Materiały źródłowe

• #1 Management of Charcot–Marie–Tooth disease: improving long-term care with a multidisciplinary approach

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4725690/

  CharcotMarieTooth (CMT) disease is the most common inherited neuropathy and one of the most common inherited diseases in humans. […] the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, mental health providers, and community resources. […] a multidisciplinary supportive care team is critical to improve the quality of life (QoL) in patients for this still incurable disease. […] the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, social workers, mental health providers, and community resources. […] the evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

• #2 CMT Guide for School | Charcot–Marie–Tooth Association

  https://www.cmtausa.org/living-with-cmt/find-resources/family-resources/cmt-guide-for-schools/

  Charcot-Marie-Tooth Disease (CMT) is the most common inherited neurological condition, affecting one in 2,500 people or 150,000 in the United States and 2.8 million people worldwide. […] Due to CMT’s progressive nature, it is very important to note any changes in a child’s ability to do various activities and make accommodations accordingly. […] An informed, perceptive, and concerned teacher can make a world of difference to the student and his/her family. […] Each child should receive adequate services based on measured, rather than assumed, capabilities. […] A 504 Accommodations plan or an IEP may be put in place to ensure the student’s needs are met and the playing field is leveled, when considering the disability’s impact on the child’s school experience. […] Physical therapy programs can prevent contractures that can lead to further disability and are essential to slow down progression of the disease, especially during the growth spurts associated with puberty. […] For children with CMT, PE is often the class they dread the most. […] Adapt games and activities by allowing the child to take more time, sit out an activity, keep score, or be an assistant instead of forcing him/her to try and complete something beyond his/her physical capability.

• #3 Charcot-Marie-Tooth Disease (CMT): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/6009-charcot-marie-tooth-disease-cmt

  Charcot-Marie-Tooth disease (CMT) is a condition that affects the nerves that control muscle movements. […] CMT is the most common form of inherited peripheral neuropathy (neuropathy means nerve disease). […] CMT symptoms usually start in your early teenage years, but can start earlier during childhood or later during middle age. […] Common treatments for CMT include: Physical therapy and occupational therapy. […] Your healthcare provider is the best person to tell you the treatments most likely to help you, as they can give you information specific to your case and needs. […] If you have CMT, your healthcare provider is the best source of information about what you can and should do to take care of yourself and manage this condition. […] In general, you should do the following: See your provider as recommended.

• #4 Charcot-Marie-Tooth Disease | National Institute of Neurological Disorders and Stroke

  https://www.ninds.nih.gov/health-information/disorders/charcot-marie-tooth-disease

  CMT often affects nerves that control a persons muscles, causing muscle weakness or muscle shrinking (called atrophy). Muscle weakness from CMT usually starts in the feet and lower legs during the teen years or early adulthood, but symptoms can appear at any age. Over time, the weakness can spread to the fingers, hands, and arms. Some people with CMT may not even know they have it, while others experience physical disabilities. […] There is no cure for CMT. Treatments such as physical therapy, orthopedic devices (such as braces), surgery, and medication prescribed by a doctor can help manage symptoms. […] It is important to maintain mobility, flexibility, and muscle strength as much as possible. Starting a treatment program soon after symptoms begin can help people maintain quality of life. Physical and occupational therapy, braces and other orthopedic devices, and orthopedic surgery may help with symptoms of CMT. In addition, doctors may prescribe medication for severe nerve pain. […] High-top shoes or boots can support weak ankles, while thumb splints can help with hand weakness and fine motor skills (using small hand muscles to do things). Using assistive devices like these early on (before disability sets in) may prevent muscle strain and reduce muscle weakening.

• #5 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  During the physical exam, your doctor may check for: […] Your doctor may also recommend the following tests, which can help provide information about the extent of your nerve damage and what may be causing it. […] There’s no cure for Charcot-Marie-Tooth disease. But the disease generally progresses slowly, and it doesn’t affect expected life span. […] There are some treatments to help you manage Charcot-Marie-Tooth disease. […] Charcot-Marie-Tooth disease may sometimes cause pain due to muscle cramps or nerve damage. If pain is an issue for you, prescription pain medication may help control your pain. […] Physical therapy can help strengthen and stretch your muscles to prevent muscle tightening and loss. […] Occupational therapy can help through the use of assistive devices, such as special rubber grips on doorknobs, or clothing with snaps instead of buttons.

• #6 Charcot-Marie-Tooth Disease (CMT): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/6009-charcot-marie-tooth-disease-cmt

  Charcot-Marie-Tooth disease (CMT) is a condition that affects the nerves that control muscle movements. […] CMT is the most common form of inherited peripheral neuropathy (neuropathy means nerve disease). […] CMT symptoms usually start in your early teenage years, but can start earlier during childhood or later during middle age. […] Common treatments for CMT include: Physical therapy and occupational therapy. […] Your healthcare provider is the best person to tell you the treatments most likely to help you, as they can give you information specific to your case and needs. […] If you have CMT, your healthcare provider is the best source of information about what you can and should do to take care of yourself and manage this condition. […] In general, you should do the following: See your provider as recommended.

• #7 Charcot-Marie-Tooth disease

  https://www.rch.org.au/neurology/patient_information/Charcot-Marie-Tooth_disease/

  Charcot-Marie-Tooth disease (CMT) is an umbrella term for a range of inherited genetic disorders that affect the peripheral nervous system. […] The effects of Charcot-Marie-Tooth disease can vary widely. Some people may be only slightly affected for example, shoes providing extra ankle support may be enough to support weak muscles in the feet and legs. Other people may need walking aids like sticks. Some people may need to use a wheelchair. In people with CMT, the nerves of the arms and legs work less well than usual. This usually develops gradually, leading to wasting (thinning) of the muscles that are served by those nerves. The onset of symptoms usually occurs in childhood or during the teenage years. The legs are most usually affected first. Over time muscles become weaker and harder to control.

• #8 Medical Management – Charcot-Marie-Tooth Disease (CMT) – Diseases | Muscular Dystrophy AssociationMapHeartMapSearchSearchFacebookLinkedInTwitterYouTubeInstagramFacebookLinkedInTwitterYouTubeInstagram

  https://www.mda.org/disease/charcot-marie-tooth/medical-management

  Management of CMT is currently supportive; however, such supportive therapy can dramatically improve a patient’s quality of life. […] The main treatment for CMT involves working with an occupational or physical therapist. Optimal management is multidisciplinary, with care provided by neurologists, genetic counselors, nurses, physical and occupational therapists, physiatrists, and orthopedic surgeons. […] Often, these problems can be overcome with occupational therapy, which helps people accomplish tasks of daily living with the use of assistive devices. […] Your MDA Care Center can refer you to an occupational therapist. […] Your MDA Care Center can help get you started on an individualized physical therapy program. […] Watching out for these potential problems will enable you to seek appropriate treatment if necessary.

• #9 Charcot-Marie-Tooth disease: Management and prognosis – UpToDate

  https://www.uptodate.com/contents/charcot-marie-tooth-disease-management-and-prognosis

  Charcot-Marie-Tooth disease (CMT) is a group of hereditary neuropathies characterized by progressive motor and sensory nerve dysfunction, including a characteristic atrophy of calf muscles in several subtypes. CMT is the most common hereditary peripheral neuropathy. It is caused by one of several pathogenic variants in genes whose protein products are expressed in myelin, gap junctions, and/or axonal structures within peripheral nerves. […] Management of CMT is currently supportive; however, such supportive therapy can dramatically improve a patient’s quality of life. Specific disease-modifying therapies are not available. Several agents are under active investigation in clinical trials. Optimal management is multidisciplinary, with care provided by neurologists, genetic counselors, nurses, physical and occupational therapists, physiatrists, and orthopedic surgeons.

