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By Brittany Ferri October 06, 2020

Handling a disease such as Dupuytren's contracture is quite a challenge, mainly because there are many things still unknown about this condition. We can counter almost any argument that someone makes and find a flaw in almost any treatment, simply because not much research has been done. Despite this, doctors have had numerous successes with Dupuytren's patients, especially when they are diagnosed and treated at an early stage.

Most people still wonder what the process is for Dupuytren's treatment since it's typical for people to manage this condition and prevent it from worsening. However, giving an individual answer to this question is difficult since there are many doctors with various opinions on available treatment options. This is more common in the United States, but we often look at the trends in European countries regarding common treatments, opinions, and practices.

Who is using collagenase and simple surgical treatments?

While Dupuytren's treatments such as collagenase and surgery can be found across the globe, they are most commonly used in the United States. The pharmacological companies that gave rise to the collagenase injection are found in North America. They also make a lot of money selling collagenase injections as the ultimate treatment for this condition. So it's no surprise that they usually lead the research in this particular field.

Not many countries follow closely in the United States' steps in this respect because collagenase treatment is expensive and not always easy to implement. Scandinavia in particular is one of those countries with enough money to buy and use this alternative to surgical procedures.

As a more invasive treatment for severe Dupuytren's, there are several types of surgery that can be an option for people with significant symptoms. Two of these are a needle fasciotomy and a dermofasciectomy. Some countries like France have professionals constantly feuding about which procedure may be best. In this particular country, it is common to see rheumatologists performing needle fasciotomies and hand surgeons performing dermofasciectomies. Places like France rarely use collagenase injections and opt for surgery instead.

Other countries prefer different treatments for Dupuytren's disease

There are many different perspectives on this condition across Europe. This is likely because the disease is far more common in places like Norway, Scotland, Iceland, and Sweden due to many people there being of Northern European descent. Some people may view surgery and collagenase as the best treatments (and they can be for some people), but European countries like Germany and the Netherlands are more inclined to other treatments.

In Germany, Dupuytren's disease is often treated with a dose of radiotherapy, which helps improve the functional outcomes and manage the symptoms. In the Netherlands, they use a completely different method via a lipofilling technique to treat Dupuytren's contracture. These countries also hold many congresses and large events where professionals can convene, share research and knowledge, and network regarding best treatments and trends for this condition.

As you can see, there are many approaches and techniques to treat Dupuytren's disease across the globe. The lack of comparative studies focused on Dupuytren's treatments is perhaps the reason why there is no single opinion about what intervention is the best. But, luckily for patients, the majority of doctors share their experiences and successes at professional gatherings and spread the knowledge.

The more that clinicians gather evidence, the more clinical experience is translated into guidelines. This can help us develop a specific algorithm to better treat Dupuytren's disease in the future. For now, rest assured that skill, a variety of techniques, and medical experience helps deliver the best results.

The United States has a stronger focus on natural approaches, which have also been deemed effective in managing symptoms of Dupuytren's. One of the simplest and most powerful of these methods is all-natural Dupuytren's contracture cream.

Brittany Ferri
Brittany Ferri

Brittany is a registered and licensed occupational therapist who has 6 years of clinical experience treating conditions such as Dupuytren's, arthritis, carpal tunnel, and more. She is passionate about educating others about their health.