Dupuytren's disease - How can exercise help?

April 20, 2023

In recent times as an Exercise Physiologist working with injured workers, I have been exposed to Dupuytren's disease more and more often. While I was a student this was lightly touched over, however I’ve found myself wondering how or why it has become more and more prevalent. Understanding that this is a condition is hereditary for the most part, I have found myself rehabilitating more and more workers particularly those who work in heavier industries. So, for this reason, I wanted to better understand the condition and what the evidenced suggests is the most affective forms of treatment.


Dupuytren's disease is a condition that affects the hand and occasionally the feet, causing the fingers to contract and curl towards the palm. The condition typically develops gradually, and the underlying cause is not yet fully understood. While there is no cure for Dupuytren's disease, there are several rehabilitation strategies that can help improve hand function and quality of life. This blog will explore the various rehabilitation techniques for Dupuytren's disease, including exercises, splinting, and surgical intervention.


Exercises

Exercises can help improve hand function and mobility in individuals with Dupuytren's disease. There are several types of exercises that are recommended, including range-of-motion exercises, strengthening exercises, and stretching exercises. Range-of-motion exercises involve moving the affected finger(s) through their full range of motion. These exercises can help prevent stiffness and maintain flexibility in the hand. Examples of range-of-motion exercises include finger bends, finger lifts, and finger curls.


Strengthening exercises involve using resistance to build strength in the hand and fingers. These exercises can help improve grip strength and overall hand function. Examples of strengthening exercises include finger squeezes, grip exercises using a stress ball, and resistance band exercises. Stretching exercises involve gently stretching the hand and fingers to improve flexibility and prevent contractures. Examples of stretching exercises include hand stretches, wrist stretches, and finger stretches.


Splinting

Splinting is another rehabilitation strategy that can help improve hand function in individuals with Dupuytren's disease. A splint is a device that is worn on the hand or finger to help prevent contractures and maintain range of motion. Splints can be custom-made or off-the-shelf, depending on the individual's needs. A splint is typically worn for several hours each day, depending on the severity of the condition. The goal of splinting is to stretch the affected tissue and prevent further contractures. Splinting can also be used after surgery to prevent the fingers from contracting again.


Surgical intervention

In some cases, surgical intervention may be necessary to improve hand function in individuals with Dupuytren's disease. Surgery is typically recommended for individuals who have severe contractures or who have lost significant hand function. There are several surgical techniques that can be used to treat Dupuytren's disease, including fasciectomy, fasciotomy, and needle aponeurotomy. The choice of surgical technique depends on the severity and location of the contracture.


Fasciectomy involves removing the affected tissue from the hand or finger. This is typically done under general anaesthesia and requires several weeks of rehabilitation. Fasciotomy involves cutting the affected tissue to release the contracture. This is typically done under local anaesthesia and requires several weeks of rehabilitation. Needle aponeurotomy involves using a needle to puncture the affected tissue and release the contracture. This is a minimally invasive procedure that requires less rehabilitation than other surgical techniques.


Conclusion

In conclusion, Dupuytren's disease is a condition that affects the hand, causing the fingers to contract and curl towards the palm. While there is no cure for Dupuytren's disease, there are several rehabilitation strategies that can help improve hand function and quality of life. These strategies include exercises, splinting, and surgical intervention. It is important for individuals with Dupuytren's disease to work with a healthcare professional to develop a personalized rehabilitation plan that meets their individual needs.


References


  • American Society for Surgery of the Hand. (2019). Dupuytren's Contracture. https://www.assh.org/handcare/hand-arm-conditions/dupuytrens-contracture


  • Mayo Clinic. (2021). Dupuytren's Contracture. https://www.mayoclinic.org/d


Tony Galati - Rando

 Workers Compensation Specialist (AEP, ESSAM)

 Exercise Rehabilitation Services – WA

     

Prehabilitation in Workers Compensation: Enhancing Function, Reducing Downtime

September 1, 2025
As the global population ages and the prevalence of musculoskeletal conditions continues to rise, the demand for orthopaedic surgeries has surged dramatically. With this increase comes a growing emphasis on not just the surgical intervention itself, but also on the preoperative phase as a critical window of opportunity to enhance patient outcomes. One of the most promising strategies emerging in this space is prehabilitation—a proactive, personalized approach to preparing patients physically and mentally for surgery. Prehabilitation can be broadly defined as a personalized exercise program designed to improve physical function and optimize recovery outcomes for any upcoming surgical intervention. In the context of workers compensation, prehabilitation offers additional value. By maintaining or even improving a patient’s physical function prior to surgery, individuals are often able to remain engaged in modified or light-duty work roles. This not only supports their psychological well-being and financial stability but also contributes to faster and more sustainable return-to-work outcomes post-surgery. A recent meta-analysis by Punnoose et al. 2023, found that a targeted prehabilitation program increased muscle strength, improved joint function and led to a higher health-related quality of life (HRQOL) scores. These findings were consistent with patients undergoing Total Knee Replacements (TKR), Total Hip Replacements (THR) and lumbar spine surgery. Some clinical applications are listed below: Targeted approach of 4-6 weeks, with 2 sessions per week. This aligns with physiological evidence suggesting that a minimum of 4–6 weeks of strength training is needed for neuromuscular adaptations. Mixture of supervised and unsupervised intervention Multimodal programs (e.g. combining exercise with education or psychological support) may enhance outcomes By improving outcomes and reducing recovery timeframes, prehabilitation stands out as a cost-effective, proactive approach to treatment.  James Chandler Workers Compensation Specialist ‑ Team Leader South (AEP, ESSAM) Exercise Rehabilitation Services – WA

