Expert Assessment and Treatment for Dupuytren's Disease

Dupuytren's disease is a common condition affecting the tissue beneath the skin of the palm. It often begins as a small lump or thickening in the hand and may gradually progress over time. For some people, the condition remains relatively stable. For others, new nodules develop, cords become more prominent, and the fingers gradually begin to bend.

The most appropriate treatment depends not just on what your hand looks like today, but also on whether the condition seems to be getting worse over time.

At Dupuytren's UK, we specialise in the assessment and treatment of Dupuytren's disease, with particular expertise in the use of radiotherapy for early progressive disease.

How Dupuytren's Disease Typically Progresses And Where Different Treatments Fit

Dupuytren's treatments are typically used at different stages of Dupuytren's disease. The diagram in this section provides a simplified overview.

Dupuytren's disease does not affect everyone in the same way. Some people develop a small lump that changes very little over many years. Others experience progression, with increasing nodules, extension of cords and eventually bending of the fingers.

Understanding where you sit on this journey is often the key to deciding whether treatment may be appropriate.

Could Radiotherapy Help?

Radiotherapy is a non-surgical treatment used for selected patients with early progressive Dupuytren's disease. Radiotherapy is most commonly considered when:

Radiotherapy is generally less suitable once a significant contracture has developed.

Not Sure If You Have Dupuytren's Disease?

Many people arrive at this website because they have found a lump in their palm and are unsure what it means. Others have noticed changes over time and are wondering whether the condition is progressing.

Our Symptoms & Causes guide explains:

Looking For Detailed Information About Treatment Options?

Treatment decisions depend on the stage of disease, the degree of finger bending, previous treatments and whether progression is occurring.

Our Diagnosis & Treatment Options guide explains:

Why Patients Choose Dupuytren's UK

Patients travel from across the UK seeking specialist advice regarding Dupuytren's disease. Many are looking for:

Clarification of the diagnosis

Assessment of progression

Advice regarding radiotherapy

Guidance regarding treatment options

Dr Richard Shaffer has treated several thousand patients with Dupuytren's disease and has one of the largest experiences of radiotherapy for Dupuytren's disease in the UK. Consultations are available in London, Guildford and Nottingham, with video consultations available for patients travelling from further afield.

Most UK Medical Insurances Cover This Treatment

Radiotherapy treatment at Dupuytren’s UK is covered by most major private medical insurance providers and we also offer a range of self-pay options.

Your treatment at Dupuytren’s UK can be funded by a number of private medical insurance providers, including Bupa, Vitality and WPA. Other private medical insurance providers may fund your treatment on a case-by-case basis. All our services are available for patients who are looking to self-pay too. We accept a variety of payment methods and will provide you with a detailed quote for your treatment. If you’d like an estimate of the costs for your care, contact us through the “Contact” page.

Find your nearest centre

Appointments with Dr Shaffer take place in London, Guildford and Nottingham. Treatment can be delivered in any of 15 centres around the UK (Birmingham, Bristol, Cambridge, Chelmsford, Cromwell, Elstree, Guildford, London Cromwell, Wimbledon Cancer Centre London,  Maidstone, Milton Keynes, Nottingham, Oxford, Portsmouth, Southampton, Windsor). See below for details:

Cromwell Hospital London exterior, main Dupuytrens UK treatment centre

London - Cromwell Hospital

164-178 Cromwell Road, SW5 0TU

Wimbledon Cancer Centre London exterior, Dupuytrens treatment centre

Wimbledon Cancer Centre London

49 Parkside, London SW19 5NB

Guildford GenesisCare Surrey thumbnail for Dupuytrens centre

Guildford - GenesisCare Surrey

Rosalind Franklin Close, Guildford, Surrey, GU2 7AW

Nottingham Park Centre Oncology thumbnail for Dupuytrens treatment

Nottingham - The Park Centre Oncology

Sherwood Lodge Drive, NG5 8RX

Have a quick question?

Concerned about Dupuytren's Contracture or Ledderhose Disease? Book in your free call with Dr Shaffer to discuss how we can help.