Thursday, June 11, 2009

MUSCULAR DYSTROPHY

Dystrophy occurring at birth but presenting in early childhood. Due to absence or mutation of the gene situated on the short arm of the X-chromosome in bond 1 of region (xp21), the gene being responsible for the production of dystrophin.

Facts


1) It is X-linked disorder and occurs dominantly in boys
2) It manifests in girls when either Turner's syndrome is present or Turner mosaicism is present

Symptoms


1) Around the age of 18-24 months, parents notice abnormality of gait and multiple falls
2) Abnormal manner of rising – the child first goes down on all four limbs then swings the arms on the knees, climbs up the thigh, extends the hips and stands upright
3) Walk becomes a waddle
4) Muscles are hypertrophied and have a characteristic firm rubbery feel
5) Around the age of 9-11 years, child needs support for ambulation
6) Usually death occurs around 16-20 years due to respiratory or cardiac failure

Investigations


1) Electrocardiogram
2) Serum creatinine phosphokinase - a blood test
3) SGOT, SGPT – a blood test

Therapeutic consideration


1) Exercises should be encouraged especially swimming

Ayurveda approach


According to ayurveda, this is a predominantly VATA disorder and said to have serious consequences. If strict diet regime is followed with medicines and exercises, a good number of people can lead a normal life. Rest of people can get relief in some of their complaints. Overall, ayurvedic treatment is definitely recommended for this disease.

Contact - Dr. Rahul Saraf at rahsaraf@gmail.com, +919422309088 to discuss your health problem or ayurvedic guidance on the same.


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Contact - Dr. Rahul Saraf at rahsaraf@gmail.com, +919850053462 to discuss your health problem or ayurvedic guidance on the same.