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Procedure - Xiaflex® Injections

Dupuytren’s contracture is a hand deformity that takes years to develop. This condition affects the layers of skin under the palm of the hand and results in a knot of tissue forming under the skin. This knot creates a thick cord in the palm which pulls one or more of the fingers into a bent position. Once bent, it is not possible to straighten out the fingers, which can make daily activities more difficult and painful. Typically the ring finger and pinky are affected most by Dupuytren’s contracture, with the disease impacting older men most often. To treat the negative symptoms of Dupuytren’s contracture, Ogden Clinic offers patients across Utah Xiaflex® injections.

There is no definitive cause of Dupuytren’s contracture but there are several risk factors, including age, sex, ancestry, family history, alcohol and tobacco use, and diabetes.

What are Xiaflex® Injections?

Ogden Clinic offers Xiaflex® injections to help patients suffering from Dupuytren’s contracture. Xiaflex® is an enzyme medication injected directly into the muscle cord that is causing fingers to bend. Ogden Clinic offers Xiaflex® injections to help patients suffering from Dupuytren’s contracture. Xiaflex® is an enzyme medication injected directly into the muscle cord that is causing fingers to bend. Your doctor may recommend Xiaflex® injections if your cords range in severity, if you have more than one cord on a single hand, and/or cords that keep coming back. For patients with multiple cords on one hand, several injections can be given during a single office visit.

How It Works

The enzymes in Xiaflex® injections work to break down the collagen in the cord. After receiving your injections, you will return to your doctor’s office a few days later to see if the cord has gone away. If not, your doctor may attempt to extend the affected fingers to break the cord. If you doctor decides to straighten your fingers this way, they will administer a local anesthetic to minimize any discomfort. Most patients see success after around 3 Xiaflex® injections combined with the finger extension procedure. Affected fingers usually return to being almost completely straight.

Do you have a rope-like cord in the palm of your hand? Dupuytren’s contracture can cause a painful and distracting interruption in the daily lives of those affected. To learn more about how Xiaflex® injections can help reduce Dupuytren’s contractures, contact us at Ogden Clinic to schedule an appointment.


Richards, Brett, MD
4700 Harrison Blvd.
Ogden, UT
801-475-3300