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Difficulty while climbing stairs or raising from floor, bulky calf muscle, walking down normal. Is it muscular dystrophy or Vit D deficiency ?

Sirs/Madams, My wife has difficulty while climbing the stairs or big steps and raising from the floor for the past nine years Her details are Age 32 years Blood CPK : Ranges from 1040 to 1400 now (six months before it was 2200) Vitamin D Level: Initially it was 6 ng and now, it is 30 after six months medication (was not exposed sun earlier) Water : Was drinking 500ml to 1 litre only. From the past two days, she started drinking 2 litres of water daily ENMG/NCS : normal Thyroid: Normal NO waste muscles Bulky calf: All her family members has bulky calf muscle urine myoglobin: Negative normal walking : Easily upto 1 hour Not able to walk on heels While climbing the stairs, keeps the legs wider (problem with left leg) and can get down from stairs as normal person All other Rhenocologist test are normal Please let me know whether it is a muscular dystrophy or weakness due to vitamin d deficiency. Best regards
Asked On : Sun, 20 Jan 2013
Answers:  2 Views:  71
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Orthopaedic Surgeon 's  Response

I have studied your case.

I will advise for muscle biopsy and PCR levels,
ACCP test for rheumatoid arthritis is more specific.

A newer hope has come with research for dystrophy VBP15, a novel anti-inflammatory and membrane-stabilizer, improves muscular dystrophy without side effects

But you will have to wait till medicine comes after passing all trial.

You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If required you can use orthotic supportive for improving walking.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
Answered: Tue, 31 Dec 2013
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Orthopaedic Surgeon Dr. Kunal Bhalla's  Response
Hi there.
Your symptoms and test results point towards a muscular disorder rather than a vitamin deficiency.
Vitamin D deficiency does not cause such a clinical picture.
You are heading in the right direction of treatment.
I would also advice a serum electrolyte blood test before starting anything specific for treatment.
Good luck
Answered: Tue, 31 Dec 2013
I find this answer helpful
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