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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Multi Minicore Disease

I have been diagnosed with multi minicore disease, an apparently rare genetic condition. Although I am now 71 years old, this condition was not diagnosed in me until I was in my late 60s when I consulted my GP regarding my sudden inability to hold my head up because of neck muscle weakness. A muscle biopsy was performed in December 2013 resulting in the above diagnosis. I have been trying to locate a neck brace or collar which will allow me to hold my head up in a normal position, as at the present time I must either force my head up by forcing my chin up with my fist or the open palm of my hand. I have tried a Miami J collar which was promising but was damaged to the point of semi-uselessness by the weight of my head causing buckling of one of the side supports. I was given an Aspen collar by the orthotist to whom I was referred, but it is so uncomfortable that I cannot use it for more than half an hour at a time without unacceptable levels of pressure pain along the jaw line and breast bone. I live alone with my 89 year old husband for whom I must help perform many activities of daily living. Any advice regarding a different type of head and/or neck support would be greatly appreciated. (I am an American citizen residing in the UK as the spouse of a British citizen.)
Mon, 14 Mar 2016
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Orthopaedic Surgeon 's  Response
hi
In britain, it is easier to consult an orthotics expert anfd an orthopedic doctor in a hospital.Four post collar is designed for your purpose which has adjustable screws and may be obtained from rehabilitation centres or prescribed from speiality centres in UK. You GP should be able to guide you better and refer you to an orthotic/orthopedic specialist
thanks
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Suggest Treatment For Multi Minicore Disease

hi In britain, it is easier to consult an orthotics expert anfd an orthopedic doctor in a hospital.Four post collar is designed for your purpose which has adjustable screws and may be obtained from rehabilitation centres or prescribed from speiality centres in UK. You GP should be able to guide you better and refer you to an orthotic/orthopedic specialist thanks