This bothersome and functionally limiting condition is caused by the thickening and contracture of the natural bands of tissue that hold the palmar skin firmly in place. Often called the ‘Celtic hand’ or ‘Vikings curse’, it can become a serious issue when the fingers are badly involved. Unfortunately, Xiapex injections are no longer available in Ireland, the UK or Europe. however, I offer minimally invasive needle fasciotomy as well as the established standard treatment of fasciectomy and the radical treatment of dermo-fasciectomy (both of which involve surgery to remove the diseased tissue).