Muscles dystrophy

A Case of muscle dystrophy last 5 year age 19 plz suggest me how can I do for patient patent is too poor no enough money for treatment....

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Please watch for power of b/l upper limb & lower limb. Treatment with physiotherapy & renal output should be noted, as coz of dystrophy , kidney may get affected& if need then regulate. Keep under observation if respiratory difficulties, coz in dystrophy it is progressive to failure. Physiotherapy  can identify exercises that help to strengthen throat, jaw and tongue muscles. Depending on the type of muscular dystrophy, physiotherapist can help slow the loss of range of motion, muscle strength, daily function, and gait and posture. IV.PREDNISONE  and IV.DEFLACORT to improve muscle strength and function, as it reduces inflammation. Also to note BSL along with steroids treatment. As per spinal MRI - Hemangioma also needs to be seen ..Neurosurgeon opinion would be better.
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Muscular dystrophy. Muscular dystrophy is caused by genetic mutations that interfere with the production of muscle proteins that are needed to build and maintain healthy muscles. The causes are genetic. A family history of muscular dystrophy will increase the chance of it affecting an individual. Damaged muscles become progressively weaker. Most people who have the condition eventually need a wheelchair. Other symptoms include trouble breathing or swallowing. Physical therepies and medical exercise. Medication, therapy, breathing aids or surgery may help maintain function, but life span is often shortened.
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Muscular Dystrophy Genetics study is required.
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Under Muscular dystrophy there are several types. Age of onset is very important. No clinical details available for the diagnosis. Facial features not suggestive of Myotonic dystrophy, ( a type of muscular dystrophy.). He is 20 yrs,symptomatic at the age of 15 yrs.Calf muscles look prominent. ANY WEAKNESS OF UPPER LIMBS?. Facial muscles look normal. BECKER'S muscular dystrophy is possible with out any clinical details. No curable treatment available.CK is elevated. Genetic counseling, massage,try to restore the motor power by physio. Cardiac evaluation.
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Treatment for muscle Dystropy ; 1)BRUHATHCHAGALADHYA GRUTHAM 1BOTTLE 1 tsp twice daily 2)ksheerabala cap 1+1 3)balarista syp 2tsp twice daily 4) balashwagandha tailam +murivenna oil mix with another bottle apply daily 5) panchakarma treatments:: sastikasali pinda swedham 14 days, sirodhara 11days .three sittings,each sitting 14 days.....
Muscle biopsy report not seen. Suggest Physiotherapy , normal activities. High protein diet , neurotrophic vitamins, minerals Look for contracture and avoid it. May require appliances, walking aids, surgery . Comorbidities to be checked and treated .
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Mostly this is Becker's Muscular Dystrophy *Physiotherapy and splints for weaker muscles and joints can help *Gentle use of muscles, avoid heavy exertion *Do practice respiratory exercises too
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I'm afraid not much can be done for improvement except physio. Genetic counselling.
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Facies looks like myotonic dystrophy, Do ECG, LET CONTINUE VITAMIN E, SEND AIIMS
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