Effect of Transfer Energy Capacitive and Resistive Therapy on Palmar Fibromatosis

Inclusion Criteria: * Ages of patients will be ranged from 40 to 70 years. * Presence of palpable cords and/or digital contracture ≥ 20° at the metacarpophalengeal joint or Proximal interphalengeal joint joints . * Clinical diagnosis confirmed by a hand surgeon or relevant specialist. * All patients will enter the study having their informed consent Exclusion Criteria: * Patient with severe contracture \>30° or multiple digit involvement requiring surger. * History of surgical release (fasciotomy, fasciectomy) or collagenase injection in the affected hand. * Presence of infection, ulceration, or skin lesions on the treatment area. * Presence of pacemakers, metal implants, or other electronic implants in the treatment area. * Active cancer or tumor in the treatment region. * Pregnancy. * Conditions such as stroke, Parkinson's disease, or rheumatoid arthritis that may confound results. * Cognitive impairment, psychiatric illness, or other barriers to protocol adherence