Dupuytrens Contracture

What is Dupuytren’s Contracture?

Dupuytren’s Contracture is a condition which causes a thickening of the fascia (the connective tissue) in the palm of the hand just below the skin. Nodules and cords of thickened connective tissue form and can eventually begin to pull the fingers in toward the palm, in severe cases preventing full extension of the fingers. Dupuytren’s Contracture most commonly affects the tissue connected to the ring and little fingers, but can move across the palm to affect the whole hand. This condition is most prevalent in males over the age of 40 of Northern European and Scandinavian descent, but anyone can be affected.

What Are the Symptoms of Dupuytren’s Contracture?

Symptoms of Dupuytren’s Contracture include the following:

  • Curling in of the fingers toward the palm of the hand (most commonly the ring and little fingers)

  • Growth of nodules within the connective tissue in the palm of the hand

  • Lack of ability to grip and muscle weakness in the hand

  • Pain, aching and/or itching in the affected areas

Nonsurgical Options:

Considering treatment with XIAFLEX® a nonsurgical option for dupuytrens contracture? The following step-by-step guide can help you get a better grasp on treatment with XIAFLEX®. You can also visit the XIAFLEX website at https://dupuytrens-contracture.xiaflex.com.

Step 1: Injecting XIAFLEX®

Treating Dupuytren’s contracture with XIAFLEX® is performed in your doctor’s office. Your doctor will:

·         Inject XIAFLEX® directly into the cord that is causing your finger(s) to bend

* If you have more than 1 contracture, your doctor may give you 2 injections in 1 of your hands during your visit

·         Wrap your treated hand with bandages

·         Advise you to keep your hand elevated until bedtime

·         Advise you to limit the movement of your treated finger(s)

Do not bend or straighten the treated finger(s) yourself.

Step 2: Extending your finger(s)

Your first follow-up visit with your doctor will be approximately 1 to 3 days later.

·         Your doctor will try to extend the treated finger(s) and “break” the cord. This is to help straighten your finger(s). Your doctor may use local anesthetic during this procedure to make it more comfortable

After the extension procedure, your doctor:

·         Will give you a splint to wear on your treated finger(s) at bedtime for about 4 months

·         Will provide simple finger exercises for you to do daily

Step 3: Checking your progress

·         Return to your doctor about 30 days later to have your finger(s) examined

·         Depending on your results, or if the cord(s) is still present, you may need additional injections, approximately 4 weeks apart

If you are experiencing any of the symptoms associated with Dupuytren’s Contracture or would like to learn more about it or the different treatment options please call today. Loredo Hand Care Institute, Dr. Pedro Loredo (972)939-4974 or visit our website at www.loredohands.com

Bandages

Spider webs were used as bandages in ancient times.

Did you know spider webs serve another purpose other than being the home of your friendly, neighborhood spider? Spider webs make for an excellent natural treatment for healing cuts and scrapes! In ancient Greece and Rome, doctors used spider webs to make bandages for their patients. Spider webs supposedly have natural antiseptic and anti-fungal properties, which can help keep wounds clean and prevent infection. It’s also said that spider webs are rich in vitamin K, which helps promote clotting.

Spider webs are incredibly strong. It’s made from silk produced from the body proteins of the spider, turning it into silk through spinnerets. The spinnerets are located on a spider’s abdomen. Each spider has three or four spinnerets. Inside the spinnerets are numerous spigots connected to a single silk gland. The spider silk starts out in liquid form. As the material is being drawn out of the spider’s body, it begins to harden. This movement changes the structural components of the silk.

Using cobwebs or spider webs has been done since ancient times when Greeks and Romans treated wounded soldiers with it to stop bleeding. Soldiers would also use a combination of honey and vinegar to clean deep wounds and then cover the whole thing with balled-up spider webs.

An open wound treated with a cluster of spider webs will dry out faster. Spider webs have antifungal and antiseptic properties that keep bacteria away, minimizing the chances of an infection. As long as the web is clean, it will not cause any infection or aggravate the wound’s condition at all.

t’s easy to make your own bandage. First, you have to look for a clean spider web — you want a freshly spun web or one that does not have insect corpse in there. If the spider’s in there, remove the little critter carefully and harvest the web.

Then, ball up the spider web and stuff it onto the wound. Make sure all edges are covered by the web. The web has to touch the surface of the wound. Get a sterile cloth and cover the wound with it. This helps secure the web on the wound while also protecting the affected area from the elements. And there you have it, your own bandage made from spider web.