• #10 Management of Charcot–Marie–Tooth disease: improving long-term care with a multidisciplinary approach

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4725690/

  CharcotMarieTooth (CMT) disease is the most common inherited neuropathy and one of the most common inherited diseases in humans. […] the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, mental health providers, and community resources. […] a multidisciplinary supportive care team is critical to improve the quality of life (QoL) in patients for this still incurable disease. […] the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, social workers, mental health providers, and community resources. […] the evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

• #11 Management of Charcot-Marie-Tooth disease: improving long- | JMDH

  https://www.dovepress.com/management-of-charcotndashmariendashtooth-disease-improving-long-term–peer-reviewed-fulltext-article-JMDH

  Charcot-Marie-Tooth (CMT) disease is the most common inherited neuropathy, and with an estimated prevalence of one in 2,500, one of the most common inherited diseases in humans. […] While neurologic examination, electrodiagnostic techniques, and genetic testing yield diagnostic and prognostic information, a multidisciplinary supportive care team is critical to improve the quality of life (QoL) in patients for this still incurable disease. […] The optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, mental health providers, and community resources. […] A genetic counselor is an invaluable member of the multidisciplinary team and can be essential in helping the patient navigate the ethical, financial, and technical aspects of genetic testing.

• #12 Management of Charcot-Marie-Tooth disease: improving long- | JMDH

  https://www.dovepress.com/management-of-charcotndashmariendashtooth-disease-improving-long-term–peer-reviewed-fulltext-article-JMDH

  With such a complicated clinical and genetic heterogeneity, genetic counseling is an essential component of multidisciplinary care for the CMT patient. […] The mainstay of supportive care is physical therapy as discussed in the next sections. […] Important aspects of physical therapy and rehabilitation for patients with CMT may involve gait training, therapeutic exercise, stretching, balance and postural stabilization, fall risk prevention strategies, aquatic therapy, energy conservation techniques, serial casting/night splinting, patient education, training on appropriate assistive devices, and prevention of secondary impairments. […] Patients with CMT should invariably be part of an ongoing multidisciplinary plan of care in regards to their functional impairments; including but not limited to: physical and occupational therapist, physiatrist, orthotist, neurologist, and hand therapist, in order to manage each impairment to its fullest and achieve maximum functional benefit. […] The evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

• #13 Management of Charcot-Marie-Tooth disease: improving long- | JMDH

  https://www.dovepress.com/management-of-charcotndashmariendashtooth-disease-improving-long-term–peer-reviewed-fulltext-article-JMDH

  With such a complicated clinical and genetic heterogeneity, genetic counseling is an essential component of multidisciplinary care for the CMT patient. […] The mainstay of supportive care is physical therapy as discussed in the next sections. […] Important aspects of physical therapy and rehabilitation for patients with CMT may involve gait training, therapeutic exercise, stretching, balance and postural stabilization, fall risk prevention strategies, aquatic therapy, energy conservation techniques, serial casting/night splinting, patient education, training on appropriate assistive devices, and prevention of secondary impairments. […] Patients with CMT should invariably be part of an ongoing multidisciplinary plan of care in regards to their functional impairments; including but not limited to: physical and occupational therapist, physiatrist, orthotist, neurologist, and hand therapist, in order to manage each impairment to its fullest and achieve maximum functional benefit. […] The evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

• #14 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  During the physical exam, your doctor may check for: […] Your doctor may also recommend the following tests, which can help provide information about the extent of your nerve damage and what may be causing it. […] There’s no cure for Charcot-Marie-Tooth disease. But the disease generally progresses slowly, and it doesn’t affect expected life span. […] There are some treatments to help you manage Charcot-Marie-Tooth disease. […] Charcot-Marie-Tooth disease may sometimes cause pain due to muscle cramps or nerve damage. If pain is an issue for you, prescription pain medication may help control your pain. […] Physical therapy can help strengthen and stretch your muscles to prevent muscle tightening and loss. […] Occupational therapy can help through the use of assistive devices, such as special rubber grips on doorknobs, or clothing with snaps instead of buttons.

• #15 Management of Charcot-Marie-Tooth disease: improving long- | JMDH

  https://www.dovepress.com/management-of-charcotndashmariendashtooth-disease-improving-long-term–peer-reviewed-fulltext-article-JMDH

  With such a complicated clinical and genetic heterogeneity, genetic counseling is an essential component of multidisciplinary care for the CMT patient. […] The mainstay of supportive care is physical therapy as discussed in the next sections. […] Important aspects of physical therapy and rehabilitation for patients with CMT may involve gait training, therapeutic exercise, stretching, balance and postural stabilization, fall risk prevention strategies, aquatic therapy, energy conservation techniques, serial casting/night splinting, patient education, training on appropriate assistive devices, and prevention of secondary impairments. […] Patients with CMT should invariably be part of an ongoing multidisciplinary plan of care in regards to their functional impairments; including but not limited to: physical and occupational therapist, physiatrist, orthotist, neurologist, and hand therapist, in order to manage each impairment to its fullest and achieve maximum functional benefit. […] The evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

• #16 Charcot-Marie-Tooth Syndrome | Doctor

  https://patient.info/doctor/charcot-marie-tooth-disease

  Currently there are no effective treatments to reverse or slow the underlying disease process. Supportive treatment is offered based on rehabilitation and surgical corrections of skeletal deformities. Patients should be managed by a multidisciplinary team which has experience of the disorder, including a neurologist, geneticist, orthopaedic surgeon, physiotherapist and occupational therapist. […] Mild-to-moderate exercise is effective and safe for patients with Charcot-Marie-Tooth disease. It leads to significant improvements in walking and lower limb strength. High-intensity resistance training is controversial, as it is unclear whether this improves functional ability or exacerbates weakness. […] Daily heel-stretching exercises prevent Achilles tendon shortening. […] Orthotic devices are widely used – for example, plantars (correcting foot position), ankle-foot orthoses (to overcome foot drop and facilitate walking – custom fitting may be required), and bracing orthotics (where upper limb involvement is severe).

• #17 Charcot-Marie-Tooth disease | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/charcot-marie-tooth-disease?content_id=CON-20155112

  If foot deformities are severe, corrective foot surgery may help alleviate pain and improve your ability to walk. […] Regular exercise keeps your bones and muscles strong. Low-impact exercises, such as biking and swimming, are less stressful on fragile muscles and joints. By strengthening your muscles and bones, you can improve your balance and coordination, reducing your risk of falls. […] Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications.

