Duchenne muscular dystrophy (DMD) is a genetic disease. The main sign of DMD is muscle weakness that worsens over time. Before age 5, the muscles in the legs, arms, and trunk begin to weaken. Later in the disease, the heart and respiratory muscles weaken.
You will be asked about your child’s symptoms and medical history. A physical exam will be done. You will be asked if there is any family history of neuromuscular disease. The exam will focus on your child’s muscles. Signs of weakness will be looked for. Your child will likely be referred to a specialist.
Your child's bodily fluids and tissues may be tested. This can be done with:
Your child's nerves and muscles may be tested. This can be done with
EMG of the Shoulder
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Talk with your doctor about the best plan for your child. The disease worsens over time. Your child may need different treatments as the disease progresses. Options include the following:
Therapy plays a large role in treating DMD. Your child will work with a therapist to try to keep muscles strong.
The disease causes contractures. This is when a muscle shortens, making it difficult to move. The therapist will focus on preventing this with range of motion exercises.
Scoliosis is common in DMD. Exercises can help to keep the back as straight as possible.
Braces are used to keep the legs straight and prevent contractures. A
may be needed later when the leg muscles become too weak to walk.
Your doctor may prescribe a steroid medication like prednisone. This can help to improve muscle strength and slow muscle weakening. Steroids can weaken bones. To keep bones healthy, your child will take
and calcium supplements. If your child has heart problems, medications may be given to slow the damage.
As the disease progresses, the muscles that support breathing may weaken. Your child may need a ventilator. It will deliver air through a mask, tube, or sometimes through a
surgical hole in the windpipe called a
Surgery is sometimes used to treat symptoms of DMD. For severe contractures, surgery may be done to release specific tendons. Scoliosis can sometimes interfere with your child’s breathing. In this case, back surgery may be done.