If the spider web has hardened on your wound and it’s hard to remove, just run your wound over warm water. The water will loosen the web, making it easier to remove.

A Special Hand

You formed my inmost being; you knit me in my mother’s womb.I praise you, because I am wonderfully made Psalm 139: 13-14  Website:  www.loredohands.com  Office:  (972)939-4974   LOREDO HAND CARE INSTITUTE, Dr. Pedro Loredo, hand surgeon, Bedford, Colleyville, Euless, Fort Worth, Grapevine, Haltom City, Hurst, North Richland Hills, Southlake, Keller, Roanoak, Westlake, Trophy Club, Haslet, Arlington, Richland Hills, Haltom City, Irving, Las Colinas, Dallas,  Grand Prairie, Saginaw, Melody Hills, Lake Worth

You formed my inmost being; you knit me in my mother’s womb.I praise you, because I am wonderfully made Psalm 139: 13-14

Website:  www.loredohands.com  Office:  (972)939-4974   LOREDO HAND CARE INSTITUTE, Dr. Pedro Loredo, hand surgeon, Bedford, Colleyville, Euless, Fort Worth, Grapevine, Haltom City, Hurst, North Richland Hills, Southlake, Keller, Roanoak, Westlake, Trophy Club, Haslet, Arlington, Richland Hills, Haltom City, Irving, Las Colinas, Dallas,  Grand Prairie, Saginaw, Melody Hills, Lake Worth

Having a child with Down syndrome

Is like taking the scenic route.

You still get where you are going.

It may take a little longer,

But it will be well worth the trip!

Hold my Hand in Weakness

Lord God, you are my strength. Hold my hand in my weakness and teach my heart to fly. With you, there’s nothing to fear, nothing to worry about. Hold me tight in your embrace, so that I can be stronger than the challenges in my life. Amen. www.loredohands.com 972-939-4974

Lord God, you are my strength.
Hold my hand in my weakness and
teach my heart to fly. With you,
there’s nothing to fear, nothing
to worry about. Hold me tight
in your embrace, so that I can
be stronger than the challenges
in my life. Amen. www.loredohands.com 972-939-4974

Why the Right Hand?

Isaiah 41:13 is the theme verse for this blog:

 

"For I, the LORD your God, will hold your right hand, saying to you, 'Fear not, I will help you.'

I had often wondered why the right hand is mentioned in this verse. What is the relevance of it? Why not the left hand, or just HAND in general? As I began doing some research, I noticed the two words “right” and “hand” together are mentioned at least 132 times in the Holy Bible; and, from what I could tell, these verses show us four different purposes/meanings for the “right hand.”

 

1. In some verses, it is literally used as the right hand or the right side of the body. An example is seen in Genesis 48:18 - And Joseph said to his father, "Not so, my father, for this one is the first-born. Place your right hand on his head."

 

2. It is also referred to as a direction. Typically, the right hand refers to the South. The left hand refers to the North. Numbers 22:26 - And the angel of the LORD went further, and stood in a narrow place where there was no way to turn to the right hand or the left.

 

3. Another meaning is a location of honor. Hebrews 12:2 - looking unto Jesus, the author and finisher of our faith, who for the joy that was set before Him endured the cross, despising the shame, and has sat down at the right hand of the throne of God.

 

4. The last meaning refers to giving help/strength where needed. Psalm 18:35 - You have also given me the shield of Your salvation; your right hand has held me up, your gentleness has made me great.

 

In most of the meanings listed above, the right hand (or right side) is considered to be a synonym for goodness. That means, “the right hand” and “goodness” fall in the same defining category. Even if you look at the Old English word for “right,” you will see the word “riht,” which means: just, good, fair, proper, fitting, straight. So, does this mean the left hand (or left side) is evil and we shouldn’t use it? Of course not! The literal left hand/side of a person is not evil. I know some wonderful, Christian people who are left-handed! But, figuratively speaking, most verses in the Bible consider the "right side" to be good and proper, and the left to be weak or foolish. More often than not, it is a matter of definition, not literal location.

