Chief Complaint: pain in left wrist and unable to fully extend fourth digit of that hand
Western Diagnosis: Dupuytren’s Contracture (palmar fibromatosis)
Medical History: Pleasant 39 year old female. Patient’s left fourth digit was flexed 45 degrees at the PIP joint, and not able to straighten or fully flex. Surgeon explained she would need surgery for the Dupuytren’s Contracture and may want to consider it for probable Carpal Tunnel problems, for these were not responding to past anti-inflammatory and conventional physical therapy. Patient is an active female bicyclist for over 20 years. Patient also has 20 year history of Irritable Bowel Syndrome. Very stressed lifestyle, including great anxiety and physical challenges caring for a sick and elderly mother. Chronically stressed individual who generously cared for other people, but never took time for herself.