Dupuyutren’s contracture
Definition
•
It refers to
localised thickening of palmar aponeurosis and later formation of nodules with
severe permanent changes in
metacarpophalangeal and proximal interphalangeal joints.
•
Terminal
interphalangeal joint is not involved as palmar aponeurosis does not extend to
terminal phalanx.
•
It is common in
males
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Homoeopathic remedies
- Silicea
- Causticum
- Ruta
- Colocynthis
- Rhustox
Silicea
Charactersitic particulars
- Silicea is a natural medicine for
Dupuytren’s contracture with pain in the contracted tissue cords upon
moving the fingers.
- The affected finger flexes onto the
palm.
- Opening the finger causes intense pain.
- Excessive sweating on hand is a feature that may be present in most cases.
Modalities
- < - new moon, morning, from washing,
during menses, uncovering
- > - warmth, wrappin up, summer, wet humid weather
Causticum
Charactersitic particulars
- Causticum is indicated for the later stages
of Dupuytren’s contracture.
- The cases needing Causticum have severe
contractures in hand.
- This leads to bending or fingers
towards the palm.
- The person is unable to move the
affected fingers without the help of the other hand.
- In some cases, complete deformity of
the finger is present.
- A drawing and tearing pain is felt in
hands.
- The hands and fingers my feel icy cold.
Modalities
- < - dry , cold winds, from motion or carriage
- > - wet weather, heat of bed
Ruta
Charactersitic particulars
- Ruta is prepared from a fresh plant
named RutaGraveolens.
- It belongs to the natural order Rutaceae.
- Ruta is indicated for Dupuytren’s
contracture with nodes on the palms of the hand.
- The fingers are contracted. Pain and stiffness in the hands may be present.
Modalities
- < - lying down , from cold
- > - wet weather
Colocynthis
Charactersitic particulars
- Colocynthis is considered in
Dupuytren’s contracture when a pain in the palms is present.
- There appears contraction in the hands and fingers. It is difficult to open the finger, and the pain gets worse at rest.
Modalities
- < - anger , indignation
- > - bending double
Rhustox
Charactersitic particulars
- Rhus Tox offers help in cases of
Dupuytren’s contracture that have a history of a hand injury.
- People needing RhusTox can move the
fingers with great difficulty.
- An aching or drawing pain and a heated sensation in the palm of the hand may be present.
Modalities
- < - sleep, cold , wet , rainy
weather
- > - warm, dry, motion change of
position, rubbing, warm applications
