Myotonic Dystrophy

Here's a good website for it:

http://www.myotonicdystrophy.org/Myotonic%20Dystrophy%20Booklet%20VRMC.htm

Some highlights:

• Myotonia refers to the slow relaxation of muscle following contraction, resulting in muscle stiffness. For example, following a forceful grip, the individual with DM may have delayed release of their grip. This may cause difficulty in releasing objects such as door handles, cups, tools, or bowling balls.
• DM commonly involves the distal (end) limb muscles. These include the forearm and hand muscles, as well as the muscles of the feet and ankles. Weakness of the hand and forearm can affect coordination and grip...Weakness in the muscles of the feet and ankle may result in unsteady gait, tripping or stumbling
• Speech requires the coordination of the muscles of the voice box (larynx), the throat , the tongue, the lips, and the roof of the mouth (palate). If any of these muscles are affected by DM, speech may sound slurred or indistinct. (or a lisp ;o) ; Did I ever mention sometimes my tongue has mini spasms?
  
• Eating and drinking small quantities slowly may help dysphagia. (I've got that one down)
• Cataracts are one of the most common and typical features of DM and are often the reason someone with DM first seeks medical attention.
• The mildest form of DM first occurs after the age of 40 years and is usually accompanied by cataracts. Some minor muscle problems such as jaw tightness or cramps in the hands may be present, or there may be no muscle problems at all.

J. Riley, more tests to come next week...