Treatment FAQ

what is muscular dystrophy treatment

by Dr. Geovany Wisoky Published 3 years ago Updated 2 years ago
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Treatment options include medications, physical and occupational therapy, and surgical and other procedures. Ongoing assessments of walking, swallowing, breathing and hand function enable the treatment team to adjust treatments as the disease progresses.Feb 11, 2022

Medication

The event raised funds for CureDuchenne, a global nonprofit committed to finding a cure for Duchenne muscular dystrophy. To date, the event has helped raise more than $7.5 million for CureDuchenne.

Procedures

  • Upward slanting eyes
  • Small, low set ears
  • Small nose with a flat nasal bridge
  • Flattened face
  • Short neck
  • A tongue that sticks out
  • Small hands and feet
  • Single palmar crease (line across the palm)
  • Curved and small pinky fingers
  • Hypotonia (low muscle tone)

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Therapy

Muscular dystrophy can affect you emotionally as well as physically. Support groups and organisations may help you understand and come to terms with your condition. They can also provide useful advice and support for people who care for those with MD.

Self-care

  • Cardiac care. ...
  • Contractures. ...
  • Diet and nutrition. ...
  • Exercise. ...
  • Cognitive and behavioral disorders. ...
  • Medications. ...
  • Immunizations. ...
  • Physical and occupational therapy. ...
  • Respiratory care. ...
  • Spinal curvatures. ...

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Nutrition

See more

Can you be cured of muscular dystrophy?

What is the life expectancy of someone with dystrophy?

How to help someone with muscular dystrophy?

What treatments are suggested for DMD?

See more

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Can muscular dystrophy be treated?

There's currently no cure for muscular dystrophy (MD), but a variety of treatments can help to manage the condition. As different types of MD can cause quite specific problems, the treatment you receive will be tailored to your needs.

How does a person get muscular dystrophy?

In most cases, muscular dystrophy (MD) runs in families. It usually develops after inheriting a faulty gene from one or both parents. MD is caused by mutations (alterations) in the genes responsible for healthy muscle structure and function.

Is muscular dystrophy serious?

It often begins by affecting a particular group of muscles, before affecting the muscles more widely. Some types of MD eventually affect the heart or the muscles used for breathing, at which point the condition becomes life-threatening. There's no cure for MD, but treatment can help to manage many of the symptoms.

Is muscular dystrophy life long?

Until recently, children with Duchenne muscular dystrophy (DMD) did not often live beyond their teens. However, improvements in cardiac and respiratory care mean that life expectancy is increasing, with many DMD patients reaching their 30s, and some living into their 40s and 50s.

What are usually the first signs of muscular dystrophy?

Signs and symptoms, which typically appear in early childhood, might include:Frequent falls.Difficulty rising from a lying or sitting position.Trouble running and jumping.Waddling gait.Walking on the toes.Large calf muscles.Muscle pain and stiffness.Learning disabilities.More items...•

Is muscular dystrophy painful?

We also asked people about where they experience pain most frequently. People responded that they most frequently felt pain in the lower back and legs. Back pain was reported in 66% of people with MMD and 74% of people with FSHD. Leg pain was reported in 60% of people with MMD and 72% of people with FSHD.

What are 3 types of muscular dystrophy?

Types of Muscular DystrophyDuchenne Muscular Dystrophy. ... Becker Muscular Dystrophy. ... Congenital Muscular Dystrophy. ... Myotonic Muscular Dystrophy. ... Limb-Girdle Muscular Dystrophy. ... Facioscapulohumeral Muscular Dystrophy. ... Emery–Dreifuss Muscular Dystrophy. ... Distal Muscular Dystrophy.More items...

Why can muscular dystrophy lead to death?

Background: Muscular dystrophies (MDs), characterized by progressive muscle wasting, are associated with 1 in 2,500 deaths in the United States. Although treatments slow the progression, these disorders lead to early death, usually due to cardiac or respiratory failure.

What are the final stages of muscular dystrophy?