• #18

  https://www.nhs.uk/conditions/charcot-marie-tooth-disease/treatment/

  There’s no cure for Charcot-Marie-Tooth disease (CMT), but therapies are available to help reduce your symptoms and enable you to live as independently as possible. […] Your treatment programme may involve a number of healthcare professionals working together in a multidisciplinary team (MDT). […] Physiotherapy is one of the most important therapies for improving the symptoms of CMT and reducing the risk of muscle contractures, where muscles shorten and lose their normal range of movement. […] Speak to your GP or physiotherapist about arranging a suitable exercise programme that will allow you to pace yourself. […] Occupational therapy will be useful if muscle weakness in your arms and hands makes it difficult for you to do day-to-day tasks, such as dressing or writing. […] An occupational therapist will teach you how to use adaptive aids to compensate for your difficulties, such as clothing with clasps instead of buttons and magnetic tubes that allow you to pick up objects.

• #19 Charcot-Marie-Tooth Disease – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/charcot-marie-tooth-disease/

  Medication. Although CMT causes loss of sensation, some patients have pain due to nerve damage or muscle cramping. Your or your child’s doctor can prescribe medication to help relieve these types of pain. […] Your or your child’s doctor may recommend surgery to correct foot deformities. Procedures to straighten toes or lower arches can help improve foot positioning and relieve pain. Surgery can also help address shoe-wear problems. […] Although surgery can address bone deformity, it cannot improve muscle weakness or sensory loss. […] In addition to organized support groups, people with CMT can also turn to medical professionals for support. Doctors, physical and occupational therapists, and assistive technology professionals are excellent resources for helping you or your child manage and live with the disorder.

• #20 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  During the physical exam, your doctor may check for: […] Your doctor may also recommend the following tests, which can help provide information about the extent of your nerve damage and what may be causing it. […] There’s no cure for Charcot-Marie-Tooth disease. But the disease generally progresses slowly, and it doesn’t affect expected life span. […] There are some treatments to help you manage Charcot-Marie-Tooth disease. […] Charcot-Marie-Tooth disease may sometimes cause pain due to muscle cramps or nerve damage. If pain is an issue for you, prescription pain medication may help control your pain. […] Physical therapy can help strengthen and stretch your muscles to prevent muscle tightening and loss. […] Occupational therapy can help through the use of assistive devices, such as special rubber grips on doorknobs, or clothing with snaps instead of buttons.

• #21 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  Many people with Charcot-Marie-Tooth disease require the help of certain orthopedic devices to maintain everyday mobility and to prevent injury. […] If foot deformities are severe, corrective foot surgery may help alleviate pain and improve your ability to walk. […] Some habits may prevent complications caused by Charcot-Marie-Tooth disease and help you manage its effects. […] Regular exercise keeps your bones and muscles strong. […] Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications: […] Support groups, in conjunction with your doctor’s advice, can be valuable in dealing with Charcot-Marie-Tooth disease. […] You might first discuss your symptoms with your family doctor, but he or she will probably refer you to a neurologist for further evaluation. […] Your time with your doctor may be limited, so try to prepare a list of questions.

• #22 Charcot-Marie-Tooth Syndrome | Doctor

  https://patient.info/doctor/charcot-marie-tooth-disease

  Currently there are no effective treatments to reverse or slow the underlying disease process. Supportive treatment is offered based on rehabilitation and surgical corrections of skeletal deformities. Patients should be managed by a multidisciplinary team which has experience of the disorder, including a neurologist, geneticist, orthopaedic surgeon, physiotherapist and occupational therapist. […] Mild-to-moderate exercise is effective and safe for patients with Charcot-Marie-Tooth disease. It leads to significant improvements in walking and lower limb strength. High-intensity resistance training is controversial, as it is unclear whether this improves functional ability or exacerbates weakness. […] Daily heel-stretching exercises prevent Achilles tendon shortening. […] Orthotic devices are widely used – for example, plantars (correcting foot position), ankle-foot orthoses (to overcome foot drop and facilitate walking – custom fitting may be required), and bracing orthotics (where upper limb involvement is severe).

• #23 Charcot-Marie-Tooth (CMT) Center of Excellence

  https://www.massgeneral.org/neurology/treatments-and-services/charcot-marie-tooth-cmt-center-of-excellence

  Orthotic management, or bracing, for patients with CMT provides functional benefits with walking. The goal of bracing is to normalize gait patterns by increasing walking speed, eliminating foot drop/foot slap and lateral ankle instabilities, and improving propulsion. Collectively, this decreases energy expenditure and fatigue while improving balance. […] Walking confidence is improved in CMT patients by ensuring that when the foot hits the ground, the event is both predictable and consistent. Consequently, patients can raise their gaze from the ground to focus on what is in front of them.

• #24 Charcot-Marie-Tooth disease | healthdirect

  https://www.healthdirect.gov.au/charcot-marie-tooth-disease

  Both bracing and orthopaedic surgery on your feet can improve your mobility and independence. […] People of all ages with CMT should be assessed for appropriate bracing. […] Good bracing can also delay or remove the need for orthopaedic surgery. […] It’s important that the right brace is fitted to each person. […] Gait and mobility aids should be prescribed by a qualified health professional. […] You may need orthopaedic (bone) surgery at some point. […] Charcot-Marie -Tooth disease can’t be prevented as it’s caused by mutations (changes) to your genes. […] The Charcot-Marie-Tooth Association Australia offers resources and support for people with this condition. […] If you want to know more about Charcot-Marie-Tooth disease, you can call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.

• #25 Charcot-Marie-Tooth Disease – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/charcot-marie-tooth-disease/

  Assistive devices. Braces, such as ankle-foot orthoses (AFOs), can support the feet in proper position and address gait problems, such as foot drop. Custom-made shoes and shoe inserts can help to fit high arches or hammertoes. […] Occupational therapy. Over time, people with CMT may develop hand and arm weakness. Typical daily activities, such as fastening buttons or writing, can become difficult. An occupational therapist can: Provide a program to help you or your child maintain fine finger movements, Offer assistive tools to help you or your child accomplish daily activities. […] Foot care. Sensory loss in the feet can allow small blisters or sores to progress to a serious infection in a short time. Inspect your or your child’s feet daily for any problems. Choose well-fitting shoes. See a podiatrist to remove calluses that may develop due to foot deformities.

• #26 Charcot-Marie-Tooth Disease Treatment | UVA Health

  https://uvahealth.com/services/neurology/charcot-marie-tooth-disease

  No matter which type you have, Charcot-Marie-Tooth disease can be difficult to live with. You may be dealing with muscle weakness, balance problems, and trouble doing everyday tasks. […] At UVA Health, you’ll get high quality and specialized care from our neuromuscular physicians, clinical nurses, therapy teams, social workers, and muscular dystrophy association representatives. […] Physical therapy is an important part of CMT treatment. At UVA Health, our physical therapists can teach you exercises to strengthen weak muscles, improve balance, and stay flexible. […] Our prosthetics and orthotics team offers assistive devices like braces, orthotics, and shoe inserts to support your feet and ankles. They can help with walking and balance, so you’re less likely to fall. We also have canes and walkers to help with walking. […] We offer occupational therapy to help with everyday tasks. […] We also have social workers who can help with the stress of having an ongoing illness.

• #27 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  Many people with Charcot-Marie-Tooth disease require the help of certain orthopedic devices to maintain everyday mobility and to prevent injury. […] If foot deformities are severe, corrective foot surgery may help alleviate pain and improve your ability to walk. […] Some habits may prevent complications caused by Charcot-Marie-Tooth disease and help you manage its effects. […] Regular exercise keeps your bones and muscles strong. […] Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications: […] Support groups, in conjunction with your doctor’s advice, can be valuable in dealing with Charcot-Marie-Tooth disease. […] You might first discuss your symptoms with your family doctor, but he or she will probably refer you to a neurologist for further evaluation. […] Your time with your doctor may be limited, so try to prepare a list of questions.

