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Deformity Correction & Rehabilitation Clinic

by Dr Gurcharan Lal Arora

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Myopathy Cases Treated

Myopathy Treatment Delhi, Noida, NCR

Emergency Treatment Available : Yes

Any Age Limit : No

Follow-up Required : Yes

Digital X-ray Available: Yes

Hospitalization Required :Yes (If treated by surgery)

Blood Sample Collection facility : Available

Physiotherapy Treatment : Yes, Required & Available (Well Equipped Physiotherapy Department)

About the Procedure : Please check the Procedure Description Box below 

Myopathy simply means the disease of a muscle. The myopathies decrease the quality of life considerably and are very difficult to treat. They cause the weakness in limb muscles, face muscles and even in the core. The myopathies give rise to many deformities and thus need timely help and diagnosis of the condition.  The myopathies can be of two types:

Inherited/congenital

This type of myopathy is present by birth and is progressive, such as Muscular dystrophy. In the congenital myopathies, the child has muscle weakness and skeletal muscle abnormalities.

Acquired

These can arise due to an effect of a medication or due to the inflammation in the muscle. These represent symptoms like muscle stiffness, muscle pain, and cramps. They are mostly not as debilitating as the genetic ones.

Muscular Dystrophy – This is the most common and the most debilitating myopathy. It has many types and is progressive in nature. Which means, the child’s condition keeps on deteriorating, the proper treatment, timely surgeries can delay the progress of the disease though. Some muscular dystrophies progress slower than the others. You must consult your doctor if you think that your child has difficulty in getting up, walking and other physical activities, as compared to his peers.

Diagnosis & Treatment of Myopathies

Some myopathies are easily diagnosed just with typical symptoms such as Muscular Dystrophy, while others need a muscle biopsy to confirm the diagnosis.

After the confirmation of diagnosis the treatment gets started, the treatment of the myopathies are different depending upon the type of myopathy the patient has. The most common treatment approaches for myopathy treatment are

1. Immunosuppressive Medicines – As the body starts attacking its own immune system in many types of myopathies, the immunosuppressants are prescribed to the patient. Along with that the supportive drugs and muscle relaxants in case of excessive stiffness are given.

2. Physical Therapy – The physical therapy is a very important part of the myopathy treatment process, it helps in gaining strength in the weakened muscles, improves the quality of life of the patient and also helps in relaxing the stiff muscles.

3. Braces/Orthotic Devices – These braces are provided to assist the child in walking, doing his daily activities and to prevent the deformities. The braces are also used to correct the deformities.

4. Surgery – The limb and spine deformities develop in children with more debilitating myopathies like Duchenne muscular dystrophy. In order to correct them, the surgical measures are taken into consideration if the braces fail to correct it. The most common surgeries are the surgical release of contractures (tight, shortened muscles) and scoliosis (C or S-shaped spine) correction surgery (spinal fusion).

Question 1. What are the signs of congenital myopathy in a kid?

Answer. The signs of congenital myopathy are muscle weakness, frequent falls, inability to get up from sitting position, inability to stand erect or inability to climb stairs etc. If the child is showing these symptoms while other kids of his age are able to perform these daily activities, then you must consult the doctor as soon as possible.

Question 2. Can muscular dystrophy be treated fully?

Answer. Medical science hasn’t found a complete cure of the muscular dystrophy yet but the symptomatic treatment helps the child a lot. It helps in giving a better quality of life to him.

Question 3. Are boys more prone to this muscular dystrophy?

Answer. Yes, two main types of muscular dystrophies occur only in boys. Which makes the male gender prone to this debilitating disease.

Question 4. How can the surgery help?

Answer. Surgery is done only where it is really required. Such as if the child has contractures and they are not getting corrected with the use of braces or orthotics etc. Same is the case with spinal surgeries, the correction of spinal deformity also lets the child breathe properly thus preventing any pulmonary complications.

Question 5. Will exercise help in myopathy cases?

Answer. Yes, it certainly helps in alleviating the pain and stiffness. You must start the exercise after consulting the orthopedic doctor as the wrong exercises can do more harm than good.

HariOm- Myopathy and CTEV Patient stood up after 8 years and is now walking! Amazing!

Hariom Pandey is an 8 year old boy, unable to stand due to paresis (weakness) of lower limbs all his life due to Severe wasting and flexion contracture (unable to straighten up) at hips and knees. Patient also had rigid CTEV (clubfoot) in both the limbs. On passive extension of hip and knees, the flexion contracture is there at 90 degrees. Surgery was done – Stage 1 – distractors were applied for both knee flexion contractures After 3 weeks – POP cast for 4 weeks Stage 2 – Both side clubfoot CTEV correction Result – Patient started walking with the help of braces and walker after 14 months of surgery.

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