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Suggest treatment for myopathy

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Posted on Tue, 15 Sep 2015
Question: What treatment is there against myopathy? I HAVE A MILD GENERALISED MYOPATHY. ITS PERIPHERAL SENSORY NEUROPATHY IN BOTH LOWER LIMBS.
doctor
Answered by Dr. Ajay Panwar (39 minutes later)
Brief Answer:
Please tell your clinical datails.

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I have gone through your investigation reports.EMG says myopathic potentials and Sural snaps are absent on NCV.
I am trying to make a clinical impression in background of normal Cpk levels but I need to know the clinical details beforehand.

Please tell me your clinical history in the follow up query and if possible,please upload the case sheet in which your treating physician noted his examination findings.

Waiting for your follow up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ajay Panwar (15 hours later)
Hello doctor,
I have this from my birth and it is heridatory in my family. I cannot standup from floor without touching my hand to the floor. I have attached all the reports. I dont have the case sheet. I want to know is there any alternative thearapy by which i can get rid off this.
doctor
Answered by Dr. Ajay Panwar (13 minutes later)
Brief Answer:
What is the diagnosis?

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

It seems to be a predominant myopathy component.Is your final diagnosis established?If yes,what is it?I mean,which type of myopathy?Is it a limb girdle type?
Prognosis depends on the diagnosis.

Though,in general,I can say that there is nothing much to offer in treatment for most of the hereditary myopathies.Please continue physiotherapy.

If you have any further question,I shall be glad to answer else please close the thread.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (6 hours later)
Hi doc,

What do you mean by final diagnosis? kindly let me know if i have to go for further diagnosis if any? My doctor asked me to consult physio and do exercise thats it.
If you explain "Sural snaps are absent on NCV" would be much better as dont understand what does this mean.
doctor
Answered by Dr. Ajay Panwar (3 hours later)
Brief Answer:
As follows:

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

With final diagnosis,I mean that what type of myopathy is this or in other words,what is the cause of myopathy?Is it hereditary-if yes,what type of hereditary myopathy.Different myopathies may have different prognosis.

sural nerve is a sensory nerve responsible for sensations perception in lower limbs.When sural electrical potentials(called as snaps) are absent,it means that sural nerve is not functioning well.

If you have any further questions,I shall be glad to answer.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ajay Panwar

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Suggest treatment for myopathy

Brief Answer: Please tell your clinical datails. Detailed Answer: Hi XXXXXXX Thanks for being on healthcaremagic. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I have gone through your investigation reports.EMG says myopathic potentials and Sural snaps are absent on NCV. I am trying to make a clinical impression in background of normal Cpk levels but I need to know the clinical details beforehand. Please tell me your clinical history in the follow up query and if possible,please upload the case sheet in which your treating physician noted his examination findings. Waiting for your follow up. Regards Dr.Ajay Panwar, MD,DM(Neurology)