What Are the Stages of Muscular Dystrophy?Stage 1: Early Ambulatory. Stage 1: Early ambulatory stage.Stage 2: Late Ambulatory. Stage 2: Late ambulatory stage.Stage 3: Nonambulatory. Stage 3: Nonambulatory stage.

Can you live a normal life with muscular dystrophy?

Some types of muscular dystrophy typicallyaffect only males; some people with MD enjoy a normal life span with mild symptoms that progress very slowly; others experience swift and severe muscle weakness and wasting, dying in their late teens to early 20s. The various types of MD affect more than 50,000 Americans.

At what age is muscular dystrophy diagnosed?

Muscular dystrophy is usually diagnosed in children between 3 and 6 years of age. Early signs of the illness include a delay in walking, difficulty rising from a sitting or lying position, and frequent falling, with weakness typically affecting the shoulder and pelvic muscle as one of the initial symptoms.

How old is the oldest person with muscular dystrophy?

The oldest DMD patient he knows is a 54-year-old man in the Netherlands, who had two brothers with Duchenne; one died at 15, the other at 41. “I know quite a few older people with Duchenne who have all sorts of different mutations,” Rey-Hastie said.

What tests can be done to determine if you have muscular dystrophy?

Enzyme tests. Damaged muscles release enzymes, such as creatine kinase (CK), into your blood. In a person who hasn't had a traumatic injury, high blood levels of CK suggest a muscle disease. Genetic testing. Blood samples can be examined for mutations in some of the genes that cause types of muscular dystrophy.

How to keep joints flexible with muscular dystrophy?

Range-of-motion and stretching exercises. Muscular dystrophy can restrict the flexibility and mobility of joints. Limbs often draw inward and become fixed in that position. Range-of-motion exercises can help to keep joints as flexible as possible. Exercise.

What is the FDA approved medication for Duchenne Dystrophy?

Heart medications, such as angiotensin-converting enzyme (ACE) inhibitors or beta blockers, if muscular dystrophy damages the heart.

Why do people with muscular dystrophy need a ventilator?

Some people with severe muscular dystrophy need to use a machine that forces air in and out of their lungs (ventilator).

What is muscle biopsy?

Muscle biopsy. A small piece of muscle can be removed through an incision or with a hollow needle. Analysis of the tissue sample can distinguish muscular dystrophies from other muscle diseases. Heart-monitoring tests (electrocardiography and echocardiogram).

Can muscular dystrophy cause respiratory infections?

Respiratory infections can become a problem in muscular dystrophy. So, it's important to be vaccinated for pneumonia and to keep up to date with influenza shots. Try to avoid contact with children or adults who have an obvious infection.

Is there a cure for muscular dystrophy?

Although there's no cure for any form of muscular dystrophy, treatment for some forms of the disease can help extend the time a person with the disease can remain mobile and help with heart and lung muscle strength. Trials of new therapies are ongoing. People with muscular dystrophy should be monitored throughout their lives.

How does muscular dystrophy affect you?

Muscular dystrophy can affect you emotionally as well as physically. Support groups and organisations may help you understand and come to terms with your condition. They can also provide useful advice and support for people who care for those with MD.

What is the name of the medicine that is used to treat Duchenne MD?

Ataluren. Ataluren is a newer medicine that has been developed to treat some children with Duchenne MD aged 5 or older who can still walk. Ataluren comes as granules provided in sachets. The contents of each sachet are mixed into liquids or semi-solid food (such as yoghurt) and then swallowed.

How long does Duchenne MD last?

In people with Duchenne MD, corticosteroid medication (steroids) has been shown to improve muscle strength and function for 6 months to 2 years, and slow down the process of muscle weakening.

What can help with swallowing problems?

If necessary, surgery can also be used to treat swallowing problems.

How to treat a sprained shoulder?

Other kinds of surgery may be used to treat specific symptoms: 1 droopy eyelids can be lifted away from the eyes to improve vision 2 tight joints caused by tendon contractures can be loosened to improve movement by lengthening or releasing the tendons 3 weak shoulder muscles may be improved by surgically fixing the shoulder blades to the back of the ribs (scapular fixation) – however, there haven't been any trials to evaluate the effectiveness of this treatment

Why do you need surgery for MD?