• #28 Charcot-Marie-Tooth Disease Causes, Symptoms, Treatment | HSS

  https://www.hss.edu/condition-list_charcot-marie-tooth-disease.asp

  Charcot-Marie-Tooth disease is initially treated with physical therapy, daily stretching, and braces. These primary treatments help with maintenance of balance and stability with ambulation. […] At Hospital for Special Surgery, the pediatric orthopedic surgeons work closely with physiatrists, physical therapists, and orthotists to ensure our patients with CMT disease have optimal, pain free function and mobility. […] The goal of surgery for Charcot-Marie-Tooth disease is to help preserve or improve movement and function as the condition progresses. The most common locations for procedures in CMT are at the foot and ankle. Other areas that may benefit from surgery include the hip (to prevent dislocation), the knee (to avoid kneecap dislocation), and the spine to correct and stabilize scoliosis.

• #29 Charcot-Marie-Tooth Disease Causes, Symptoms, Treatment | HSS

  https://www.hss.edu/condition-list_charcot-marie-tooth-disease.asp

  Charcot-Marie-Tooth disease is initially treated with physical therapy, daily stretching, and braces. These primary treatments help with maintenance of balance and stability with ambulation. […] At Hospital for Special Surgery, the pediatric orthopedic surgeons work closely with physiatrists, physical therapists, and orthotists to ensure our patients with CMT disease have optimal, pain free function and mobility. […] The goal of surgery for Charcot-Marie-Tooth disease is to help preserve or improve movement and function as the condition progresses. The most common locations for procedures in CMT are at the foot and ankle. Other areas that may benefit from surgery include the hip (to prevent dislocation), the knee (to avoid kneecap dislocation), and the spine to correct and stabilize scoliosis.

• #30 Charcot-Marie-Tooth Disease Causes, Symptoms, Treatment | HSS

  https://www.hss.edu/condition-list_charcot-marie-tooth-disease.asp

  Surgery to address foot and ankle weakness and the potentially painful cavus foot (high arch) requires a multi-step foot-and-ankle reconstruction surgery that includes soft tissue releases and tendon transfers to remove contractures and rebalance muscle forces. Osteotomies or joint fusions are often needed to realign bones to improve foot position to reduce pain and enhance gait efficiency (help the patient walk more naturally and with less effort or strain on the foot). For hip dysplasia, the bones of the femur and pelvis may be repositioned to improve way the hip joint fits together, helping to restore its anatomy and function. For scoliosis, bracing is often ineffective to halt progression of spinal deformity, therefore, spinal fusion is usually the primary treatment option.

• #31 Charcot-Marie-Tooth Syndrome | Doctor

  https://patient.info/doctor/charcot-marie-tooth-disease

  Pain is common and is related to skeletal deformities, postural abnormalities, muscle fatigue and nerve damage. Treatment should include physical therapy, corrective surgery and orthotics but analgesics for non-neuropathic and neuropathic pain may also be required. […] Foot and ankle problems are common, of which the cavovarus deformity is the most common. This tends to develop as a flexible deformity during childhood and adolescence and becomes fixed by adulthood. Treatments include: Soft-tissue surgeries – for example, plantar fasciotomy, tendon transfers and tendon releases. […] Individuals and families affected by the disease need to understand the implications of CMT disease as a genetic disease and the relevant inheritance pattern to be able to make informed medical and reproductive choices.

• #32 Charcot-Marie-Tooth Disease – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/charcot-marie-tooth-disease/

  Medication. Although CMT causes loss of sensation, some patients have pain due to nerve damage or muscle cramping. Your or your child’s doctor can prescribe medication to help relieve these types of pain. […] Your or your child’s doctor may recommend surgery to correct foot deformities. Procedures to straighten toes or lower arches can help improve foot positioning and relieve pain. Surgery can also help address shoe-wear problems. […] Although surgery can address bone deformity, it cannot improve muscle weakness or sensory loss. […] In addition to organized support groups, people with CMT can also turn to medical professionals for support. Doctors, physical and occupational therapists, and assistive technology professionals are excellent resources for helping you or your child manage and live with the disorder.

• #33 Charcot-Marie-Tooth Syndrome | Doctor

  https://patient.info/doctor/charcot-marie-tooth-disease

  Pain is common and is related to skeletal deformities, postural abnormalities, muscle fatigue and nerve damage. Treatment should include physical therapy, corrective surgery and orthotics but analgesics for non-neuropathic and neuropathic pain may also be required. […] Foot and ankle problems are common, of which the cavovarus deformity is the most common. This tends to develop as a flexible deformity during childhood and adolescence and becomes fixed by adulthood. Treatments include: Soft-tissue surgeries – for example, plantar fasciotomy, tendon transfers and tendon releases. […] Individuals and families affected by the disease need to understand the implications of CMT disease as a genetic disease and the relevant inheritance pattern to be able to make informed medical and reproductive choices.

• #34 Charcot-Marie-Tooth Syndrome | Doctor

  https://patient.info/doctor/charcot-marie-tooth-disease

  Pain is common and is related to skeletal deformities, postural abnormalities, muscle fatigue and nerve damage. Treatment should include physical therapy, corrective surgery and orthotics but analgesics for non-neuropathic and neuropathic pain may also be required. […] Foot and ankle problems are common, of which the cavovarus deformity is the most common. This tends to develop as a flexible deformity during childhood and adolescence and becomes fixed by adulthood. Treatments include: Soft-tissue surgeries – for example, plantar fasciotomy, tendon transfers and tendon releases. […] Individuals and families affected by the disease need to understand the implications of CMT disease as a genetic disease and the relevant inheritance pattern to be able to make informed medical and reproductive choices.

• #35 Stat Consult: Charcot-Marie-Tooth Disease – Clinical Advisor

  https://www.clinicaladvisor.com/features/stat-consult-charcot-marie-tooth-disease/

  Medications are considered for short term to treat symptoms associated with CMT, however long-term use of certain medications may be problematic […] For musculoskeletal pain, give acetaminophen or nonsteroidal anti-inflammatory (NSAID) medications […] For neuropathic pain, consider tricyclic antidepressants or drugs such as carbamazepine or gabapentin […] For fatigue, consider modafinil. […] Consider orthopedic surgery to correct: Severe pes cavus deformity […] Consider surgical corrections in patients with chronic ankle injuries or pain not helped by orthoses. […] Complications may occur in patients with CMT, including: Obstructive sleep apnea […] Daytime sleepiness/poor sleep […] Dyspnea […] Esophageal dysphagia or oropharyngeal dysphagia.

• #36

  https://www.nhs.uk/conditions/charcot-marie-tooth-disease/treatment/

  Orthoses are devices worn inside your shoes or on your legs to improve the strength and functionality of your limbs, or to correct your gait (the way you walk). […] In addition to the treatment you receive, there are some general precautions you can take to avoid further problems. […] Ask your MDT if they have specific lifestyle advice for you, as risks may vary from person to person. […] Joint and muscle pain can usually be controlled by taking non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. […] Neuropathic pain may be treated with tricyclic antidepressants (TCAs) or an anticonvulsant medication (a medicine often used to prevent seizures). […] If CMT causes significant deformities, surgery may be needed to correct them. […] Speak to your care team if you’re interested in taking part in a clinical trial.

