There
is no specific treatment for any of the forms of MD. but doctors
and scientists are working hard to find one. Some scientists
are trying to fix the defective genes that lead to MD so they
will make the right proteins. Others are trying to make chemicals
that will act like these proteins in the body. They hope that
this will help the muscles to work properly in people with
MD.
Because we rely on certain muscles to breathe, some teens
with MD need respiratory aids, such as a ventilator, to help
them breathe. Teens with MD also might need to be treated
for problems like scoliosis, which can be caused by weakened
muscles or muscles that are contracting or pulling too tightly.
Respiratory therapy, physical therapy to prevent painful muscle
contractures, orthopedic appliances used for support, and
corrective orthopedic surgery may be needed to improve the
quality of life in some cases. Cardiac abnormalities may require
a pacemaker. For some types of MD, medication can help. Corticosteroids
such as prednisone can slow the rate of muscle deterioration
in patients with Duchenne MD but causes side effects. Myotonia
is usually treated with medications such as mexiletine, phenytoin,
or quinine.
There are things that teens with MD can do to help their muscles.
Certain exercises and physical therapy can help them avoid
contractures, a stiffening of the muscles near the joints
that can make it harder to move and can lock the joints in
painful positions. Often, teens are fitted with special braces
to ensure flexible joints and tendons (the strong, rubber
band-like tissues that attach muscles to bones). Surgery is
sometimes used to reduce pain and increase movement from contractures.
Doctors are also dedicated to finding the best ways to treat
the symptoms of MD so that kids, teens, and adults with the
disease can live as comfortably and happily as possible. Fortunately,
timely interventions can help slow progression of complications
and maximize your child's quality of life.
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