Essential Oils to Soothe Dupuytren’s Contracture Symptoms
Dupuytren’s contracture is a benign nodular fibromatosis of palmar and digital fascia, described in 1831 by the French surgeon Guillaume Dupuytren (1777-1835).
With an unknown origin, Dupuytren’s disease is a progressive fibroproliferative disorder which primarly affects the hands, but also can be associated with other types of fibromatoses such as plantar fibromatosis (Ledderhose disease), penile fibromatosis (Peyronie disease), and fibromatosis of the dorsum of the proximal interphalangel (PIP) joints (Garrod’s nodules or knuckle pads).
Dupuytren’s disease, also known as palmar fibromatosis, leads to shortening of the skin anchoring ligaments of the palm (palmar fascia), which may lead to permanent flexion contracture of the digits and thumb. The condition affects 1 to 2 % of the population and is the most common form of fibromatosis.
Unfortunately, there are no proven ways to prevent Dupuytren’s disease or limit its progress.
Possible origin of Dupuytren’s disease
Although the main origin of Dupuytren’s contracture is unknown, research of geographical distribution has suggested that Norsemen in the Viking age were responsible for spreading the disease.
The Nordic theory of origin is supported by the high incidence of Dupuytren’s cases in Denmark and those parts of the UK, namely north of England and the north and west of Scotland, both of which were invaded and subsequently colonized by Norsemen.
Who are most likely to suffer from Dupuytren’s contracture?
Dupuytren’s contracture is more common and severe in males, increasing with age and peaking around the 5th decade of life. Females, on the other hand, are more prone in the 6th decade of their life.
It rarely affects those in their teens and twenties, but the incidence rises in each decade thereafter. Also, Dupuytren’s contracture has a hereditary component which includes white caucasians of North European descent.
Finally, Dupuytren’s disease has been, according to several studies , reported to be associated with possible causative factors and diseases such as:
- Insulin- dependent Diabetes mellitus
- Cigarette smoking
- Chronic alcoholism
- HIV infection
- Epilepsy (anti-epileptic drug phenobarbitone)
- May be precipitated by trauma in susceptible individual (Manual Labor)
- Rheumatoid disease
- Previous myocardial infarction
- Plantar fasciitis
- Peyronie’s disease
How to recognize the symptoms of Dupuytren’s disease?
Initial manifestation of Dupuytren’s contracture includes:
- A firm nodule and the presence of contracture, bands; and skin pitting, tenderness, and dimpling.
- Tender nodule or progressive palmar cord development.
- Skin pitting and nodule formation near distal palmar crease
- Symptoms may be present bilaterally, with one hand occurring first (not necessarily dominant hand).
- Ring and small fingers are most commonly involved
Further development of patient signs:
- As nodules grow, cords can be palpated proximally and distally.
- Ring and small finger are affected first, after palmar involvement.
- Patients may have quiescent findings for years, then increases nodule formation and for extension rapidly. This may occur as follows:
- Grade 1. Disease presents as a thickened nodule and a band in the palmar aponeurosis. This band may progress to skin tethering, puckering or pitting.
- Grade 2. Presents as a pretendinous band, and extension of the affected finger is limited
- Grade 3. Presents as flexion contracture.
Additionally, patients usually complains about difficulty with tasks such as:
- Face Washing
- Hair Combing
- Putting hand in pocket
- Racquet sport
- Putting hand in glove
What are the treatments for Dupuytren’s contracture?
Although there is no cure, patients suffering from Dupuytren’s disease may obtain a significant functional benefit, in most cases, after surgical correction of the deformity.
Postoperative attention such as occupational therapy and physiotherapy support is crucial, in order to achieve a prompt recovery.
As with any type of surgery, postoperative complications may occur, which can include:
- Skin necrosis
- Nerve injury
- Vascular injury
- Prolonged edema
- Reflex sympathetic dystrophy
- Finger loss (very rare)
- Joint stiffness and loss of preoperative flexion (most common complications)
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Non operative treatment:
- Clostridium collagenase injection: Studies show good results in 90% patients with a single injection and maintained 9 months after treatment.
- Needle Aponeurotomy
- Gamma Interferon
- Radiotherapy: Effective only during early fibroplastic phase
- Steroids Anti-inflamatories
- Dimethyl sulfoxide
- Alpha interferon
Aromatherapy can help in both, early and post-operative treatment. The most efficient way to apply aromatherapy to support the treatment of Dupuytren’s contracture is by massaging the hand and fingers to relax the fascia.
Massage can be performed applying creams, lotions or salves prepared with a blend of essential oils containing properties to relieve stiffness and aid mobility, decreasing tendon fibrosis.
Essential oils that may be useful for these purposes include:
Our Shaman Botica has created Tenderoni Caress Salve , which contains a special essential oil synergy to relieve tight tendons. It includes wintergreen, yarrow, sage, geranium, black spruce, cypress, thyme, lavender and vetiver essential oils .
The 7 Ways CBD Oil Helps Foot Problems
Pain is pain no matter what part of the body is affected by it. But when pain originates in the foot, it can be life-altering by affecting your mobility and preventing you from enjoying routine daily activities, such as shopping, taking your kids to the park and exercising.
According to a recent American Podiatric Medical Associates study, nearly 80 percent of adult Americans have experienced a foot problem. Sources of foot pain range from bunions and ill-fitting shoes to more severe ailments, such as Achilles tendonitis, arthritis and diabetic neuropathy.
Regardless of its source, almost 50 percent of people with foot ailments choose over-the-counter products for relief, while 25 percent do nothing. One increasingly popular alternative to chasing away foot pain is with cannabidiol (CBD) products. Recent studies have found that transdermal (topical) CBD significantly reduced joint swelling and pain without adverse side effects. That’s great news for those managing foot pain but how does it work?
