Needle Aponeurotomy
      Needle aponeurotomy was developed by a group of doctors in Paris, France. It has become popular because of convenience and cost effectiveness. Needle aponeurotomy, or NA, can be performed during an office visit typically taking 30 minutes. There is no fasting, and the hand can be washed the next day. The hand can be used immediately for light use, and a week later for unrestricted use such as sports.

       Needle aponeurotomy involves injections of local anesthetic and a small needle is used to divide the Dupuytren's cords in the palm and fingers. Gentle pulling is used to break the tissue, usually resulting in immediate improvement of motion. A simple dressing or BandAid is applied to the hand. This results in convenience, lower cost, and earlier return to work and activities compared with open surgery.
       There are small risks including infection, nerve, and tendon injury. The most common issue is a skin tear that usually resolves with simple wound care. Recurrence of the contracture can occur, and further treatment can be performed including repeat NA, Xiaflex injection, or open surgery.

 
Before and after pictures of needle aponeurotomy

For video examples of needle aponeurotomy click here: YouTube

For appointments call  925-939-8585
Monday through Friday
9 am to 4 pm