Friday, February 19, 2016

Revolutionary Non-Surgical Alternative for Dupuytren’s Contracture Now Available at Advanced Bone & Joint


For those suffering the pain and finger deformity as a result of Dupuytren’s Contracture, a new non-surgical treatment is now available.  The Xiaflex injection is the first and only FDA-approved nonsurgical treatment option proven effective in clinical studies for adults with Dupuytren's Contracture when a "cord" can be felt.  Below are 4 things you should know about Xiaflex.

What is Dupuytren’s Contracture?
This condition is caused by a gradual thickening of the tissue within the hand and causes one or more fingers to bend inward towards the palm, most often the ring and pinky fingers. This can cause difficulty with day-to-day activities such as gripping or picking up objects. 


How does Xiaflex work?
For adults with Dupuytren’s Contracture where a tendon or “cord” is visible, or can be felt in the hand, this treatment requires no incision and is followed only by at home exercises to strengthen the hand.  Xiaflex works by break down the collagen in the cord, which helps the doctor to break the cord and straighten the affected finger the following day.

First, you receive the Xiafllex injection in your physician’s office. Next, one to three days later, the doctor may need to straighten the affected finger. Thirty days later, the doctor will check your progress in a follow-up visit.

Up to 3 injections per cord may be given at approximately 30-day intervals to help “break” the cord, if needed.

Following the finger extension procedure(s), patients will be fitted with a custom splint and provided instructions for use at bedtime for up to 4 months to maintain finger extension. Patient will also be instructed to perform finger extension and flexion exercises several times a day for several months. Patients can be instructed to resume normal activities, but should not perform strenuous activity with the injected hand until instructed to do so by their physician.

Is Xiaflex effective?
In two clinical studies, 64% and 44% of patients receiving XIAFLEX (versus 7% and 5% of patients receiving placebo) had a straight or nearly straight finger after up to 3 XIAFLEX injection procedures. Most people required 1 or 2 injection procedures of XIAFLEX to help "break" the cord.

As with any prescription medication, certain side effects may occur (Click here to see potential side effects) and it is best to speak to your physician before Xiaflex treatment.

Advanced Bone & Joint Now Offering Xiaflex
Currently, Dr. Paul Spezia, is offering this treatment in our St. Peters location.  Dr. Paul Spezia joined Advanced Bone & Joint in 1995. He was a staff orthopaedic surgeon at Darnell Army Medical Center and an associate clinical orthopaedic professor at Texas A & M Medical School while completing his military obligation.

Dr. Spezia completed his orthopaedic surgery residency at Fitzsimmons Army Medical Center in Aurora, Colorado and received his medical degree from the University of Health Sciences, College of Osteopathic Medicine, in Kansas City. He has been board certified by the American Academy of Orthopaedic Surgeons and a member of the American Osteopathic Academy of Orthopaedics since 1997.

To see if Xiaflex may be right for you, contact us today for a consultation.