How CBD Oil Works Against Pain and Inflammation
Hemp-derived CBD oil interacts directly with receptors in our endocannabinoid system. Also known as the ECS, the endocannabinoid system is a network of receptors responsible for regulating vital functions such as sleep cycles, inflammatory response, and stress levels.
The action of CBD oil on the ECS has a full-body effect that may also help manage foot problems due to its anti-inflammatory and pain-reducing properties. Hemp-derived CBD also has the added benefit of providing temporary relief without the psychoactive properties inherent with products containing THC. In fact, hemp-derived CBD oil must have 0.3 percent or less THC content as mandated by law.
Although all high-quality CBD oils have anti-inflammatory properties and can be effective in treating a variety of symptoms related to foot pain, certain administration likely yields the fastest results when used for seven common foot problems.
7 Common Foot Problems
There are hundreds of conditions that can be classified as foot problems, and this list is far from exhaustive, but some of the most common are described below along with recommended CBD products that may help alleviate pain and inflammation.
1. Achilles Tendinitis and other forms of Tendonitis– is an injury of the Achilles tendon that connects the calf muscles of the lower leg to your heel bone. It’s a common injury among runners who overdo it during training and among people who run moderately but are in not-so-good shape.
Achilles tendinitis pain typically begins as a dull ache in the calf and or the back of the leg. At times, it can intensify if there is not enough time given for the injury to heal or if the tendon tears, which would then require special medical attention. The properties of hemp-derived CBD oil to reduce pain and inflammation may help this type of injury.
2. Diabetic neuropathy- is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerves throughout your body. Diabetic neuropathy most often damages nerves in your legs and feet. It develops gradually and is comprised of four main types of this condition:
- Peripheral neuropathy-feet and legs affected first followed by hands and arms
- Autonomic neuropathy-affects neural system controlling heart, lungs bladder, etc.
- Proximal neuropathy- also called diabetic amyotrophy, this condition is more common in people who have type 2 diabetes and in older adults
- Mononeuropathy-comes on suddenly and involves damage to a specific nerve, causing pain in the foot, thigh or anywhere else in the body
Diabetic neuropathy can cause a wide range of serious foot problems, such as ulcers, infections, deformities, and bone and joint pain. Diabetic neuropathy is a serious complication of diabetes that affects up to 50 percent of people with the condition.
Besides people who have diabetes, those who are substantially overweight, smoke or who have kidney disease are also at risk for diabetic neuropathy. Hemp-derived CBD oil can help with pain management, inflammation management and neuroprotection of the foot.
3. Gout- is a form of arthritis resulting from a buildup of excess uric acid in the bloodstream. Uric acid crystals eventually form in the joints, especially around the big toe and cause swelling and intense pain.
The tendency to experience a gout attack can be an inherited trait but it can also be brought on by high blood pressure, diabetes, obesity, surgery, chemotherapy, stress and certain medications. Limiting consumption of certain foods and drinks may reduce your chances of getting gout. Limiting or avoiding shellfish, organ meats (kidney, liver, etc.), red wine, beer, and red meat are good ways to start.
Hemp-derived CBD oil can help with pain management, inflammation management and neuroprotection of the foot and joints. Recommended CBD products include CBD with capsaicin, Pain Cream with CBD & Lidocaine, Warming CBD Salve, CBD Pain Patch
4. Degenerative Hallux Disorders-In addition to its tendency for getting stubbed, your big toe (great toe or hallux in medical terminology) is susceptible to a number of painful conditions including:
- degenerative arthritis (hallux rigidus)
- bunions (hallux valgus)
- traumatic conditions (sesamoiditis or turf toe)
Pain and inflammation management often calls for cold or heat compresses, change of diet or surgery. When symptoms are mild or easily managed, a high-quality CBD oil topical may provide temporary relief without the side effects of OTC analgesics or prescribed medications.
5. Heel Pain, Plantar Fasciitis- Plantar fasciitis is one of the most common causes of heel pain. Almost one third of US adult respondents to a recent survey cited heel pain as the primary source of their foot pain. Heel pain happens when inflammation occurs with a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia).
Plantar fasciitis most commonly occurs in people with high arches or flat feet. It can also happen to people who spend long hours on their feet without the proper supportive footwear.
Anti-inflammatory and pain relieving properties of CBD may help to manage the symptoms as well as to suppress the inflammation that causes the pain.
6. Neuroma – is a painful condition, also referred to as a “pinched nerve” or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes. It brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot. The most common cause of neuroma is wearing ill-fitting shoes, high heels or shoes with a tapered toe box.
The good news is that mild neuromas can be managed with padding, orthopedic devices or modifying your activities that put pressure on your feet. CBD oil can help with pain management, inflammation management and neuroprotection.
7. Tarsal Tunnel Syndrome-Tarsal tunnel syndrome is a compression, or squeezing, on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot. In layman’s terms, if you have tarsal tunnel syndrome, you have painfully swollen ankles and feet.
Tarsal tunnel syndrome is similar to carpal tunnel syndrome, which occurs in the wrist. CBD oil can help with pain management, inflammation management and neuroprotection.
Our feet have 25 percent of all the bones in our bodies – 52 bones in all. With 33 joints, 107 ligaments, and 19 muscles and multiple tendons holding everything together, the foot is susceptible to a variety of injuries and ailments likely to cause pain and immobility. Hemp-derived CBD oil has been shown to have beneficial properties lessening the severity of inflammation and pain.
When pain and inflammation can’t be alleviated by taking off shoes and kicking your heels up, CBD oil products may provide relief in a more holistic, natural way without the side effects of over the counter and prescribed medications.