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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can myasthenia gravis be treated?

I have myasthenia gravis. I get frequent neck aches and subsequent headaches. I use mestinon, imuran and get IVIG q 10 wks. I have had physical therapy a few times. The massage gives me temporary relief Sometimes I do get relief when using mestinon and sometimes not. What else might it be or can I do?
Fri, 17 Aug 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Myesthenia gratis is an autoimmune disease. Where muscles are weakened & destroied by altered nerve stimulus by destroying a chemical Acetyl choline. So the treatment consists of

-Drugs like Acetylcholinesterase inhibitors/drugs to suppress autoimmune response of body like steroids.

Accompanied physiotherapy ,massage therapy helps in daily maintenance of muscle health. Avoiding psychological stress &exposure to heat help. Removal of parathyroid gland surgically helps at certain stage of disease.

Hope I have answered your query. Let me know if I can assist you further.
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