Dupuytren's Disease and Needle Aponeurotomy

Needle Aponeurotomy Aftercare 

• At the end of the procedure small bandages will be placed on the needle puncture sites. In most cases, the bandages can be removed the same day.
• If a small skin tear should occur, the open wound should be covered with a band-aid.  Antibiotic ointment may also be used to keep the area clean.
• You should apply ice to your palm for the first 24-48 hours after the procedure.  You should keep your hand pointing up as much as possible and ice your palm frequently the day of and the day after the procedure.
• Most patients never need any pain medications. For severe contractures, over the counter medications are sometimes used. Dr. Mahoney has prescribed a prescription pain medication on only one occasion, and the patient did not use it in the end.
• Your fingers may be numb for several hours after the procedure, and you may have tingling in the fingers for the next few days.
• Your bandage should be kept dry while on, but you may remove bandaids and wash your hand normally that evening unless otherwise instructed.
• You should be able to proceed with normal light activities (eating, dressing, bathroom and driving) on the day of the procedure. Plan to avoid activities which involve a strong grip for one to two weeks after the procedure - to avoid unnecessary discomfort.
• If the proximal interphalangeal joint (the knuckle in the middle of the finger) is released or if several fingers are released, you may need to be fitted with a splint to wear at night for 2-3 months to help further straighten the fingers. Dr. Mahoney will arrange to have this splint made for you.
• Hand therapy is occasionally necessary for severe contractures.