Needle Aponeurotomy for Dupuytren’s Release

Dupuytren’s release is a procedure that relieves tightness in the palm caused by Dupuytren’s contracture — a condition where thickened bands of tissue under the skin pull one or more fingers into a bent position. Over time, these cords make it difficult to straighten your fingers fully or place your hand flat on a table. While there’s no cure, treatments like needle aponeurotomy and partial fasciectomy can help restore motion and improve hand function.

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When is treatment recommended?

Dupuytren’s release may be recommended when:

One or more fingers can no longer fully straighten.
Your hand can no longer lie flat against a tabletop.
Tightness interferes with daily activities such as gripping, typing or washing.
Nonsurgical treatments — such as observation, splinting or injections — are no longer effective.

Your care team will evaluate which fingers are involved, how severe the contracture is, and what approach best fits your lifestyle and goals.

Needle aponeurotomy

Needle aponeurotomy is a minimally invasive, in-office procedure that uses a fine needle to divide the thick cords beneath the skin. After the cords are weakened, the finger is carefully straightened. This approach offers minimal downtime and faster recovery, though the condition can recur over time.

Partial fasciectomy

A fasciectomy is a surgical procedure that removes the diseased cords of Dupuytren’s tissue through small incisions in the palm and fingers. In cases of moderate to severe contracture — especially when the hand cannot lie flat — your surgeon may recommend a partial fasciectomy. Recovery may take several weeks, but many patients experience longer-lasting improvement in hand motion and comfort.

What to expect during recovery

Recovery depends on the type of procedure performed. You may notice some swelling, stiffness or soreness as your hand heals. Hand therapy and gentle exercises help regain strength and flexibility. Even after successful treatment, Dupuytren’s can come back, so ongoing attention to hand mobility is important. Your care team will guide you every step of the way to ensure a safe return to your normal activities.

Take the next step

Our board-certified specialists are here to help you heal. They can often diagnose the problem in one visit and get you started with a personalized treatment plan. We offer a wide variety of treatment options.