Dr. Lewis is known as a national expert in this treatment and lectures on Dupuytrens disease often. Needle aponeurotomy was developed by a group of doctors in Paris, France over 30 years ago. It has become popular here because of its convenience and cost effectiveness. Needle aponeurotomy, or NA, can be performed during an office visit typically taking less than 30 minutes. There is no fasting necessary and is similar to a dentist visit. The hand can be used immediately for light use, and usually a few days later for unrestricted use such as sports.
Needle aponeurotomy involves injections with local anesthetic and a small needle is used to divide the Dupuytren's cords the hand. Gentle manipulation is used to break the tissue, usually resulting in immediate improvement of motion. A simple dressing or BandAid is applied to the hand. The benefit is convenience, lower cost, and earlier return to work/activites compared to surgery.
Infreqently there can be a small skin tear that heals with simple wound care. Recurrence of the contracture can occur, and further treatment can be performed including repeat NA, Xiaflex injection, or open surgery. If you would like a consultation for NA or other treatment options please make an office visit with Dr. Lewis.
Before and after pictures of needle aponeurotomy
For video examples of needle aponeurotomy click here: YouTube