In some severe cases of MD, surgery may be necessary to correct physical problems that can occur as a result of the condition. For example, if your child has Duchenne MD, there's a chance they'll develop scoliosis.

What are the physical problems associated with MD?

As MD progresses, it weakens your muscles and you gradually begin to lose mobility and strength. These physical problems can be helped with: physiotherapy, which can be useful for maintaining muscle strength, preserving flexibility and preventing stiff joints.

Why do people with DMD have muscle weakness?

People who have DMD experience progressive muscle weakness because they do not have enough dystrophin (a protein) to help keep the muscles strong and healthy. Although every person is different, the muscle weakness in DMD often follows a certain path.

Why is it important to have a DBMD?

Preventing lung infections, such as pneumonia, is important for healthy breathing. It is important that people who have DBMD get vaccinations to prevent pneumonia. They also might need manual and mechanically assisted support to stimulate coughing when they have a cold or infection.

Why do people with DBMD have issues?

These issues might be caused by the condition, they might be side effects of using medications to treat health issues, or they might be a result of the emotional and mental health challenges that accompany living with muscular dystrophy.

How does DBMD affect the heart?

DBMD affects muscles in the heart. As people with the condition grow older, their heart muscles get weaker. The heart muscle becomes weak and might not pump blood into the body properly. The heart also might beat either too fast or too slow. People with DBMD should have their heart checked regularly.

What are the health problems associated with DBMD?

People with DBMD can have diet, nutrition, and digestion issues. These problems can change over time and include being underweight or overweight, and having swallowing problems, heartburn, and constipation (bowel movements which are infrequent, difficult, or both).

What happens when you get older with DBMD?

As people with DBMD grow older, the muscles that support breathing get weaker. Signs of trouble with breathing can include shortness of breath, fatigue (that is, being very tired all the time), headaches, and trouble sleeping.

Do people with DBMD need to tell their doctors they are taking steroids?

Steroids can have serious side effects. It is important that people with DBMD tell all of their health care providers that they are taking steroids. This is especially important when people who have DBMD are having surgery, have an infection, or are injured.

What causes muscular dystrophy?

Causes of muscular dystrophy. Muscular dystrophy is a genetic disorder. It is caused by genetic information that is wrong or even missing. These mutated genes prevent your body from creating the proteins necessary to develop and grow healthy muscles.

What tests are used to determine muscular dystrophy?

Exercise tests: Your doctor may want to measure your strength to find out how muscular dystrophy is affecting your body. Imaging tests: These may include magnetic resonance imaging ( MRI) and ultrasound scans which are used to measure the fat content of your muscles.

How long does it take for muscular dystrophy to spread?

The shoulders and pelvis are usually the first areas where muscular dystrophy presents itself. While it may take many years , muscular dystrophy will eventually spread to affect major nerves and muscle groups throughout the body.

How to prevent muscular degeneration?

Maintaining physical independence is the best way to prevent further muscle degeneration. For this reason, physical therapy is highly recommended for people with muscular dystrophy. A physical therapist can help you or your child focus efforts on the specific muscle groups affected by the disease. These therapies can increase your strength ...

Can muscular dystrophy be diagnosed?

Diagnosis for muscular dystrophy. In children with muscular dystrophy, your doctor may be cautious with a diagnosis at first. The symptoms of the disease may actually point toward delayed muscular development rather than dystrophy. Your doctor may first create a referral for physical therapy to strengthen your child’s muscles.

Can muscular dystrophy be treated with medication?

Medication. Medication may be prescribed to help with pain, but there is no cure for the disease. Since the heart and respiratory muscles can weaken during the course of muscular dystrophy, respiratory care will eventually be necessary.

What is muscular dystrophy?

Muscular dystrophies are a group of muscle diseases caused by mutations in a person’s genes. Over time, muscle weakness decreases mobility, making everyday tasks difficult. There are many kinds of muscular dystrophy, each affecting specific muscle groups, with signs and symptoms appearing at different ages, and varying in severity.

Can muscular dystrophy run in families?

