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Hand contracture care
Dupuytren’s Treatment in San Diego
If a finger no longer lies flat, we can stage the contracture and discuss observation or release options.
Appointments in San Diego, Chula Vista, and Murrieta · Workers' compensation accepted
AppointmentsClear answers. A plan that fits your injury.- Hand, wrist, and elbow specialty care
- English and Spanish-speaking staff
- Acute and chronic conditions
Overview
What it is
Dupuytren’s disease creates firm cords in the palm that may gradually pull a finger toward the hand.
Symptoms
It is not a tendon problem and often develops slowly.
How we diagnose it
The tabletop test—placing the palm flat—can help show functional contracture.
Non-surgical treatment
- Observation for nodules without functional contracture
- Needle or limited-incision options in selected cases
Surgery
- Open fasciectomy for more advanced or complex cords
What recovery looks like
Recovery depends on the procedure. Motion begins early, and hand therapy or nighttime extension splinting may be recommended.
Trusted patient education
Learn more from national hand and orthopedic organizations
These links go directly to patient resources from AAOS, ASSH, and AAHS.
AAOS
AAOS OrthoInfo
American Academy of Orthopaedic Surgeons
ASSH
ASSH HandCare
American Society for Surgery of the Hand
AAHS
AAHS Public Information
American Association for Hand Surgery
External resources are for general education. Follow the diagnosis, treatment plan, and post-operative instructions provided by your own care team.
Common questions
Answers before your appointment
Does every palm nodule need treatment?
No. Treatment is usually based on contracture and function, not the presence of a nodule alone.
Can Dupuytren’s come back?
Yes. Recurrence or extension can occur after any treatment.
Is it caused by overuse?
No. Genetics and other health factors play a larger role.
What is the tabletop test?
If you cannot place the palm flat on a table, the contracture may be affecting function.
