There is currently no cure for Dupuytren’s. Treatment is recommended when the inability to straighten the finger causes difficulty with function. Traditionally, Dupuytren’s treatment involves surgery which includes removal of the abnormal tissue, allowing the fingers to straighten. It is impossible to remove all of the diseased tissue. The disease may come back or extend beyond the original area even after surgery. If the contracture has led to stiffness, surgery may involve working on the joints in the fingers. Although usually effective, open Dupuytrens’ surgery may require wound care and can also lead to joint stiffness. Therefore, Hand Therapy is often necessary to achieve best outcomes in recovery. There is a minimally-invasive alternative that is performed in the office. This is known as needle aponeurotomy (or percutaneous fasciotomy). Needle aponeurotomy, uses local anesthesia. It involves cutting contracted fibers beneath the skin with the tip of a small needle. The goal is to cut the ‘cord’ of abnormal tissue, resulting in straighter fingers. This is a less invasive alternative than full surgery. There are many advantages to needle aponeurotomy. The time spent at the office is minimal compared with time spent in the operating room. A recent study has shown that needle aponeurotomy is an effective, long lasting, and safe Dupuytren’s contracture treatment. Like any procedure for Dupuytren’s, there is a chance of recurrence and need for further surgery. Also, the cost of the procedure in the Florida Hand Center office is significantly less than when performed in the hospital. Recovery generally takes one week, and most activity can be resumed immediately after the procedure.