Dr Ankit Daware

Muscular Dystrophy
Muscular Dystrophy (MD) is a group of inherited muscle disorders that gradually weaken muscles over time. For patients and families, the diagnosis often brings fear, confusion, and questions about the future. At such crucial times, timely guidance from a skilled neurologist can make an enormous difference.
Dr. Ankit Daware, one of Nagpur’s leading neurologists, offers evidence-based care, advanced diagnostic support, and personalized rehabilitation plans for children and adults affected by Muscular Dystrophy. With his compassionate approach and scientific expertise, he helps patients maintain mobility, improve strength, and enhance their overall quality of life.

What is Muscular Dystrophy?

Muscular Dystrophy refers to a group of genetic conditions that cause progressive weakening and degeneration of the body’s muscles. Because these disorders are inherited, the defective gene that controls muscle proteins results in gradual muscle breakdown, loss of function, and reduced physical ability.

Although there are more than 30 types of Muscular Dystrophy, most of them share common symptoms such as difficulty walking, muscle stiffness, trouble getting up from the floor, and gradual loss of strength.

The condition is chronic, but with early diagnosis and the right medical care, patients can live more independently, remain mobile for longer, and manage complications effectively.

Why Early Diagnosis Matters

Many forms of Muscular Dystrophy begin in early childhood, while others may start in adolescence or adulthood. Identifying the early signs allows treatment to begin as soon as possible.

Early diagnosis helps in:

  • Preventing rapid muscle deterioration

  • Starting physiotherapy before muscles become severely weak

  • Monitoring heart and lung function from the beginning

  • Avoiding complications like contractures and scoliosis

  • Planning appropriate assistive devices and supportive care

At Dr. Ankit Daware’s clinic, early detection is prioritized with the help of genetic testing, nerve and muscle evaluations, and advanced diagnostic tools.

Common Symptoms of Muscular Dystrophy

Signs can vary based on the type of Muscular Dystrophy. However, most patients experience:

  • Progressive muscle weakness

  • Frequent falls

  • Difficulty running, climbing, or jumping

  • Trouble getting up from seated or floor position

  • Muscle stiffness and pain

  • Enlarged calf muscles

  • Delayed motor milestones in children

  • Weakness in hips, thighs, shoulders, or facial muscles

  • Breathing difficulties in advanced cases

Some types may also involve the heart and respiratory muscles, making continuous monitoring essential.

Types of Muscular Dystrophy Treated by Dr. Ankit Daware

Muscular Dystrophy is not a single disease—there are multiple types, each with different onset ages, progression, and seriousness. Dr. Daware provides specialized care for all major forms.

1. Duchenne Muscular Dystrophy (DMD)

  • Most common and severe type

  • Usually diagnosed between ages 2–5

  • Caused by absence of dystrophin protein

  • Leads to rapid muscle degeneration

  • Requires early physiotherapy and multidisciplinary care

2. Becker Muscular Dystrophy (BMD)

  • Similar to DMD but milder

  • Onset usually during adolescence

  • Patients may remain mobile into adulthood

  • Heart monitoring is essential

3. Limb-Girdle Muscular Dystrophy (LGMD)

  • Affects hip and shoulder muscles

  • Can begin in childhood or adulthood

  • Progressive but varies in severity

4. Myotonic Dystrophy

  • Most common adult-onset MD

  • Involves prolonged muscle contraction (myotonia)

  • May also affect eyes, heart, endocrine system

5. Facioscapulohumeral Dystrophy (FSHD)

  • Affects face, shoulder, and upper arm muscles

  • Symptoms may start in teenage years

  • Gradual weakness but many retain mobility

6. Congenital Muscular Dystrophy

  • Present at birth or within the first two years

  • Causes weak muscle tone (floppiness), delayed milestones

  • Needs long-term supportive therapy

7. Emery-Dreifuss Muscular Dystrophy

  • Involves contractures, shoulder weakness, and cardiac issues

  • Early cardiac evaluation is critical

Dr. Daware tailors treatment for each patient based on the type, severity, age, and genetic findings.

How Muscular Dystrophy is Diagnosed

Accurate diagnosis is the foundation of effective management. At Dr. Daware’s neurological practice, diagnosis typically includes:

1. Physical Examination

  • Muscle strength testing

  • Mobility assessment

  • Evaluation of walking pattern

  • Checking for contractures and joint stiffness

2. Blood Tests

  • Creatine kinase (CK) levels

  • Genetic markers for different types of MD

3. Electromyography (EMG)

Assesses electrical activity in muscles to identify abnormalities.

4. Genetic Testing

Confirms the exact mutation responsible for the condition.

5. Muscle Biopsy

Removed tissue is examined for changes in muscle fiber structure.

6. Heart & Lung Evaluation

  • ECG, echocardiogram

  • Pulmonary function tests

These tests help in early detection of complications that may not be visible initially.

Muscular Dystrophy Treatment by Dr. Ankit Daware

There is currently no permanent cure for Muscular Dystrophy. However, timely treatment can significantly slow progression, strengthen muscles, prevent complications, and enhance mobility.

Dr. Daware uses a holistic, long-term, patient-centric approach that focuses on maximizing function and improving quality of life.


1. Medication Management

Corticosteroids

Medications like prednisone and deflazacort can:

  • Slow muscle degeneration

  • Improve muscle strength

  • Delay the need for a wheelchair

Cardiac Medications

Beta-blockers, ACE inhibitors, or other drugs may be prescribed if heart function is affected.

Respiratory Support

In advanced cases, breathing support devices such as CPAP or BiPAP may be recommended.

Dr. Daware carefully evaluates each patient’s condition before prescribing any medication to ensure maximum safety and effectiveness.


2. Physiotherapy & Rehabilitation

Physiotherapy is a cornerstone of Muscular Dystrophy treatment. Under Dr. Daware’s guidance, customized therapy plans include:

  • Stretching exercises to prevent contractures

  • Gentle strengthening routines

  • Gait training to maintain walking ability

  • Breathing exercises for lung strength

  • Water therapy for low-impact movement

  • Orthotic braces for posture support

Regular physiotherapy helps delay muscle stiffness and preserve mobility.


3. Occupational Therapy

Occupational therapy helps patients achieve independence in daily activities. Therapists assist with:

  • Training for self-care, dressing, and mobility

  • Home modification recommendations

  • Adaptive tools to improve independence

This empowers patients and reduces caregiver stress.


4. Nutrition & Lifestyle Management

Proper nutrition helps maintain muscle health and prevents excessive weight gain, which can worsen mobility issues.

Patients receive guidance on:

  • Balanced diet

  • Protein intake

  • Supplements (if required)

  • Weight management

  • Avoiding over-exertion


5. Assistive Devices

Depending on the stage of the disease, devices may include:

  • Walking aids

  • Braces

  • Wheelchairs

  • Power-mobility devices

These tools help patients stay active and independent for longer.


6. Heart & Lung Care

Since some Muscular Dystrophies affect cardiac and respiratory muscles, regular monitoring is essential. Dr. Daware partners with cardiologists and pulmonologists to ensure comprehensive care.


7. Genetic Counseling

Genetic counseling helps families understand:

  • The cause

  • Risk of inheritance

  • Available tests

  • Family planning options

This information is crucial for making informed decisions.


8. Psychological Support

Chronic conditions can create emotional challenges. Counseling and support groups can help patients and families cope with stress, anxiety, and lifestyle changes.

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