We lived in a very small town in Adirondacks. No one diagnosed PMR until Mayo, Minn. and U. of Vermont, Burlington. I brought up the funny lumps in my hands, Mayo did a MRI but Dupuytrens was not mentioned. In Burlington they said to leave it alone and again no mention of Dupuytrens.
Were in South New Jersey and the Rheumatologist I'm seeing to keep an eye on PMR did a ultra sound and suggested I see a hand surgeon. Going next week.
My only pain is when I touch the area of my palm and I have no lack of control, can still chord my guitar...but I do have dropsy. Little things kind of drop out of my hand. Has been like this for 3 years or more. Not really a problem
Is it inevitable it will worsen?

Thanks for your thoughts,