• #37 Stat Consult: Charcot-Marie-Tooth Disease – Clinical Advisor

  https://www.clinicaladvisor.com/features/stat-consult-charcot-marie-tooth-disease/

  Medications are considered for short term to treat symptoms associated with CMT, however long-term use of certain medications may be problematic […] For musculoskeletal pain, give acetaminophen or nonsteroidal anti-inflammatory (NSAID) medications […] For neuropathic pain, consider tricyclic antidepressants or drugs such as carbamazepine or gabapentin […] For fatigue, consider modafinil. […] Consider orthopedic surgery to correct: Severe pes cavus deformity […] Consider surgical corrections in patients with chronic ankle injuries or pain not helped by orthoses. […] Complications may occur in patients with CMT, including: Obstructive sleep apnea […] Daytime sleepiness/poor sleep […] Dyspnea […] Esophageal dysphagia or oropharyngeal dysphagia.

• #38 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  Many people with Charcot-Marie-Tooth disease require the help of certain orthopedic devices to maintain everyday mobility and to prevent injury. […] If foot deformities are severe, corrective foot surgery may help alleviate pain and improve your ability to walk. […] Some habits may prevent complications caused by Charcot-Marie-Tooth disease and help you manage its effects. […] Regular exercise keeps your bones and muscles strong. […] Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications: […] Support groups, in conjunction with your doctor’s advice, can be valuable in dealing with Charcot-Marie-Tooth disease. […] You might first discuss your symptoms with your family doctor, but he or she will probably refer you to a neurologist for further evaluation. […] Your time with your doctor may be limited, so try to prepare a list of questions.

• #39 Charcot-Marie-Tooth Disease – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/charcot-marie-tooth-disease/

  Assistive devices. Braces, such as ankle-foot orthoses (AFOs), can support the feet in proper position and address gait problems, such as foot drop. Custom-made shoes and shoe inserts can help to fit high arches or hammertoes. […] Occupational therapy. Over time, people with CMT may develop hand and arm weakness. Typical daily activities, such as fastening buttons or writing, can become difficult. An occupational therapist can: Provide a program to help you or your child maintain fine finger movements, Offer assistive tools to help you or your child accomplish daily activities. […] Foot care. Sensory loss in the feet can allow small blisters or sores to progress to a serious infection in a short time. Inspect your or your child’s feet daily for any problems. Choose well-fitting shoes. See a podiatrist to remove calluses that may develop due to foot deformities.

• #40 Charcot-Marie-Tooth Disease – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/charcot-marie-tooth-disease/

  Assistive devices. Braces, such as ankle-foot orthoses (AFOs), can support the feet in proper position and address gait problems, such as foot drop. Custom-made shoes and shoe inserts can help to fit high arches or hammertoes. […] Occupational therapy. Over time, people with CMT may develop hand and arm weakness. Typical daily activities, such as fastening buttons or writing, can become difficult. An occupational therapist can: Provide a program to help you or your child maintain fine finger movements, Offer assistive tools to help you or your child accomplish daily activities. […] Foot care. Sensory loss in the feet can allow small blisters or sores to progress to a serious infection in a short time. Inspect your or your child’s feet daily for any problems. Choose well-fitting shoes. See a podiatrist to remove calluses that may develop due to foot deformities.

• #41 Charcot-Marie-Tooth disease | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/charcot-marie-tooth-disease

  Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications. […] Support groups, in conjunction with your doctor’s advice, can be valuable in dealing with Charcot-Marie-Tooth disease. Support groups bring together people who are coping with the same kinds of challenges, and offer a setting in which people can share common problems. […] Regular exercise keeps your bones and muscles strong. Low-impact exercises, such as biking and swimming, are less stressful on fragile muscles and joints. By strengthening your muscles and bones, you can improve your balance and coordination, reducing your risk of falls.

• #42 Charcot-Marie-Tooth Disease – Tips for Living with CMT

  https://www.hnf-cure.org/living-with-cmt/tips-living-cmt/

  Personal care tasks such as dressing, brushing hair, and brushing teeth can be frustrating if CMT is affecting your hands. […] Your doctor or physical therapist may suggest that you use orthotics or a mobility aid. […] Generally, the more people understand about CMT, the easier it may be for you to get support if needed at your job. […] Living with any chronic illness can be difficult. It is very normal to feel angry, depressed or discouraged at times, or to have “those CMT days.” Monitor your emotions so that you can access support if needed. […] The Hereditary Neuropathy Foundation is committed to providing the resources of information and ideas to help manage living with CMT.

• #43 Charcot-Marie-Tooth disease – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/charcot-marie-tooth-disease/diagnosis-treatment/drc-20350522

  Many people with Charcot-Marie-Tooth disease require the help of certain orthopedic devices to maintain everyday mobility and to prevent injury. […] If foot deformities are severe, corrective foot surgery may help alleviate pain and improve your ability to walk. […] Some habits may prevent complications caused by Charcot-Marie-Tooth disease and help you manage its effects. […] Regular exercise keeps your bones and muscles strong. […] Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications: […] Support groups, in conjunction with your doctor’s advice, can be valuable in dealing with Charcot-Marie-Tooth disease. […] You might first discuss your symptoms with your family doctor, but he or she will probably refer you to a neurologist for further evaluation. […] Your time with your doctor may be limited, so try to prepare a list of questions.

• #44 Charcot-Marie-Tooth disease | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/charcot-marie-tooth-disease

  Because of foot deformities and loss of sensation, regular foot care is important to help relieve symptoms and to prevent complications. […] Support groups, in conjunction with your doctor’s advice, can be valuable in dealing with Charcot-Marie-Tooth disease. Support groups bring together people who are coping with the same kinds of challenges, and offer a setting in which people can share common problems. […] Regular exercise keeps your bones and muscles strong. Low-impact exercises, such as biking and swimming, are less stressful on fragile muscles and joints. By strengthening your muscles and bones, you can improve your balance and coordination, reducing your risk of falls.

• #45 Charcot-Marie-Tooth Disease Treatment | UVA Health

  https://uvahealth.com/services/neurology/charcot-marie-tooth-disease

  No matter which type you have, Charcot-Marie-Tooth disease can be difficult to live with. You may be dealing with muscle weakness, balance problems, and trouble doing everyday tasks. […] At UVA Health, you’ll get high quality and specialized care from our neuromuscular physicians, clinical nurses, therapy teams, social workers, and muscular dystrophy association representatives. […] Physical therapy is an important part of CMT treatment. At UVA Health, our physical therapists can teach you exercises to strengthen weak muscles, improve balance, and stay flexible. […] Our prosthetics and orthotics team offers assistive devices like braces, orthotics, and shoe inserts to support your feet and ankles. They can help with walking and balance, so you’re less likely to fall. We also have canes and walkers to help with walking. […] We offer occupational therapy to help with everyday tasks. […] We also have social workers who can help with the stress of having an ongoing illness.

