Charcot-Marie-Tooth disease (CMT) is an inherited motor and sensory neuropathy that affects the peripheral nervous system, causing progressive loss of muscle tissue and loss of touch sensation in various parts of the body. It is a common inherited neurological disease that affects approximately one in 2,500 people. Although the symptoms and severity of this disease vary from patient to patient, there are some unique and noticeable foot deformities that are of particular concern.
"Foot deformities are particularly common in people with CMT and can have a significant impact on their quality of life."
Generally speaking, symptoms of CMT may initially present as foot drop or cavus, which are classic signs of a progressive disease. Unfortunately, these deformities are often the first symptoms to appear in the course of the disease and over time, along with other problems such as retraction of the toes, can impair walking and daily activities.
As muscle tissue further atrophies and weakens, the legs of CMT patients may become like "stork legs" or "inverted wine bottles", which can be surprising and even more surprising to patients. One of the great challenges we face. Research suggests that many patients may experience different deformity outcomes at different stages of disease progression. For some people, flat feet or high arches may alternate, making it difficult for the patient to move freely.
“As CMT progresses, weakness in the hands and forearms is common in many patients, which greatly reduces their quality of life.”
The disease can also cause damage to sensory nerves, particularly in the feet, ankles and legs, making patients more prone to accidents while walking. Because patients have a reduced perception of pain, they may injure their feet without realizing it, further exacerbating the deformity and discomfort.
The unique foot deformities of CMT, especially pes cavus and varus, may lead to other complications such as scoliosis or hip deformities. These deformations may affect the patient's balance and walking posture and increase the risk of injury. This also requires patients to undergo physical therapy, wear orthopedic devices, and undergo surgery when necessary.
"The use of appropriate orthotics is crucial to reduce the effects of bone distortion in CMT patients."
For people with CMT, choosing the right shoes and orthotics can be challenging, especially if they are affected by pes cavus and croup toes. Working with a professional podiatrist, they can ultimately find the right solution to improve your ability to move around in everyday life.
Ultimately, holistic exercise therapy and physical and mental health care are key to the management of CMT. This includes not only physical therapy and appropriate medical aids, but also emotional support and the cultivation of a healthy lifestyle.
As our understanding of CMT improves, future treatments and management may improve, which is exciting for many patients. Each patient's condition is unique, and the treatment plan that is right for them must be specially designed. As the current research on CMT continues to deepen, perhaps more effective ways to deal with it will be found in the future to improve patients' quality of life. Can we find more ways to treat and support diseases like this?