Expert Fasciectomy Treatment in London
Advanced treatment for Dupuytren’s contracture using surgical and non-surgical techniques. Our London clinic supports hand mobility while managing fibrous tissue changes over time.
What Is Dupuytren’s Disease?
Dupuytren’s disease, also known as Dupuytren's contracture, is a condition that causes the tissue under the skin of your palm to thicken and tighten over time. It often starts as a small lump or nodule in the palm and gradually forms a tight band of tissue. This can pull one or more fingers—usually the ring and little fingers—into a bent position. The condition can affect one or both hands and may make it difficult to straighten your fingers fully.
Over time, the thickened tissue in the palm can tighten and contract, making it harder to straighten your fingers or use your hand for everyday tasks. Some people describe a feeling of stiffness or a sensation similar to trigger finger. In some cases, Dupuytren’s can be mistaken for conditions like carpal tunnel syndrome due to overlapping symptoms.
At the Institute of Medical Physics in London, our specialists provide advanced care for Dupuytren’s disease. We offer minimally invasive options like needle aponeurotomy, as well as surgical treatments such as segmental fasciectomy and palmar fasciectomy, tailored to the severity of your condition.
What Can Dupuytren’s Contracture Treatment Address?
Our treatment plans are suited for all stages of Dupuytren's disease and help with:
- Early Nodular Disease: When thickened tissue first appears but hasn’t yet formed restrictive cords.
- Moderate Contractures: As the fibrous tissue begins to form cords, limiting the flexibility of your fingers.
- Severe Deformity: When the affected tissue causes the fingers to curl up into the palm, impacting the function of your hand.
- Recurrent Dupuytren’s: We manage cases that return after another surgery or prior treatments.
- Limited Finger Mobility: When fibrous bands reduce dexterity or make it painful to straighten or stretch the fingers.
Each treatment begins with a full assessment of the hand and wrist, ensuring the best possible outcome.
How Does Dupuytren’s Contracture Treatment Work?
Treatment choice depends on how far the disease has progressed:
Observation and Monitoring
For early signs without active contracture, especially when the patient has no difficulty using their hand and fingers.
Needle Fasciotomy (Needle Aponeurotomy)
A quick outpatient procedure to release cords with minimal trauma. This approach is ideal for patients who want fast recovery and minimal intervention.
Enzyme Injection Therapy
Collagenase injections can help break down the fibrous tissue in selected cases. This non-surgical option may work well for isolated cords.
Dupuytren’s Fasciectomy (pronounced fash-ee-ek-tuh-mee)
In advanced cases, this surgical treatment removes the affected tissue to restore motion. Our orthopaedic surgeons perform both limited and segmental fasciectomy techniques, depending on disease severity.
Physiotherapy and Hand Therapy
Following any treatment, hand exercises are critical to regain range of motion and prevent recurrence.
Our specialists carefully plan each intervention to maximise long-term results and reduce the likelihood of needing another surgery.
Treatment Overview: What to Expect
We make your journey clear and predictable at every stage:
Initial Consultation
Includes physical exam, imaging if necessary, and evaluation of connective tissue thickening.
Procedure Selection
Depending on your condition, we may recommend needle fasciotomy, Dupuytren’s fasciectomy, or conservative management.
Treatment Session
Outpatient needle aponeurotomy is typically same-day. Fasciectomy removes cords under anaesthesia and may involve a short outpatient hospital stay.
Recovery
Recovery from needle aponeurotomy takes days. Dupuytren's fasciectomy recovery may extend to 4–6 weeks and includes intensive hand and wrist therapy.
Follow-Up
We monitor fibrous tissue healing, alignment, and grip restoration.
Why Choose the Institute of Medical Physics for Dupuytren’s Contracture Treatment in London?
We’re one of the few clinics in the UK with a science-led approach to treating Dupuytren’s and related connective tissue disorders.
Consultant-Led Expertise
Our orthopaedic surgeons are experts in hand reconstruction and Dupuytren's fasciectomy. Their depth of experience ensures accurate diagnosis and optimal treatment.
Minimally Invasive First
Our policy is to start with non-surgical treatments like needle aponeurotomy and collagenase injection whenever possible.
Comprehensive Aftercare
Post-treatment therapy includes hand exercises, strength training, and scar management to ensure complete recovery and reduce recurrence risk.
Clear Communication and Results
Whether you're undergoing Dupuytren's fasciectomy or non-surgical management, we explain every option, risk, and expected result.
Transparent Pricing for Dupuytren’s Treatment
We offer structured pricing:
- Initial Consultation: Includes diagnosis, clinical evaluation, and imaging review.
- Needle Fasciotomy: A safe, affordable outpatient procedure performed under local anaesthesia.
- Dupuytren’s Fasciectomy: All-inclusive surgical package with no hidden charges.
This transparency allows you to make informed decisions about care without financial uncertainty.
About the Institute of Medical Physics
Based in London, we are a specialist centre for hand and wrist conditions, combining regenerative therapy, minimally invasive surgery, and physical rehabilitation. Our team is committed to restoring the natural movement of your hand and fingers—improving your quality of life with every procedure.
Lead
Imaging
Compliance
Service & Training
Scientist
Research Director
Operations
Frequently Asked Questions
What is Dupuytren’s contracture?
Is needle fasciotomy a painful procedure?
When is a fasciectomy recommended?
Can Dupuytren’s contracture come back after treatment?
How long is the recovery after treatment?
Do I need a referral to receive treatment?
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