• #46 Charcot-Marie-Tooth Treatment | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/brain-and-nerves/charcot-marie-tooth-disease/treatment.html

  Everyone experiences Charcot-Marie-Tooth differently. At Stanford, we use precise, personalized treatments that address the patient’s unique symptoms. […] We take a comprehensive, multispecialty approach to treating individuals with Charcot-Marie-Tooth. We bring expert doctors, physical and occupational therapists, a genetic counselor, and social worker together in one location to design an individualized treatment plan. […] Because there is no cure for CMT, treatment focuses on addressing symptoms and maintaining independence and quality of life to the extent possible. Treatment for Charcot-Marie-Tooth may include: […] Physical and occupational therapy to improve function and gait stability […] Orthotic braces and other devices to support weakened legs […] Social work consultations to connect you with CMT support groups.

• #47

  https://www.nursingcenter.com/journalarticle?Article_ID=5242644&Journal_ID=828525&Issue_ID=5242640

  Charcot-Marie-Tooth is neuromuscular disease that affects the myelin sheath and peripheral nerves causing muscle atrophy and weakness. It is hereditary, affects 1 in 2500 people worldwide, and is more common than multiple sclerosis. […] Nurses should be aware that CMT causes motor change and every person with CMT has differing needs. However, CMT is not and will never be a death sentence. […] Charlie sees a geneticist, a physical therapist, occupational therapist, rehabilitation physician, and nutritionist every year at the children’s hospital in Kansas City to ensure that she is progressing along with her peers at a normal rate. […] As a neuroscience nurse, I am impressed with the care she has received and I am happy to share what I have learned in my CMT journey.

• #48

  https://www.nursingcenter.com/journalarticle?Article_ID=5242644&Journal_ID=828525&Issue_ID=5242640

  Charcot-Marie-Tooth is neuromuscular disease that affects the myelin sheath and peripheral nerves causing muscle atrophy and weakness. It is hereditary, affects 1 in 2500 people worldwide, and is more common than multiple sclerosis. […] Nurses should be aware that CMT causes motor change and every person with CMT has differing needs. However, CMT is not and will never be a death sentence. […] Charlie sees a geneticist, a physical therapist, occupational therapist, rehabilitation physician, and nutritionist every year at the children’s hospital in Kansas City to ensure that she is progressing along with her peers at a normal rate. […] As a neuroscience nurse, I am impressed with the care she has received and I am happy to share what I have learned in my CMT journey.

• #49 CMT Guide for School Nurses | Charcot–Marie–Tooth Association

  https://www.cmtausa.org/living-with-cmt/find-resources/family-resources/cmt-guide-for-school-nurses/

  While most school nurses are familiar with a wide variety of pediatric illnesses, Charcot-Marie-Tooth disease (CMT) poses some particular challenges due to its progressive nature, fluctuating symptoms and the childs changing needs. […] The Charcot-Marie-Tooth Association created this guide to assist school nurses in caring for children with CMT.

• #50 CMT Guide for School | Charcot–Marie–Tooth Association

  https://www.cmtausa.org/living-with-cmt/find-resources/family-resources/cmt-guide-for-schools/

  Charcot-Marie-Tooth Disease (CMT) is the most common inherited neurological condition, affecting one in 2,500 people or 150,000 in the United States and 2.8 million people worldwide. […] Due to CMT’s progressive nature, it is very important to note any changes in a child’s ability to do various activities and make accommodations accordingly. […] An informed, perceptive, and concerned teacher can make a world of difference to the student and his/her family. […] Each child should receive adequate services based on measured, rather than assumed, capabilities. […] A 504 Accommodations plan or an IEP may be put in place to ensure the student’s needs are met and the playing field is leveled, when considering the disability’s impact on the child’s school experience. […] Physical therapy programs can prevent contractures that can lead to further disability and are essential to slow down progression of the disease, especially during the growth spurts associated with puberty. […] For children with CMT, PE is often the class they dread the most. […] Adapt games and activities by allowing the child to take more time, sit out an activity, keep score, or be an assistant instead of forcing him/her to try and complete something beyond his/her physical capability.

• #51 CMT Guide for School | Charcot–Marie–Tooth Association

  https://www.cmtausa.org/living-with-cmt/find-resources/family-resources/cmt-guide-for-schools/

  Charcot-Marie-Tooth Disease (CMT) is the most common inherited neurological condition, affecting one in 2,500 people or 150,000 in the United States and 2.8 million people worldwide. […] Due to CMT’s progressive nature, it is very important to note any changes in a child’s ability to do various activities and make accommodations accordingly. […] An informed, perceptive, and concerned teacher can make a world of difference to the student and his/her family. […] Each child should receive adequate services based on measured, rather than assumed, capabilities. […] A 504 Accommodations plan or an IEP may be put in place to ensure the student’s needs are met and the playing field is leveled, when considering the disability’s impact on the child’s school experience. […] Physical therapy programs can prevent contractures that can lead to further disability and are essential to slow down progression of the disease, especially during the growth spurts associated with puberty. […] For children with CMT, PE is often the class they dread the most. […] Adapt games and activities by allowing the child to take more time, sit out an activity, keep score, or be an assistant instead of forcing him/her to try and complete something beyond his/her physical capability.

• #52 CMT Guide for School | Charcot–Marie–Tooth Association

  https://www.cmtausa.org/living-with-cmt/find-resources/family-resources/cmt-guide-for-schools/

  Charcot-Marie-Tooth Disease (CMT) is the most common inherited neurological condition, affecting one in 2,500 people or 150,000 in the United States and 2.8 million people worldwide. […] Due to CMT’s progressive nature, it is very important to note any changes in a child’s ability to do various activities and make accommodations accordingly. […] An informed, perceptive, and concerned teacher can make a world of difference to the student and his/her family. […] Each child should receive adequate services based on measured, rather than assumed, capabilities. […] A 504 Accommodations plan or an IEP may be put in place to ensure the student’s needs are met and the playing field is leveled, when considering the disability’s impact on the child’s school experience. […] Physical therapy programs can prevent contractures that can lead to further disability and are essential to slow down progression of the disease, especially during the growth spurts associated with puberty. […] For children with CMT, PE is often the class they dread the most. […] Adapt games and activities by allowing the child to take more time, sit out an activity, keep score, or be an assistant instead of forcing him/her to try and complete something beyond his/her physical capability.

• #53 Charcot-Marie-Tooth Disease – Seattle Children’s

  https://www.seattlechildrens.org/conditions/charcot-marie-tooth-disease/

  Charcot-Marie-Tooth Disease Care at Seattle Children’s […] Our Neuromuscular Program offers the most comprehensive care in the Pacific Northwest for children with Charcot-Marie-Tooth disease and was recognized as a CMTA Center of Excellence by the Charcot-Marie-Tooth Association. […] Experts in Seattle Childrens CMT Center of Excellence provide physical therapy, occupational therapy, bracing devices, orthopedic surgery and other treatments to give your child the best possible function and quality of life now and as they grow. […] Your child will receive complete care from the team in our Neuromuscular Program and from experts across Seattle Childrens. When possible, your child sees their entire team on a single day to make the process easier for your family. […] We bring together child medicine (pediatric) specialists from Rehabilitation Medicine, Neurology and Orthopedics. If needed, Pulmonary and Sleep Medicine and the Heart Center will evaluate your child and tailor care to their needs.

