What Increases Your Risk

You are at an increased risk of developing Dupuytren's disease if you:

• Have a family history of the disease.
• Are of northern European heritage.
• Are a male.
• Are over age 50.

You are more likely to get Dupuytren's disease if you have certain diseases or disorders, such as diabetes or alcoholism. Cigarette smoking also increases your chances of getting the disease. You may also have a slightly higher chance of getting Dupuytren's disease if you are being treated for epilepsy.¹

When To Call a Doctor

Call a doctor if you notice:

• Dimples or knots in your palms, especially near the base of your fingers.
• An inability to flatten your hand, palm down, on an even surface.
• Pain in your palm or fingers.

Watchful waiting

Watchful waiting is a period of time during which you and your doctor observe your symptoms or condition without using medical treatment. This period may vary from a few days to weeks, months, or years. Dupuytren's disease usually is a slowly progressing disease.

Who to see

The following health professionals can diagnose Dupuytren's disease:

• Family medicine physician
• Internist
• Nurse practitioner
• Physician assistant
• Rheumatologist
• Orthopedic surgeon

A hand surgeon, orthopedic surgeon, or plastic surgeon can also diagnose and treat Dupuytren's disease. These doctors are most often seen for severe disease, when you cannot use your hand for everyday activities.

A physical therapist or an occupational therapist, or both, may be part of your treatment team and can teach you how to exercise your hand to help keep your hand and fingers flexible.

To prepare for your appointment, see the topic Making the Most of Your Appointment.