Guest guest Posted December 19, 2006 Report Share Posted December 19, 2006 Hi All, Got the test results from Athean for my 17 year old son and I have a bunch of questions. A million things buzzing through my brain so please bear with me. He has a new mutation in the MPZ gene and they aren't able to classify which type of CMT it is. (my sister's results exactly the same) Is there any issue related to treatment if you don't know the exact type? Can anyone give an idea regarding progression? I realize that everyone is different, just looking for statistics. He seems to be having more and more problems especially over the last 6 months and being that he is only 17 I'm concerned. Is stating that he is having trouble with his hands, not being able to make a tight fist, open jars, noticing slower reaction time like when playing video games. Foot seems to be stiffing up. Back hurting more and more (assuming due to the foot) Any medications that can slow the progress? Any info on what to expect related to surgery to his foot. Types of surgery, healing time. Questions we should ask? He will be 18 in a few months - pediatric Doc? He has been diagnosed with cavus foot and hammertoes. It looks like, for lack of a better work, that his foot/ankle is deformed. He can't physically roll his foot inward to try to make his foot flat. Does anyone with CMT have allergies to an unusual large amount of antibiotics? Pretty much any advice, thoughts, suggestions would be appreciated. Have an appointment with his neurologist tomorrow so you will probably hear from me again. Thanks! Carmella Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2006 Report Share Posted December 19, 2006 Carmella, Go back and read my posts this week about progression and prediction. Right now the 3 top " treatments " emerging for CMT are all for CMT 1A. That's because 1A affects about 70-75% of all CMT. Meanwhile, pay attention to the toxic medications list and ask your son's neurologist and orthopedist about supplements, exercise, possible medications, nutrition, sleep, physical therapy,etc. There are no medications that slow CMT. An orthopedist can look at his foot and back to discern what's going on and offer suggestions/advice. As for surgery on his foot, ask your doctor for his opinion. This may be a wait and see approach, perhaps first trying in-shoe orthotics, physical therapy, or AFOs. I had surgery at a very young age, tendon surgery, both feet, healing time was 6 weeks. I would suggest that you consult with an adult orthopedist for surgery, not a pediatric one - although a peds might be a good 2nd opinion. The doc who did my surgery was an adult orthopedist, even tho I was a kid. A physical therapist may be able to suggest foot exercises or ones to strengthen his foot. Perhaps getting your son into a swimming or beach walking program may be beneficial, as it was for me and still is. (although now a bit " chilly " here on the beach!) ~ Gretchen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2006 Report Share Posted December 19, 2006 Carmella: I also have an " unknown variant " on the MPZ gene. I don't think it is all that unusual, in fact, I'd love to know how many of us there are who don't neatly fall into one of the categories. Maybe a topic for a poll sometime Gretchen? Gretchen does us all a great service providing all the research and links (thank you, thank you!). I try to stay on top of it and pay particular attention to articles concerning the MPZ gene. All best, Tami Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2006 Report Share Posted December 20, 2006 Gretchen - Can't thank you enough for all that you do. You have made a HUGE difference for us with all the time you take to help provide whatever info you can. I can't express enough how wonderful it is to ask anything - no matter how stupid it may seem - and you just do so much to help each person. You are a very special person and I truly appreciate this group and all the support it is giving me. Carmella Carmella, Go back and read my posts this week about progression and prediction. Right now the 3 top " treatments " emerging for CMT are all for CMT 1A. That's because 1A affects about 70-75% of all CMT. Meanwhile, pay attention to the toxic medications list and ask your son's neurologist and orthopedist about supplements, exercise, possible medications, nutrition, sleep, physical therapy,etc. There are no medications that slow CMT. An orthopedist can look at his foot and back to discern what's going on and offer suggestions/ advice. As for surgery on his foot, ask your doctor for his opinion. This may be a wait and see approach, perhaps first trying in-shoe orthotics, physical therapy, or AFOs. I had surgery at a very young age, tendon surgery, both feet, healing time was 6 weeks. I would suggest that you consult with an adult orthopedist for surgery, not a pediatric one - although a peds might be a good 2nd opinion. The doc who did my surgery was an adult orthopedist, even tho I was a kid. A physical therapist may be able to suggest foot exercises or ones to strengthen his foot. Perhaps getting your son into a swimming or beach walking program may be beneficial, as it was for me and still is. (although now a bit " chilly " here on the beach!) ~ Gretchen <!