Treatment FAQ

what is the treatment of muscular dystrophy

by Brandyn Walker 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

Treatments can include steroid medications to maintain muscle strength as long as possible; stretching and other exercises specifically designed for people with muscular dystrophy; braces and splints; assistive devices such as wheelchairs, computer technology, and lifting devices to help people with DBMD continue their daily activities; and surgery to prolong walking.

Procedures

In people with Duchenne MD, corticosteroid medicine (steroids) has been shown to improve muscle strength and function for 6 months to 2 years, and slow down the process of muscle weakening. Steroid medicine for Duchenne MD is available in tablet or liquid form, and current research suggests a daily dose is most effective.

Therapy

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.

Self-care

Jan 28, 2021 · The best treatment for muscular dystrophy depends on the type and progression. It is treated with physical therapy, medication and surgery. There is no cure for muscular dystrophy, but treatment can help you maintain your independence and strengthen your muscles. With an early diagnosis, it is possible for you to maintain a good quality of life.

Nutrition

Sep 07, 2021 · Treatments for muscular dystrophy include: Medications Glucocorticoids, such as prednisone to reduce inflammation Immunosuppressants may help delay damage to dying muscle cells Anticonvulsants to help control seizures and some muscle spasms Antibiotics to treat respiratory infections Eteplirsen for Duchenne muscular dystrophy Physical therapy

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10 rows · There is no cure for muscular dystrophy. Whatever treatments that are available, they only ...

Can you be cured of muscular dystrophy?

Apr 13, 2022 · Treatment for muscular dystrophy can help manage the condition and some of its symptoms, but it can’t cure it, Dr. Segil says. “For much of …

What is the life expectancy of someone with dystrophy?

Dec 01, 2018 · INTRODUCTION. Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are muscular wasting disorders that affect both skeletal and cardiac muscle and result from mutations in the dystrophin gene (Le Rumeur, 2015).Dystrophin is a protein encoded by the longest human gene, which is over 2.3 million base pairs long and has complex …

How to help someone with muscular dystrophy?

What treatments are suggested for DMD?

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Can muscular dystrophy be treated?

There's no cure for muscular dystrophy. But medications and therapy can help manage symptoms and slow the course of the disease.Feb 11, 2022

Are there any new treatment for muscular dystrophy?

Today, the U.S. Food and Drug Administration granted approval for Amondys 45 (casimersen) injection for the treatment of Duchenne muscular dystrophy (DMD) in patients who have a confirmed mutation of the DMD gene that is amenable to exon 45 skipping (Exons are pieces of DNA that provide information for making proteins ...Feb 25, 2021

Can muscular dystrophy be stopped?

Unfortunately, there isn't anything you can do to prevent getting muscular dystrophy. If you have the disease, these steps can help you enjoy a better quality of life: Eat a healthy diet to prevent malnutrition.Jun 22, 2020

Can you live a long life with muscular dystrophy?

Life expectancy for muscular dystrophy depends on the type. Some children with severe muscular dystrophy may die in infancy or childhood, while adults who have forms that progress slowly can live a normal lifespan. Muscular dystrophy refers to a group of disorders that cause muscle weakness and usually run in families.Nov 5, 2020

What vitamins help with muscular dystrophy?

A multivitamin daily: containing the antioxidant vitamins A, C, E, the B-vitamins and trace minerals, such as magnesium, calcium, zinc, and selenium. Calcium and vitamin D supplement: 1 to 2 tablets daily, for support of muscle and skeletal weakness.

Who treats muscular disorder?

Orthopedist or orthopedic surgeon These doctors specialize in the bones and joints and the muscles attached to the bones. In muscular dystrophy, muscles around the joints can become contracted, which means fixed or frozen in a certain position.Jun 26, 2020

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...

Is muscular dystrophy painful?

Many people living with Duchenne complain of pain. In a recent study of 55 patients ages 12-18 years old living with Duchenne or spinal muscular atrophy (SMA), 55% complained of mild/moderate, persistent or chronic pain1.

What organs does muscular dystrophy affect?

Some types of MD also affect the heart, gastrointestinal system, endocrine glands, spine, eyes, brain, and other organs. Respiratory and cardiac diseases may occur, and some people may develop a swallowing disorder.

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.Feb 8, 2019

What is the average age of diagnosis for muscular dystrophy?

DMD is the most common childhood onset form of muscular dystrophy and affects males almost exclusively. The birth prevalence is estimated to be 1 in every 3,500 live male births. Age of onset is usually between 3 and 5 years of age.

Do adults get muscular dystrophy?

Myotonic muscular dystrophy is the most common form in adults. People who have it can't relax their muscles after they contract. It can affect both men and women, and it usually starts when people are in their 20s. Congenital muscular dystrophy starts at birth or shortly afterwards.Nov 19, 2020

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.

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.

Can a DBMD patient breathe at night?

People with DBMD might have trouble breathing at night and might need to use a machine to help take a deep breath. Over time, they might find it difficult to breathe during the day, and might need a machine to help them both day and night. As the condition progresses, the lungs become weaker.

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.

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 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

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.

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).

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.

How many types of muscular dystrophy are there?

What are the Types of Muscular Dystrophy. There are mainly 9 types of muscular dystrophy which vary in symptoms, age of onset, severity and rate of progression. Some are named after the muscle they affect.

Why is muscular dystrophy caused?

It is mostly caused by the mutation of genes that are responsible for the structure and function of muscle, leading to weakness in muscles and disability. The disease is caused due to interference in the formation of a protein called dystrophin which is required for normal functioning of muscles. Muscular dystrophy is mostly inheritable ...

What is the best treatment for Duchenne disease?

Ataluren is a new medicine to treat Duchenne disease patients of age 5 years or older who can still walk. Lots of research is happening to develop new treatments for the disease. Some examples are exon skipping, use of stem cells to regenerate damaged muscle tissue. Also Read: MCQs on Muscular Dystrophy for NEET 2020.

Is there a cure for muscular dystrophy?

There is no cure for muscular dystrophy. Whatever treatments that are available, they only help in managing the condition and slowing the progression. Steroid medication for strengthening muscles. Surgery to correct deformities, cataract and treat cardiac complications.

Can muscular dystrophy cause disability?

There is a loss of strength in muscles, which leads to difficulty in muscle coordination, walking and increases disability and deformation. Muscular dystrophy can occur at any stage of life but it mostly occurs in childhood. Young boys are more prone to disease. Individuals with the disease eventually lose their walking ability ...

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Diagnosis

Treatment

Clinical Trials

Coping and Support

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.

Preparing For Your Appointment

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