Myopathy is the collection of diseases affecting particularly the skeletal muscle
Presentation: reduced power with usually preserved reflexes & tone
Investigations: EMG & NCS, CK, rarely muscle biopsy
Management: underlying cause, MDT- consultant, geneticist, PT-orthotics, nutrition & strength training
Genetic:
Myotonic Dystrophy
Duchenne's Muscular Dystrophy,
Becker's Muscular Dystrophy
Mitochondrial Diseases, Glycogen Storage Disorders
Inflammatory:
Myositis
Inclusion Body Myositis
Endocrine
Drug induced- statin, steroids, alcohol,
Electrolyte disorders:
Infectious- Viral myositis, Influenza, Sepsis
Dilated- degeneration from ischaemia, hypertension, diabetes
Restrictive- systemic inflammation: amyloidosis, sarcoidosis
Hypertrophic cardiomyopathy- genetic
Aetiology
Immune reaction: Asthma, IBD, Raynaud's / Systemic Sclerosis
Neurological: Achalasia, Detrusor Overactivity, Gastroparesis
Growths: Uterine Fibroids (Leiomyomas), Leiomyosarcoma
Degeneration: Hypertension,
Written in 2025.