Help re: Doctor's advice

Hi DD folks, I'm in Hong Kong. DD is not common here, but I did find a Dr who studied in the UK and spent 10yrs doing hand surgeries there, majority DD.

I've got insanely painful nodules on left middle & pinky (the worst), only 5degrees contracture. Honestly it was only the pain that led me to see a hand specialist. She discovered two cords thickening in my right hand too 😞

So she offered steroid injections for the pain. (I declined, I'm not in pain often enough yet to warrant it).

So Doc is inclined to avoid needling it due to proximity to nerves and likelihood of regrowth.

Xiaflex is pulled across Asia and Europe. Would cost a whole arm to go private without insurance in the US.

So I'm told that I'm in a stage of "rapid growth" and that I'll likely see contracture of 30deg within six months, at which point surgery.

I just wanted a group-check that this aligns with current medical thinking and options?