7 year old boy suffering from distal bilateral upper and lower limb weakness from 3 years. No history of numbness,tingling,fever, seziure, fall,head trauma, family history etc. On examination pes cavus is noted. EMG NCV scan done suggestive of HMSN type II . whats the option for management..?

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Get 2nd opinion from neurologist with personal examination and if required repeat ncs with emg Before labelling any patient as degenerative or familial or any incurable disease must take 2nd opinion or 3rd opinion...!!!

Routine exercise , a bit of stretching , some supports with some medicine back up can improve or maintain the quality of life.

Physiotherapy is a key factor in this case . It helps to improve the symptoms as well as decrease the risk of muscle contracture. - Ankle-foot-orthoses (AFOs)  - Hydrotherapy - Aerobic Exercise - Walking - Cycling - Swimming and mild weight-training - Stretching - Balance and Posture Exercise

No cure for this inherited Neuropathy and has to be supportive care.... Nyc case update

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Physiotherapy

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Physiotherapy is useful

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Plan nerve biopsy

rehabilitation meconerv pregabalin immunoglobulin inj helpful

Does IV immunoglobulin effective?
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Orthotic support

Needs physiotherapy

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