• #54 Charcot-Marie-Tooth Disease – Seattle Children’s

  https://www.seattlechildrens.org/conditions/charcot-marie-tooth-disease/

  Charcot-Marie-Tooth Disease Care at Seattle Children’s […] Our Neuromuscular Program offers the most comprehensive care in the Pacific Northwest for children with Charcot-Marie-Tooth disease and was recognized as a CMTA Center of Excellence by the Charcot-Marie-Tooth Association. […] Experts in Seattle Childrens CMT Center of Excellence provide physical therapy, occupational therapy, bracing devices, orthopedic surgery and other treatments to give your child the best possible function and quality of life now and as they grow. […] Your child will receive complete care from the team in our Neuromuscular Program and from experts across Seattle Childrens. When possible, your child sees their entire team on a single day to make the process easier for your family. […] We bring together child medicine (pediatric) specialists from Rehabilitation Medicine, Neurology and Orthopedics. If needed, Pulmonary and Sleep Medicine and the Heart Center will evaluate your child and tailor care to their needs.

• #55 Charcot-Marie-Tooth disease (CMT) in children – Children’s Health Neurology

  https://www.childrens.com/specialties-services/conditions/charcot-marie-tooth-disease

  Charcot-Marie-Tooth (CMT) disease is a neurological (nerve) disorder that causes a child to lose feeling and movement in their legs, feet, arms and hands. Sometimes this disease affects speech, breathing and swallowing. […] Specialists in our Physical Medicine and Rehabilitation Services Program have deep experience working with children who have CMT. We show your child and you how to perform exercises at home that stretch and strengthen muscles. These exercises can help ease pain and improve a child’s flexibility and mobility. We can also help if your child needs orthotics (special shoe inserts or braces) or assistive devices like wheelchairs. […] We offer a holistic approach to pain management. This means we focus on finding ways to make your child comfortable without using strong pain medicines. We’ll show you and your child how to massage tight muscles using infused oils that help ease pain.

• #56 Charcot-Marie-Tooth (CMT) – Nursing Notes

  https://nursing-notes.blog/2025/02/27/charcot-marie-tooth-cmt/

  Charcot-Marie-Tooth (CMT) disease is a group of inherited peripheral neuropathies affecting motor and sensory nerves. CMT can cause a child to lose feeling and movement in their extremities. […] There is no cure for CMT, so treatment focuses on symptom management and supportive care including physical therapy, occupational therapy, orthopedic interventions, pain management, genetic counseling for parents, and regular monitoring. Physical and occupational therapy might involve stretching and strengthening exercises, gait training, use of adaptive devices to improve hand and leg function, and strategies for regular activities of daily living (such as dressing, walking, grooming, toileting). Orthopedic interventions might include ankle-foot braces (also called ankle-foot orthoses or AFOs) for foot drop, or orthopedic surgery for deformities or scoliosis. Pain management can include over the counter pain medications, alternative pain therapy, or narcotics. Adults and parents of children with CMT can undergo genetic counseling. Finally, patients will be monitored for disease progression and deterioration.

• #57 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Charcot-Marie-Tooth-Disease-Treatment.aspx

  An occupational therapist can also help to identify problematic areas in the daily life of patients with CMT and create solutions to enable them to live independently. […] There are several things that patients with CMT can do to take control of the disease and manage the symptoms. […] The intake of alcohol, nicotine, and caffeine should be reduced or avoided completely, as these substances can worsen symptoms. General health advice, such as eating nutritious meals and getting regular physical exercise, should also be recommended. […] Pharmacotherapy is useful in the management of nociceptive and neuropathic pain, both of which can be present in patients with CMT. […] In some cases, surgery may be required to correct significant deformities of the affected limbs.

• #58 Mobility Aids at Ability Superstore, the home of easier living.

  https://www.abilitysuperstore.com/blogs/news/guide-by-condition-cmt

  Charcot-Marie-Tooth disease or CMT is the most common inherited neuromuscular disorder. Living with a long-term condition like CMT, where symptoms change over time, means that new ways of managing and coping with the condition will be necessary but not impossible. […] Although the condition doesnt affect a person’s life-span, it is a progressive condition where symptoms slowly get worse, so it is important that symptoms are managed with the right support and specialist care. Treatments can help to relieve symptoms, aid mobility and increase independence. […] In addition to the treatment you receive, there are some general precautions that can be taken to help alleviate symptoms and maintain a healthy lifestyle such as: Taking good care of your feet – check and clean regularly, Maintain a healthy weight, Avoid drinking too much alcohol, Avoid medicines that can cause nerve damage, Avoid caffeine and nicotine.

• #59 Charcot-Marie-Tooth Disease (CMT): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/6009-charcot-marie-tooth-disease-cmt

  Follow your treatment plan. […] Avoid drugs or neurotoxic. […] Your healthcare provider will schedule regular follow-up visits to monitor your condition and symptoms. […] Most people who have CMT wont need emergency care unless they fall because of trouble controlling the muscles in their legs and feet. […] Many people with this condition need assistive devices or accessories, and some also need surgery or types of physical and occupational therapy.

• #60 Living With Charcot-Marie-Tooth Disease | Charcot-Marie-Tooth NewsEnvelope icon

  https://charcot-marie-toothnews.com/living-with-charcot-marie-tooth-disease/

  Charcot-Marie-Tooth (CMT) disease is a lifelong, progressive disorder, which presents daily challenges that tend to become more difficult as the patient ages. Living with CMT means learning and finding ways to adapt, continuously adjusting to changing limitations. The degree of disability can vary widely from patient to patient, but in most cases, CMT affects every area of life, presenting physical, social, and emotional challenges. […] Muscle weakness caused by CMT can make performing daily tasks difficult. There are many aids and adaptations that can assist patients and improve their quality of life. An occupational therapist can help patients identify and learn how to use them. […] CMT has been associated with several sleep disorders, which can either decrease the quality of sleep or make it difficult to achieve sleep. There are different types of sleep disorders that a CMT patient might experience, including sleep apnea and restless legs syndrome. […] Caring for the hands and feet can help alleviate some symptoms of the disease and prevent complications.

• #61 Charcot-Marie-Tooth disease – myDr.com.au

  https://mydr.com.au/first-aid-self-care/charcot-marie-tooth-disease/

  CMT can increase the chance of falls. This is particularly hazardous for people with CMT as fractured bones take longer to heal and inactivity while recovering from a fall may exacerbate existing muscle weakness. […] People with CMT experience fatigue as a result of the extra effort required to perform daily activities. An occupational therapist can give advice on energy conservation strategies. […] It is important for people with CMT to maintain what movement, muscle strength and flexibility they have. Hence, physiotherapy and moderate activity are recommended. Overexertion, however, should be avoided. […] Help to manage pain should be obtained from medical professionals. Pain can range from sharp, sudden pain to continuous dull aches and pains. […] A very small percentage of people with severe CMT have problems with their breathing. However, it is still worth being aware of the early signs of breathing difficulty which usually occur at night.

• #62 Stat Consult: Charcot-Marie-Tooth Disease – Clinical Advisor

  https://www.clinicaladvisor.com/features/stat-consult-charcot-marie-tooth-disease/

  Medications are considered for short term to treat symptoms associated with CMT, however long-term use of certain medications may be problematic […] For musculoskeletal pain, give acetaminophen or nonsteroidal anti-inflammatory (NSAID) medications […] For neuropathic pain, consider tricyclic antidepressants or drugs such as carbamazepine or gabapentin […] For fatigue, consider modafinil. […] Consider orthopedic surgery to correct: Severe pes cavus deformity […] Consider surgical corrections in patients with chronic ankle injuries or pain not helped by orthoses. […] Complications may occur in patients with CMT, including: Obstructive sleep apnea […] Daytime sleepiness/poor sleep […] Dyspnea […] Esophageal dysphagia or oropharyngeal dysphagia.

