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Leroy: Would you like a receipt? neurontin for pain management It also now insists that those with Dupuytren's contracture â when one or more fingers bends inwards towards the palm and cannot be used â have to have it affecting two or more fingers and be "severely impacting on activity of daily living" before action is taken, and that those with trigger finger, which causes pain in the hand, must have at least two injections of corticosteroids at least six weeks apart before they can undergo surgery.