Episode 15: Dupuytren's Disease: Treatment Options, Surgical Pearls, and Emerging Therapies with Michael Gottschalk, MD

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Michael Gottschalk, MD, of Emory University, to discuss the full spectrum of treatment options for Dupuytren's disease. Dr. Gottschalk shares his approach to patient selection and intervention thresholds, including how he weighs objective clinical findings against functional limitations. The conversation covers management of early-stage nodules, counseling patients on the Dupuytren's diathesis, and how to choose between collagenase injection, needle aponeurotomy, and open fasciectomy.Dr. Gottschalk also offers detailed technical pearls on his needle aponeurotomy technique, staged treatment for severe PIP contractures using the Digit Widget, open fasciectomy dissection strategies, and post-operative rehabilitation protocols. The episode closes with a discussion on managing recurrent disease, the role of radiation therapy, and emerging pharmacologic treatments on the horizon.The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcastLearn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/