I have a patient with what seems to present as bilateral Dupuytren's contractures in his hands (R>L). It is undiagnosed (referred by PCP, I told him to look into hand specialists/Dupuytren's specialists). This is just my diagnosis. However, he also has a huge fibrosis nodule under his right arch. He had surgery on his right hand to release the tendons a few years ago with success... but the tendons have tightened again and are becoming very fibrotic. I have been performing IASTM with minimal results. Has anyone tried needling for this condition/presentation? Any other info you'd like to know? He denies any genetic influence... he does admit to many years overusing his hands with football and yardwork. He's a healthy middle-aged man with no cormorbidities. I'll try to get pictures later.