-- #ygrp-mlmsg {font-size:13px;font-family:arial,helvetica,clean,sans-serif;} #ygrp-mlmsg table {font-size:inherit;font:100%;} #ygrp-mlmsg select, input, textarea {font:99% arial,helvetica,clean,sans-serif;} #ygrp-mlmsg pre, code {font:115% monospace;} #ygrp-mlmsg * {line-height:1.22em;} #ygrp-text{ font-family:Georgia; } #ygrp-text p{ margin:0 0 1em 0; } #ygrp-tpmsgs{ font-family:Arial; clear:both; } #ygrp-vitnav{ padding-top:10px; font-family:Verdana; font-size:77%; margin:0; } #ygrp-vitnav a{ padding:0 1px; } #ygrp-actbar{ clear:both; margin:25px 0; white-space:nowrap; color:#666; text-align:right; } #ygrp-actbar .left{ float:left; white-space:nowrap; } ..bld{font-weight:bold;} #ygrp-grft{ font-family:Verdana; font-size:77%; padding:15px 0; } #ygrp-ft{ font-family:verdana; font-size:77%; border-top:1px solid #666; padding:5px 0; } #ygrp-mlmsg #logo{ padding-bottom:10px; } #ygrp-vital{ background-color:#e0ecee; margin-bottom:20px; padding:2px 0 8px 8px; } #ygrp-vital #vithd{ font-size:77%; font-family:Verdana; font-weight:bold; color:#333; text-transform:uppercase; } #ygrp-vital ul{ padding:0; margin:2px 0; } #ygrp-vital ul li{ list-style-type:none; clear:both; border:1px solid #e0ecee; } #ygrp-vital ul li .ct{ font-weight:bold; color:#ff7900; float:right; width:2em; text-align:right; padding-right:.5em; } #ygrp-vital ul li .cat{ font-weight:bold; } #ygrp-vital a { text-decoration:none; } #ygrp-vital a:hover{ text-decoration:underline; } #ygrp-sponsor #hd{ color:#999; font-size:77%; } #ygrp-sponsor #ov{ padding:6px 13px; background-color:#e0ecee; margin-bottom:20px; } #ygrp-sponsor #ov ul{ padding:0 0 0 8px; margin:0; } #ygrp-sponsor #ov li{ list-style-type:square; padding:6px 0; font-size:77%; } #ygrp-sponsor #ov li a{ text-decoration:none; font-size:130%; } #ygrp-sponsor #nc { background-color:#eee; margin-bottom:20px; padding:0 8px; } #ygrp-sponsor .ad{ padding:8px 0; } #ygrp-sponsor .ad #hd1{ font-family:Arial; font-weight:bold; color:#628c2a; font-size:100%; line-height:122%; } #ygrp-sponsor .ad a{ text-decoration:none; } #ygrp-sponsor .ad a:hover{ text-decoration:underline; } #ygrp-sponsor .ad p{ margin:0; } o {font-size:0;} ..MsoNormal { margin:0 0 0 0; } #ygrp-text tt{ font-size:120%; } blockquote{margin:0 0 0 4px;} ..replbq {margin:4;} --> __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2006 Report Share Posted December 20, 2006 Hi Tami, Do other family members have CMT? Can I ask what issues you have with CMT? In regards to treatment, have you had any issues since you don't have a specific know type? Carmella Carmella: I also have an " unknown variant " on the MPZ gene. I don't think it is all that unusual, in fact, I'd love to know how many of us there are who don't neatly fall into one of the categories. Maybe a topic for a poll sometime Gretchen? Gretchen does us all a great service providing all the research and links (thank you, thank you!). I try to stay on top of it and pay particular attention to articles concerning the MPZ gene. All best, Tami <!-- #ygrp-mlmsg {font-size:13px;font-family:arial,helvetica,clean,sans-serif;} #ygrp-mlmsg table {font-size:inherit;font:100%;} #ygrp-mlmsg select, input, textarea {font:99% arial,helvetica,clean,sans-serif;} #ygrp-mlmsg pre, code {font:115% monospace;} #ygrp-mlmsg * {line-height:1.22em;} #ygrp-text{ font-family:Georgia; } #ygrp-text p{ margin:0 0 1em 0; } #ygrp-tpmsgs{ font-family:Arial; clear:both; } #ygrp-vitnav{ padding-top:10px; font-family:Verdana; font-size:77%; margin:0; } #ygrp-vitnav a{ padding:0 1px; } #ygrp-actbar{ clear:both; margin:25px 0; white-space:nowrap; color:#666; text-align:right; } #ygrp-actbar .left{ float:left; white-space:nowrap; } ..bld{font-weight:bold;} #ygrp-grft{ font-family:Verdana; font-size:77%; padding:15px 0; } #ygrp-ft{ font-family:verdana; font-size:77%; border-top:1px solid #666; padding:5px 0; } #ygrp-mlmsg #logo{ padding-bottom:10px; } #ygrp-vital{ background-color:#e0ecee; margin-bottom:20px; padding:2px 0 8px 8px; } #ygrp-vital #vithd{ font-size:77%; font-family:Verdana; font-weight:bold; color:#333; text-transform:uppercase; } #ygrp-vital ul{ padding:0; margin:2px 0; } #ygrp-vital ul li{ list-style-type:none; clear:both; border:1px solid #e0ecee; } #ygrp-vital ul li .ct{ font-weight:bold; color:#ff7900; float:right; width:2em; text-align:right; padding-right:.5em; } #ygrp-vital ul li .cat{ font-weight:bold; } #ygrp-vital a { text-decoration:none; } #ygrp-vital a:hover{ text-decoration:underline; } #ygrp-sponsor #hd{ color:#999; font-size:77%; } #ygrp-sponsor #ov{ padding:6px 13px; background-color:#e0ecee; margin-bottom:20px; } #ygrp-sponsor #ov ul{ padding:0 0 0 8px; margin:0; } #ygrp-sponsor #ov li{ list-style-type:square; padding:6px 0; font-size:77%; } #ygrp-sponsor #ov li a{ text-decoration:none; font-size:130%; } #ygrp-sponsor #nc { background-color:#eee; margin-bottom:20px; padding:0 8px; } #ygrp-sponsor .ad{ padding:8px 0; } #ygrp-sponsor .ad #hd1{ font-family:Arial; font-weight:bold; color:#628c2a; font-size:100%; line-height:122%; } #ygrp-sponsor .ad a{ text-decoration:none; } #ygrp-sponsor .ad a:hover{ text-decoration:underline; } #ygrp-sponsor .ad p{ margin:0; } o {font-size:0;} ..MsoNormal { margin:0 0 0 0; } #ygrp-text tt{ font-size:120%; } blockquote{margin:0 0 0 4px;} ..replbq {margin:4;} --> __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2006 Report Share Posted December 20, 2006 Hi Carmella, I was told that anytime a child is growing CMT can act a little worse. After their growth spurt it mellows out. Hopefully your son is growing. I also have a 17 yr old son with CMT. Quote Link to comment Share on other sites More sharing options...
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