Muscular dystrophy can run in families, or a person can be the first in their family to have a muscular dystrophy. There may be several different genetic types within each kind of muscular dystrophy, and people with the same kind of muscular dystrophy may experience different symptoms. Muscular dystrophies are rare, ...

Is Becker muscular dystrophy the same as Duchenne muscular dystrophy?

Duchenne/Becker (DMD/BMD) Duchenne muscular dystrophy (DMD) and Becker muscular dy strophy (BMD) can have the same symptoms and are caused by mutations in the same gene. BMD symptoms can begin later in life and be less severe than DMD. However, because these two kinds are very similar, they are often studied and referred to together (DBMD).

Why is muscular dystrophy caused?

Muscular dystrophy occurs when one of these genes is defective. Each form of muscular dystrophy is caused by a genetic mutation particular to that type of the disease. Most of these mutations are inherited.

What are some examples of muscular dystrophy?

Some types of muscular dystrophy are defined by a specific feature or by where in the body symptoms begin. Examples include: Myotonic. This is characterized by an inability to relax muscles following contractions. Facial and neck muscles are usually the first to be affected.

What are the symptoms of Duchenne muscular dystrophy?

Although girls can be carriers and mildly affected, it's much more common in boys. Signs and symptoms, which typically appear in early childhood, might include: Frequent falls. Difficulty rising from a lying or sitting position.

What muscles are affected first with muscular dystrophy?

Limb-girdle. Hip and shoulder muscles are usually affected first. People with this type of muscular dystrophy might have difficulty lifting the front part of the foot and so might trip frequently. Onset usually begins in childhood or the teenage years.

When does Becker muscular dystrophy start?

Becker muscular dystrophy. Signs and symptoms are similar to those of Duchenne muscular dystrophy, but tend to be milder and progress more slowly. Symptoms generally begin in the teens but might not occur until the mid-20s or later.

Is muscular dystrophy a risk factor?

Muscular dystrophy occurs in both sexes and in all ages and races. However, the most common variety, Duchenne, usually occurs in young boys. People with a family history of muscular dystrophy are at higher risk of developing the disease or passing it on to their children.

Is there a cure for muscular dystrophy?

Symptoms of the most common variety begin in childhood, mostly in boys. Other types don't surface until adulthood. There's no cure for muscular dystrophy. But medications and therapy can help manage symptoms and slow the course of the disease.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
There is no cure for muscular dystrophy and treatment aims at managing the symptoms.
Medication

Corticosteroid medications: Used to improve muscle strength and slow down muscle weakness.

Prednisone


Creatine supplements: Used to improve muscle strength.

Creatine


Heart medications: Used to improve working of heart muscles.

Acebutolol . Atenolol

Procedures

Percutaneous endoscopic gastrostomy (PEG): Inserting a feeding tube into the stomach so as to help in feeding.

General surgery: Surgeries are carried out to treat complications such as scoliosis, droopy eyelids and tendon contractures.

Therapy

Exercise therapy:Low-impact exercises to improve muscle functioning such as swimming.

Physical therapy:To maintain muscle strength, flexibility, and prevent joint stiffness.

Occupational therapy:Using different techniques to help improve or maximize working independently.

Self-care

Always talk to your provider before starting anything.

  • Get pneumonia vaccination done to prevent respiratory infections.
  • Eat a nutritious and well balanced diet.
  • Do not miss your follow-up visits.

Nutrition

Foods to eat:

  • Foods rich in protein like fish meat and beans
  • Foods rich in vitamin D like eggs and fish like salmon
  • Foods rich in vitamin C like citrus fruits papaya and kiwi
  • Foods rich in healthy fats like oily fish and nuts
  • Whole grains fresh fruits and vegetables are also essential in This condition
  • Foods rich in calcium like cabbage, broccoli and okra

Foods to avoid:

  • Caffeinated beverages like tea and coffee
  • Alcoholic beverages
  • Foods rich in sugars like cakes and cookies
  • Foods like bread and pasta

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.
Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Cardiologist
Specializes in the diagnosis and management heart related disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Orthopedician
Specializes in bones and their disorders.

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