Week 2 Of Lent

Father of light, in you is found no shadow of change but only the fullness of life and limitless truth. Open our heart to the voice of Your Word and free us from the original darkness that shadows our vision. Restore our sight that we may look upon your Son who calls us to repentance and a change of heart, for he lives and reigns with you for ever and ever.    Website:  www.loredohands.com  Office:  (972)939-4974   LOREDO HAND CARE INSTITUTE, Dr. Pedro Loredo, hand surgeon, Bedford, Colleyville, Euless, Fort Worth, Grapevine, Haltom City, Hurst, North Richland Hills, Southlake, Keller, Roanoak, Westlake, Trophy Club, Haslet, Arlington, Richland Hills, Haltom City, Irving, Las Colinas, Dallas,  Grand Prairie, Saginaw, Melody Hills, Lake Worth

Father of light,
in you is found no shadow of change but only the fullness of life and limitless truth.
Open our heart to the voice of Your Word and free us from the original darkness that shadows our vision.
Restore our sight that we may look upon your Son who calls us to repentance and a change of heart, for he lives and reigns with you for ever and ever.

  Website:  www.loredohands.com  Office:  (972)939-4974   LOREDO HAND CARE INSTITUTE, Dr. Pedro Loredo, hand surgeon, Bedford, Colleyville, Euless, Fort Worth, Grapevine, Haltom City, Hurst, North Richland Hills, Southlake, Keller, Roanoak, Westlake, Trophy Club, Haslet, Arlington, Richland Hills, Haltom City, Irving, Las Colinas, Dallas,  Grand Prairie, Saginaw, Melody Hills, Lake Worth

Reflection

LENT: A TIME FOR FORGIVENESS AND RECONCILIATION

By Jennifer Jordan

Lent is a time for forgiveness and reconciliation. An acquaintance of mine recently shared an experience that shows the beauty reconciliation can bring. Mrs. Winston's story begins with an automobile accident that nearly claimed the life of her 35-year-old son, Robert.

After seven weeks of daily visits to the hospital and many "life and death" complications, it looked as if Robert was going to survive. Despite the hardship, Mrs. Winston, a gentle, spiritual woman, was quick to be positive about her situation. She believed in the power of prayer and was confident God was healing her son. "The doctors, the nurses--they were the Lord's instruments, and they were good instruments," she said. "The people at the hospital were all as nice as they could be," she said. Then with hesitation, she added, "except for a problem I had with one nurse." She continued to explain the incident. Robert had been in the hospital a long time, and his mother was hoping he could leave to attend their family reunion. "Well, I asked this nurse about it, and she just blew up at me," she said. "The nurse called my request 'unreasonable,' and said there was 'no way' the doctors would approve it." Mrs. Winston, a soft-spoken woman in her 60s, was shocked and hurt by the woman's cold response. "I couldn't understand why she was so nasty," she said. Another nurse who witnessed the encounter added, "Ignore her, she's just temperamental."

When Mrs. Winston went home, she couldn't forget the incident. She returned to the hospital the next day and the same nurse was in her son's room. She called her aside and said to her, "I think a great deal of you and the other nurses here." She then went a step further. "I don't think I have ever done anything to hurt you or offend you. But, if I have, I apologize." She continued to tell the nurse that she didn't understand what provoked her angry tone. "I hugged her and told her how much we appreciated her work with Robert." "Well, she just melted," Mrs. Winston said in her soft southern voice. "It seems she was going through some hard times, and it hadn't been a good day." As I listened to her story, I thought about how others might respond to the rude nurse. Some might report the incident to the woman's supervisor; some might reply in the same tone the nurse used; and, some might vindictively walk away and wish the woman a flat tire on her way home. Then, there are rare souls--such as Mrs. Winston--people who inspire us to reach for the Christ within us and to treat others with love and compassion. I reflected on her wonderful example. She put aside her anger and pride and offered forgiveness. Christ invites each of us to reconcile with those who hurt or disappoint us. It is a call to forgive the stranger who cuts you off in traffic; the family member who has been a bit "too honest"; and, the ex-spouse who may continue to drive you crazy.

After Mrs. Winston left my home I wondered why this acquaintance had shared such a personal story. She had come to my home on business --to repair my washing machine. Then, as I reflected on it, I knew why our paths had crossed. She was bringing a wonderful example of how to deal with hurt in our lives. This Lent, take the big step. Surrender any "eye for an eye" notions and pray for help in learning to love and forgive the way our Lord taught us.

Lenten Question

Q: Is the custom of giving up something for Lent mandatory?
A: No. However, it is a salutary custom, and parents or caretakers may choose to require it of their children to encourage their spiritual training, which is their prime responsibility in the raising of their children.

Lenten Action

Wear a cross or other religious article; you will be surprised how many times this will start a conversation about your faith.