How to Fit Exercise into Your Lifestyle

September 1, 2025
As Exercise Physiologists, a large part of our role is to empower an injured worker to integrate exercise into their lifestyle – something that is easier said than done for everyone! A common misconception about exercise, is that, for an effective workout, it must be a gruelling 1-hour session in a gym or a 10km stomach churning run, however this is not the case! Here are some alternatives and strategies to gradually make positive changes to your life: One easy way is to add movement to tasks you already do. Walking or biking instead of driving short distances, taking the stairs instead of the elevator, holding your newborn as you perform a few quick (and safe!) squats or completing short exercises during TV commercials are simple ways to stay active without setting aside extra time. Another is to schedule ‘mini’ workouts like any other appointment. Set aside just 20 to 30 minutes a few times a week—whether in the morning, during lunch, or in the evening. Utilising exercise equipment that we give you during our initial assessment and picking a handful of exercises that you may particularly enjoy, is a great shorter alternative. Treating these moments as important and ‘you’ time can help build a consistent habit. Exercising with others can make it more fun. Invite a friend for a walk, join a fitness class, or play a sport with family. When you combine social time with physical activity, it feels less like a task and more like enjoyment. The same goes for a sport or hobby that you may like, whether it’s swimming, yoga, hiking or dancing! Experimenting with the introduction of one of these strategies can be an easier first step to making a positive lifestyle change. With a little planning and creativity, exercise can become a natural part of your lifestyle, helping you stay healthy and energized without adding stress to your day. Alexander Gerry Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services – WA

The Beauty of a program: Couch to 5k

June 19, 2025
If you have doom scrolled through Instagram/Facebook or YouTube recently you may have been bombarded with advertisements for a slew of different exercise programs. These all usually have something to do with what you value and target you with a preamble on how to get it, how did I shrink my waist size, how do I build muscle or how I rehabbed my knee pain. As an exercise physiologist it's my job to write these programs! Now although I don’t always enjoy interruptions to my news feed of cat videos and rugby highlights, I do actually think a lot of these programmes have merit! I love anything with a bit of structure that can help you progress yourself towards what you care about so today I wanted to write about one of my favourite programs of all time and that is the “Couch to 5km Running Programme” Why Running? I love running as an exercise choice, it gets you outdoors, it has increasing social connections via run clubs/park runs and is completely free! However, it’s hard to jump in to, I see a lot of people getting tripped up by some of the barriers that come with it. A lot of the people I see starting running don’t know about the many choices that come with exercise and in the exercise physiology business we call this the FITT principle! - Frequency – How often are you doing your running? - Intensity – How fast or slow are you running? - Time – How long should I run for? - Type – Why run over biking or rowing? A dedicated programme takes care of these for you, and I think the Couch to 5k programme does a fantastic job of introducing you to all these different ideas. Language! The first thing I love about the “Couch to 5k” is its language. The use of simple and direct language leaves a bit of room for interpretation. You can see clear above on your first Tuesday run you will run for 1 minute and walk for 1 minute. In this small interval that speed is utterly and entirely up to you. Go as slow as you like or as fast as you like however I want you to run for the entire minute! Keeping things simple is so important and this guidance is exactly where I would want you to start off as a beginner runner, have some fun and run! Progression! From week to week the running times can be seen to get bigger and bigger! Slowly but surely these intervals only increase by 1 or 2 minutes at a time. Between each session you will be able to notice small increases, but your fitness catches up with that! The whole point of a programme is that it starts small and works up, no single day itself should feel like an insurmountable workout but by the end you’re able to run a whole 5k! Rest! This program builds in rest days and rest periods so well. Each day is spaced out giving some time for you two recovers but not so much so you can get some fitness in! Within the workouts as well these intervals leave you working for the right amount of time each workout. Goals Too often when working out our goals are too big and lofty. Being able to make big changes start with small actions and goals. You can’t change yourself image in one day so I like the time frame of 6 weeks (in some programmes 6-12 weeks) because by the end we have a set definable goal of what we want to achieve, and we can really feel thar progression of fitness! Mathew Walker Exercise Physiologist Exercise Rehabilitation Services ‑ WA
More Posts