• #63 Charcot-Marie-Tooth Disease – Seattle Children’s

  https://www.seattlechildrens.org/conditions/charcot-marie-tooth-disease/

  At this time, there is no cure for any type of CMT. Clinical trials are testing new treatments for some types. Your childs team at Seattle Childrens can help identify the specific cause of your childs CMT. If theres research (a clinical trial) about your childs type of CMT, we can see if your child is eligible. […] To help maintain your childs ability to move and do the things they want to, your child may have: […] A dietitian will work with you and your child to make sure they get the nutrition that supports their best growth and development. […] A social worker helps your child and family with coping, social relationships, behavior and emotions. Along with your childs doctors, nurses and therapists, the social worker will connect you with helpful resources at Seattle Childrens and in the community. […] If it affects your childs breathing, we will assess how well your childs lungs work. As needed, we provide care to support their breathing. Some people with CMT may need a machine to help with breathing. Options include bilevel positive airway pressure (Bi-PAP) or continuous positive airway pressure (CPAP) at night.

• #64 Charcot-Marie-Tooth Disease and Your Oral Health – Valley Dental Care

  https://yourvalleydental.com/blog/charcot-marie-tooth-disease-and-your-oral-health/

  Charcot-Marie-Tooth (CMT) disease is a group of inherited neurological disorders that affects around 1 in 2,500 people worldwide. It impacts the peripheral nerves responsible for movement and sensation, causing muscle weakness and sensory loss. […] Although this common genetic disorder does not directly affect teeth, it can cause problems with swallowing, breathing, speaking, and facial paralysis. If you have been diagnosed with CMT, regular checkups with your dentist can help monitor its impact on your oral health. […] Individuals with CMT may experience unique challenges when it comes to their oral health. Common dental issues associated with CMT include: […] Difficulty maintaining oral hygiene due to muscle weakness and lack of dexterity […] Higher risk of tooth decay and gum disease due to difficulty cleaning teeth and gums effectively

• #65 Charcot-Marie-Tooth Disease and Your Oral Health – Valley Dental Care

  https://yourvalleydental.com/blog/charcot-marie-tooth-disease-and-your-oral-health/

  The challenges faced by individuals with CMT when it comes to oral hygiene can lead to increased dental plaque and tartar buildup, putting them at a higher risk for developing cavities, gum disease, and other oral health problems. […] Maintaining good oral health with CMT requires a proactive approach. The following tips can help individuals with CMT manage their oral health: […] Schedule regular dental checkups to monitor and address oral health issues. […] At Valley Dental Care, we understand the unique challenges faced by individuals with Charcot-Marie-Tooth disease. Our compassionate and knowledgeable staff will work with you to create a personalized oral health care plan that addresses your specific needs.

• #66 Charcot-Marie-Tooth Disease and Your Oral Health – Valley Dental Care

  https://yourvalleydental.com/blog/charcot-marie-tooth-disease-and-your-oral-health/

  The challenges faced by individuals with CMT when it comes to oral hygiene can lead to increased dental plaque and tartar buildup, putting them at a higher risk for developing cavities, gum disease, and other oral health problems. […] Maintaining good oral health with CMT requires a proactive approach. The following tips can help individuals with CMT manage their oral health: […] Schedule regular dental checkups to monitor and address oral health issues. […] At Valley Dental Care, we understand the unique challenges faced by individuals with Charcot-Marie-Tooth disease. Our compassionate and knowledgeable staff will work with you to create a personalized oral health care plan that addresses your specific needs.

• #67 Charcot-Marie-Tooth disease: Management and prognosis – UpToDate

  https://www.uptodate.com/contents/charcot-marie-tooth-disease-management-and-prognosis

  A comprehensive rehabilitation program plays a crucial role in the management of individuals affected by CMT. All patients should be evaluated for weakness (both distal and proximal), joint contractures, physical conditioning, ambulation, balance, coordination, and manual dexterity. A major goal is the prevention of complications such as joint deformity and falls. Daily stretching exercises early in the course of the disease may help delay ankle contractures. Moderate quality evidence suggests progressive resistance exercise programs may improve functional outcomes. Occupational therapy can help to improve function with activities of daily living. An intensive rehabilitation regimen demonstrated benefit in one study, but the therapeutic effects attenuated after cessation of the program. […] Orthotics, including ankle-foot orthoses, are often used to help stabilize the ankles and enhance gait function. Tolerability and response to orthotics should be monitored to optimize compliance. Orthopedic foot surgery may be beneficial for severe manifestations of contractures, pes cavus deformity, and hammer toes, typically during adolescence or early adulthood.

• #68 Management of Charcot-Marie-Tooth disease: improving long- | JMDH

  https://www.dovepress.com/management-of-charcotndashmariendashtooth-disease-improving-long-term–peer-reviewed-fulltext-article-JMDH

  With such a complicated clinical and genetic heterogeneity, genetic counseling is an essential component of multidisciplinary care for the CMT patient. […] The mainstay of supportive care is physical therapy as discussed in the next sections. […] Important aspects of physical therapy and rehabilitation for patients with CMT may involve gait training, therapeutic exercise, stretching, balance and postural stabilization, fall risk prevention strategies, aquatic therapy, energy conservation techniques, serial casting/night splinting, patient education, training on appropriate assistive devices, and prevention of secondary impairments. […] Patients with CMT should invariably be part of an ongoing multidisciplinary plan of care in regards to their functional impairments; including but not limited to: physical and occupational therapist, physiatrist, orthotist, neurologist, and hand therapist, in order to manage each impairment to its fullest and achieve maximum functional benefit. […] The evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

• #69 Charcot-Marie-Tooth disease – myDr.com.au

  https://mydr.com.au/first-aid-self-care/charcot-marie-tooth-disease/

  CMT is a highly variable condition, even between members of the same family so the symptoms described here may not apply to all people with CMT. […] The symptoms of CMT can be well managed with access to the right help. After diagnosis by a neurologist, referrals can be made to other health professionals as required such as: a podiatrist, orthotist, orthopaedic surgeon, physiotherapist and/or occupational therapist (OT). […] The feet are often one of the first parts of the body to be affected by CMT, with problems including very high arches, hammer toes, loss of feeling, foot drop and weak ankles. Some of the health care professionals that may be enlisted to help manage these problems include podiatrists, orthotists and surgeons. […] Orthotics or splints can help improve walking, control foot drop and ankle instability and often provide a better sense of balance. It is also important for people with CMT to find appropriate footwear that is comfortable and provides good arch support.

• #70 Management of Charcot–Marie–Tooth disease: improving long-term care with a multidisciplinary approach

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4725690/

  CharcotMarieTooth (CMT) disease is the most common inherited neuropathy and one of the most common inherited diseases in humans. […] the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, mental health providers, and community resources. […] a multidisciplinary supportive care team is critical to improve the quality of life (QoL) in patients for this still incurable disease. […] the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, social workers, mental health providers, and community resources. […] the evolving strategies in long-term multidisciplinary care of CMT patients is critical in maintaining QoL and functionality with disease progression.

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