Myotonic Dystrophy in a Man of 40

What is Myotonic Dystrophy?

“Myotonic dystrophy is characterized by progressive muscle wasting and weakness. It’s considered an incurable disorder. People with this disorder often have prolonged muscle contractions (myotonia) and are not able to relax certain muscles after use. For example, a person may have difficulty releasing their grip on a doorknob or handle. Also, affected people may have slurred speech or temporary locking of their jaw.

There are two major types of myotonic dystrophy: type 1 and type 2. Their signs and symptoms overlap, although type 2 tends to be milder than type 1. The muscle weakness associated with type 1 particularly affects the lower legs, hands, neck, and face. Muscle weakness in type 2 primarily involves the muscles of the neck, shoulders, elbows, and hips. The two types of myotonic dystrophy are caused by mutations in different genes.

A variation of type 1 myotonic dystrophy, called congenital myotonic dystrophy, is apparent at birth. Characteristic features include weak muscle tone (hypotonia), an inward- and upward-turning foot (clubfoot), breathing problems, delayed development, and intellectual disability. Some of these health problems can be life-threatening.”

Source : https://ghr.nlm.nih.gov/condition/myotonic-dystrophy

CASE REPORT

This patient is still under treatment and his condition has been improving under homoeopathic treatment. Myotonic Dystrophy cannot be cured but constitutional homoeopathic treatment can help the patient.

25 September 2018

Male. 40 years

K/c/o

Myotonic Dystrophy- Type 1 Diagnosed 16 years ago

investigation – 27/10/16- left small exophytic cyst kidney
Creatine kinase – 388 (28.6.2018)

Chief c/o

16 years ago unable to open up his palm/fingers while closed
contracted muscles, unable to relax

Problems in heavy lifting/walking

Past history

malaria-5 months back

Family History

Mother–Hypertension (heart issue may be due to dystrophy)

Grand father (maternal )
– Hypertension father-heart bypass surgery
Grand mother(maternal )
-Tuberculosis

Sister-Myotonic dystrophy
elder brother-died …(had an accident 5-6 months before death)

physical generals

app-good
thirst- cold water desire
tongue-coated
stool-not clear, small quantity, 2 times/day since 1.6 years back
urine-n
sweat-n
bathing-like
warm water in winter
sleepy
position-left and right
desire-sweets++,salt+
aversion-eggplant

physical appearance – emaciated body, sunken face, weak, baldness, changes in voice, eyeball bulging out, infertility

Life Space
joint family
finances -good
study-BA 2nd yr
weak in study in BA 1st yr, vertigo during reading, more problems started during this period

After marriage- all good.  Understanding/supportive wife. They adopted a child, due to his problem now.
occupation-business – finances -good
thinking about the development of business occupation desire only
less friendly now a days due to his business management
less talkative, talks to the point
shares his feelings only with his wife

dreams of ghosts, travelling with friends
Fear/anxiety of being alone. What will happen if there is anything wrong.
Anger easily if there are any mistakes. Sudden anger, scolding over them. Sad if someone says anything wrong about his family members.
company desire/family

Thermal  towards chilly

Remedy –Sept 25, 2018 –  Kali phos 30 once a week for 4 weeks & sac lac for 4 weeks

REASON FOR KALI PHOS

NM CHOUDHARY

It has been used very extensively and has been lauded universally. It is generally adaptable to cases showing a great want of nerve power. All the nerve cells are in a state of depletion. This total bankruptcy of vitality belies a true state of adynamia.

LESSERS’ INORGANIC

The acid monopotassium phosphate, KH2PO is the preparation. In kali. phos. both constituents unite in their actions to form the picture of muscular and nervous exhaustion as it arises partly from overwork and partly from psychic causes.

PHATAK

Dr Schuessler’s great remedy for conditions arising from want of nerve power. The patient is nervous; sensitive, weak, and easily fagged; by slight causes, like pain, worry, mental fatigue etc. Neurasthenia. Paralysis; infantile; Emaciation; wasting diseases.

21.1.2019

Creatinine kinase normal range is 22 to 198 U.  His Creatinine kinase was high before treatment. It was lower after treatment, thus his condition started improving.

Creatine kinase – 388(28.6.2018)
Creatine kinase-299(24.9.2018)

Hb-13.8
rbc – 4.43
heamocrit-41.4
neutrophils-47
lymphocytes-44
monocytes-03
eosinophil-06
platelet count – 2.12

1. He can lift things and is able to open the shutter of his shop. He can hold objects and they do not fall from his hand. Griping is improved.

2. weight is increased

3. walking slowly

4. Can’t sit on ground. If he sits he can’t get up

5. Can’t properly open and close his hand

app-good (increased after taking remedy )
thirst- less
stool- not clear .. soft stool ..
urine – clear

4.5.19

SLIGHTLY BETTER TAKING MEDICINE
1. Can open and close his hand
2. Now can sit and stand up without support
STOOL- CLEAR
URINE – CLEAR

2.07.2019

Weakness has reduced. He can hold objects.
Appetite good

Remedy – REPEAT

 

REMEDY CHART WITH DATE

25-SEP-2018	DR.JITESH	KALI PHOS 30
30-NOV-2018	DR.JITESH	KALI PHOS 30
21-JAN-2019	DR.JITESH	KALI PHOS 30
04-MAY-2019	DR.JITESH	KALI PHOS 30

NOTE – Patient is still under treatment and he is under observation. Till now he has been responding well and improving under Homoeopathic treatment.