If you are experiencing progressive finger bending due to Dupuytren’s contracture, Xiaflex® offers a minimally invasive treatment option that may restore finger motion without traditional surgery.
At SCOS, our orthopedic and hand specialists provide advanced Xiaflex® treatment for patients throughout Orange County, including Irvine, Huntington Beach, Fullerton, Anaheim, Newport Beach, Costa Mesa, Mission Viejo, Laguna Niguel, Yorba Linda, and Placentia.
What Is Xiaflex®?
Xiaflex is a prescription injectable medication specifically designed to treat Dupuytren’s contracture in adults. It contains collagenase enzymes that break down the abnormal collagen cords forming in the palm.
Unlike traditional surgery, Xiaflex® does not require incisions or general anesthesia.
Who Is a Candidate for Xiaflex®?
Xiaflex® may be appropriate if you:
- Have a palpable cord in the palm
- Cannot fully straighten one or more fingers
- Have functional limitations from contracture
- Prefer a minimally invasive treatment
- Want shorter recovery compared to surgery
A detailed hand evaluation will determine whether your contracture is suitable for injection therapy.
How Does Xiaflex® Work?
Dupuytren’s contracture occurs when thickened collagen forms a cord beneath the skin. Xiaflex® contains enzymes that specifically dissolve this collagen.
Treatment occurs in two steps:
Step 1: Injection
The medication is injected directly into the cord in the palm.
Step 2: Finger Manipulation
24–72 hours later, your orthopedic specialist gently extends the finger to break the weakened cord.
This allows improved finger straightening without open surgery.
What to Expect During the Procedure
Xiaflex® treatment is performed in the office and typically takes less than 30 minutes.
Patients may experience:
- Temporary swelling
- Bruising
- Mild discomfort
- Tenderness in the palm
A splint may be recommended for nighttime use after the procedure.
Recovery After Xiaflex®
Recovery is generally faster than surgical fasciectomy.
Most patients:
- Resume light activities within a few days
- Return to work quickly (depending on occupation)
- Experience gradual improvement in motion
- Participate in hand therapy if needed
Your physician will provide individualized post-treatment instructions.
Benefits of Xiaflex®
Xiaflex® offers several advantages:
- No surgical incision
- No general anesthesia
- Outpatient office procedure
- Shorter recovery time
- Minimal scarring
- Effective contracture correction in appropriate candidates
For many patients, Xiaflex® provides a convenient alternative to surgery.
Are There Risks?
As with any procedure, potential risks include:
- Swelling and bruising
- Skin tears during manipulation
- Temporary numbness
- Rare tendon injury
- Recurrence over time
Your specialist will discuss your specific risk profile and expected outcomes.
Frequently Asked Questions
Is Xiaflex® as effective as surgery?
For appropriately selected patients, Xiaflex® can significantly improve finger extension. Severe or recurrent cases may require surgery.
Is Xiaflex® painful?
Most patients experience temporary soreness and swelling. Local anesthetic may be used during manipulation.
How long do results last?
Results vary. Recurrence is possible, as Dupuytren’s is a progressive condition.
Can Xiaflex® treat multiple fingers?
Yes. Multiple cords may be treated over time depending on severity.
Why Choose SCOS for Xiaflex® in Orange County?
Our orthopedic and hand specialists provide comprehensive evaluation to determine whether Xiaflex®, needle release, or surgery is most appropriate for your condition.
Schedule a Consultation
If you are experiencing finger bending due to Dupuytren’s contracture, early evaluation can help determine whether Xiaflex® is right for you.
Contact our office today to schedule a consultation with an experienced orthopedic hand specialist in Orange County.
