing symptoms in your hand that cause discomfort and loss of function, you can book an initial consultation with Mr Sarker at his clinics in Essex or London.

During your initial consultation, Mr Sarker will talk to you about your symptoms and ask you a few questions to understand your situation better. He’ll carry out a close examination of your hands. It’s a fairly straightforward condition to identify, and a confirmed diagnosis can be often be made straight away.

Mr Sarker will assess how far your Dupuytren’s disease has progressed, and talk to you about the appropriate treatment options.

Treatment

Treatment depends on how far the disease has progressed, with the most common treatments being:

Needle aponeurotomy

Mr Sarker usually carries this out as a day case in theatre under a local anaesthetic. He’ll apply a local anaesthetic and when your hand is numb, will insert a needle into the affected area to help release the tightened tissue that’s causing the contracture.

You might have to have this procedure repeated or further surgery at a later date, but it’s a good option for mild disease and has a quicker recovery time.

Fasciectomy for duyupretren’s disease

A Fasciectomy is a surgical procedure to cut out the thickened, tightened tissue, called your fascia. Usually done under a general or regional anaesthetic, Mr Sarker will make an incision and remove the affected tissue to release the contracture.

Your hand and fingers will be swollen for a few days, and it will likely take 6-8 weeks to recover fully. Hand therapy is very important after this procedure to improve your hand function and prevent future problems. You will go into a night splint in 5-7 days and the stitches come out after 2 weeks. Mr Sarker works with a team of excellent hand therapists, who will provide you with exercises and guidance over a number of sessions after your surgery.

Frequently Asked Questions

Can I use my private medical insurance?

Yes, Mr Sarker is approved by all major medical insurance providers and these treatments are well recognised. You’ll need to make sure your particular insurer provides you with authorisation at each stage of your journey.

Can I pay for my own treatment?

Yes, Mr Sarker is happy to see patients on a self-pay basis. If you’re looking for prompt treatment from an expert hand and wrist consultant, you can book an appointment with Mr Sarker by getting in touch directly. You’ll be made aware of all of the prices for anything you need well ahead of having them, so you can make the right decision for you.

How much is a consultation with Mr Sarker?

An initial consultation is £250, and a follow up consultation is £175. The price of any scans, tests or treatments will depend on the hospital you visit, but you’ll be made aware of any costs well in advance of any procedure, so that you can make an informed choice.

Do I need a referral letter to see Mr Sarker?

Mr Sarker is happy to see you without a referral letter, but if you’re using your insurance, you should check with them as they may request that you get one.