Living With

Dear Friends:

In 1992, at the age of 32, I was diagnosed with inclusion-body myositis (IBM).

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Why Does It Take So Long To Go from Mouse to Man?

John Porter from the National Institutes of Health likes to start talks by noting, “It’s a great time to be a mouse with a neuromuscular disease.” Exciting research results are regularly reported, where a treatment appears to cure one neuromuscular disease or another in a mouse — yet there are few treatments available today for people with any of these diseases, and only a few treatments in human clinical trials. Why does it take so long?

Research Briefs: FA, MG, MM, MMD1, gene therapy

Edison drugs target FA, mitochondrial diseases

Going to the Emergency Room: Tips for People with Neuromuscular Diseases

When a medical emergency strikes — and the patient is a person with a neuromuscular disease— it’s not just getting to the emergency room quickly that’s critical. It’s also critical to ensure the ER staff understands the patient’s special needs caused by muscle disease.

Clinical Trials

About clinical trials

A clinical trial is a test in humans of an experimental medication or therapy. Clinical trials are experiments, not treatments, and participation requires careful consideration.

Although it's possible to benefit from participating in a clinical trial, it's also possible that no benefit — or even harm — may occur. Keep your MDA clinic doctor informed about any clinical trial participation. (Note that MDA has no ability to influence who is chosen to participate in a clinical trial.)

Research

Recent MDA-supported research in distal muscular dystrophy (DD) has concentrated on understanding how the gene defects that cause this diverse group of diseases affect the proteins made from these genes, and in turn how these protein abnormalities affect muscle tissue.

When the protein and tissue abnormalities are understood, it is hoped, potential avenues of treatment will reveal themselves.

Medical Management

Problems and solutions in distal muscular dystrophy (DD)

Forearm and hand weakness

Your MDA clinic can refer you to an occupational therapist who can help you get the most out of your hand and forearm muscles in performing day-to-day activities. Often, the therapist can recommend devices that may improve grip strength or help support your arms for using a keyboard or eating.

Lower leg and foot weakness

Causes/Inheritance

What causes distal muscular dystrophy (DD)?

All the forms of muscular dystrophy are inherited — that is, they’re caused by mutations (changes) in a person’s genes. Our genes are made of DNA and reside in our chromosomes. Each gene contains the “recipe” for a different protein and its variations, and these proteins are necessary for our bodies to function correctly.

Diagnosis

What tests are used to diagnose distal muscular dystrophy (DD)?

In diagnosing any form of muscular dystrophy, a doctor usually begins by taking a patient and family history and performing a physical examination. Much can be learned from these, including the pattern of weakness. The history and physical go a long way toward making the diagnosis, even before any complicated diagnostic tests are done.

Signs and Symptoms

What happens to someone with distal muscular dystrophy (DD)?

Typically, the first symptom of distal muscular dystrophy (DD) is weakness in the distal muscles — those farthest away from the hips and shoulders such as those in the hands, feet, lower arms or lower legs. With time, other muscle groups may become affected as well.

Intellect isn’t affected in this disease.

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