Dupuytren contracture is a painless thickening and contracture of the tissue beneath the skin on the palm of the hand and finger. One or both hands may be affected. The ring finger is affected most often, followed by the little, middle, and index fingers. A small painless nodule or lump develops in the tissue below the skin on the palm side of the hand. Over time, it thickens into a cord-like band. This makes it difficult to then extend or straighten the fingers. In severe cases, straightening them is impossible. Your doctor may recommend exercises, warm water baths, splints, or surgery for treatment depending on the severity of the contracture along with other factors.