No treatments currently exist that slow the progression of myotonic dystrophy, but symptomatic treatments are available. Managing the symptoms of this disease can reduce suffering and improve quality of life for patients. Ongoing monitoring can avert or reduce the complications seen at critical times.

Note: Medical information available on this site is designed as general information only. Patients should consult a physician or other qualified medical professional for advice on medical treatment.

Symptomatic treatments:

Medications

Anti-diabetic drugs to normalize blood sugar levels and address mild diabetic symptoms
Anti-myotonic drugs (such as mexiletine) when myotonia impairs normal activities
Nonsteroidal anti-inflammatory drugs to manage muscle pain

Rehabilitative therapy

Physiotherapy for muscle weakness, myotonia and contractors
Speech therapy for swallowing and pronunciation issues
Psychiatric therapy for behavioral and psychological issues (such as attention deficit, depression and anxiety disorders)
Individualized support for learning disabilities and cognitive delays

Devices

Assistive devices (such as neck braces, arm and foot braces, canes, walkers, scooters, and wheelchairs) to ensure safe navigation
Eye crutches for droopy eyelids (ptosis)
Pacemaker or implantable cardioverter defibrillator (ICD) to address irregular heartbeat issues
Incentive spirometry and cough assist devices to improve respiratory function
Continuous positive airway pressure (CPAP) device to ensure respiratory sufficiency

Surgery

Orthopedic surgery for gait issues and contractors
Cataract removal
Eyelid surgery to correct droopy eyelids

However, surgery is typically used as a last resort treatment as DM patients have an elevated risk of complications associated with the use of anesthesia.

Please review the Anesthesia Guidelines for further information.