Common Types of Muscular Dystrophy in Adults
Muscular dystrophy is a relatively rare, inherited neuromuscular condition. Changes (mutations) in the genes responsible for how your muscles develop and work trigger it. It’s a form of myopathy — a condition that affects the muscles connected to your bones. These skeletal muscles help you walk, climb, lift and stretch. Different gene mutations cause different types of MD in adults and different symptoms:
- Becker muscular dystrophy (BMD) gets slowly worse over time
- Myotonic dystrophy, the most common MD diagnosed in adults, can also affect your heart (cardiomyopathy) and lungs, and cause endocrine system conditions like diabetes and thyroid disease
- Distal muscular dystrophy affects how your hands, feet, lower arms and legs move
- Limb-girdle muscular dystrophy (LGMD)affects the muscles in your upper arms, upper legs, shoulders and hips
- Oculopharyngeal muscular dystrophy (OPMD) causes your eyelids and throat muscles to become weak, and you might have problems swallowing (dysphagia) or droopy eyelids (ptosis)
Diagnosing Muscular Dystrophy at Cleveland Clinic
When you have MD, it gets harder to do everyday things. Your specific symptoms depend on the kind of muscular dystrophy you have.
You might start feeling weak. Climbing stairs, walking or running might not be as easy. The way you walk (gait) might change. You may develop difficulty swallowing or breathing. And eventually, your muscles might get tighter (contractures), shrink (atrophy) or hurt.
What to expect at your first visit
You’ll want to be prepared to talk about how you’ve been feeling when you come to your first appointment. Hearing you share your story is an important part of how our team confirms a diagnosis — and makes sure you get the most personalized treatment.
Your provider will want to know:
- What symptoms do you have?
- When did the symptoms start?
- How are the symptoms affecting your life?
- Do you have other health conditions?
- Does anyone in your family have neuromuscular conditions?
During your visit, your provider will do physical and neurological exams. They’ll also check how your muscles move. And they may order a few tests, like:
- Creatine kinase blood tests to check for muscle damage
- Genetic tests to find gene mutations
- Muscle biopsy to look for signs of muscular dystrophy
- Electromyography (EMG) to measure the electrical activity in your muscles and nerves
- Muscle MRI to assess the health of your muscles
A Team Approach to Care
Cleveland Clinic’s team-based care gives you the combined experience of healthcare providers working together to plan your treatment. Depending on your particular diagnosis, your muscular dystrophy team may have providers like:
0 Providers Who Treat Muscular Dystrophy
Locations
Our healthcare providers see patients at convenient locations throughout Northeast Ohio and Florida.
Treating Muscular Dystrophy at Cleveland Clinic
Once we learn what kind of muscular dystrophy you have, we can work with you to find the best ways to manage its symptoms. You may have:
Physical, occupational and speech therapy
Movement is important. And with MD, things like walking or combing your hair can be hard. That’s why you’ll do physical and occupational therapy (PT and OT). Our skilled therapists will help you stretch and strengthen your muscles. And they’ll show you easier ways to do everyday tasks. This may include using mobility aids — like canes, walkers or wheelchairs — to help you move better and prevent falls.
If MD causes swallowing problems, you may also have speech therapy. It’s more than just speech classes. Our therapists teach you how to use your tongue and throat muscles to swallow safely. If you have surgery on your throat to help you breathe, you may also need speech therapy.
Heart and lung support
If you have heart rhythm problems or heart failure, a pacemaker may help. If muscular dystrophy affects your lungs, cough-assistance devices and respirators can improve breathing.
Surgery
Sometimes, you may need surgery if you have MD. We may need to loosen tension on tight (contracted) muscles or to straighten your spine if it starts curving (scoliosis). In rare and advanced cases, we may recommend a tracheostomy (hole in your windpipe to help you breathe) to allow assisted ventilation if you can’t breathe correctly, and if this is something you desire.
Medications
While there aren’t yet medications available for the muscle-specific symptoms that come with MD, we may give you different medications for weakness in cardiac muscles and possible heart failure.
Living With Muscular Dystrophy
There are some things you can do at home to help manage your muscular dystrophy and reduce the risk of complications. Drinking plenty of water and eating healthy foods can help. So can exercise, based on your care team’s guidance.
Keeping up with your follow-up care is also important. This is how we keep an eye on your health, catch any changes and adjust your care when necessary. And if you ever feel stressed or depressed, we can connect you (and your loved ones) with our counseling team and support groups that understand what you’re going through.
What’s Next?
Getting a diagnosis like muscular dystrophy isn’t easy — and it’s OK to have questions about what comes next. But you don’t have to face it alone. We’ll be by your side from the moment you make your first appointment. We’ll take the time to listen, answer your questions and help you find a treatment plan that fits your life.

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