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Dupuytren’s contractures

TS12 1 post Feb 05, 2010 5:55 AM	Has anyone used TMR to help release Dupuytren's Contractures before? I have a co-worker who was diagnosed with it yesterday, and has been afflicted by it for 2 years in his left hand, and recently started in his Right hand not to long ago. Any suggestions would be great, because the insurance aspect is not a great one in this case. Thanks for the suggestions, Tyler
Tom Dalonzo-Baker 147 posts Feb 05, 2010 8:23 PM	My father-in-law had it but never got to work on it. I have another friend/patient who is afflicted with it, and have not seen much change (but have to say we have not used it as THE ISSUE - will have to perhaps do that the next time I see him). Something that first comes to mind is to see where that hand wants to entirely curl up and does that curling up lead his arm to curl up a certain way. Ok - now I am a little more interested in seeing what would happen. If anyone has had a change or fiddled with this - please share. Tom
TS12 2 posts Feb 09, 2010 7:07 AM	I know the history behind Dupuytren's is that of a smoker and drinker, which this co-worker is, but where the does the real issue start? Is it just a hand wrist disease, or does it start higher up in the PNS up to the T1-C8-C7 spinal region? I'm personally very intrigued on how the spinal column afflicts many other body parts, and most athletes/patients don't realize it. I'm also a very firm believer that the sacrum is the "keystone" to the spinal column, and not many people believe it because it is rather complicated, but when the base of your spinal column is out of "whack", and the rest of the spinal column needs that foundation, what happens to rest of the spine can truly be remarkable. Even if the body adapts and goes on with ADL's like there is not an ISSUE. Soap box for the moment, had a few spare minutes. Tyler
Tom Dalonzo-Baker 149 posts Feb 12, 2010 8:46 AM	I like the way you think tom
SusanPEDPT 79 posts Feb 16, 2010 5:17 PM	Tyler you are totally on track with my way of thinking with peds. I use the same term the "keystone" (and not just because I'm live in the Keystone state! If the pelvis is out of wack everything is compromised. When some children need more therapy than others for the same condition it seems to always because of limitations in the pelvis. When we balance the body the pieces stack up right and things start working mechanically in the positions they were designed to function. I tell parents "Just try to make a Thanksgiving dinner with one high heel shoe on and see how effectively you operate" Keep up the good work! Susan
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