Factsheets and Personal Insights
Perspectives on managing myotubular and centronuclear myopathy
We hope the factsheets listed below on managing the conditions are helpful*. You may also wish to ask questions of other parents and individuals by posting on the Facebook patient community page ‘MYOTUBULAR MYOPATHY’ – which is a closed group. Or check the Muscular Dystrophy UK ‘Get Support’ webpage for other useful topics.
If you have a personal insight you wish to share with others, please get in contact with us.
*Important: These insights are for general informational and educational purposes and are not a substitute for professional advice. Accordingly before taking any actions based upon such information we encourage you to consult with the appropriate health professionals. Thank you.
Lung Management
Lung (respiratory) care It is not unusual for people with myotubular and centronuclear myopathies to experience breathing problems. Mostly all children who present with symptoms of severe muscle weakness from birth will require support with their breathing for some...
Genomics – what is it?
To help patients identify symptoms and find out if they have a known condition, they are more usually offered 'whole genome sequencing'. In order to find the genome sequencing, a patient's samples are collected from their blood, saliva and sometimes also tissue for...
Scoliosis care
Scoliosis Care Scoliosis (derived from the Greek word meaning crooked) is a medical condition in which a person’s spine is curved from side to side. Although it is a complex three-dimensional deformity, on an X-ray, viewed from the rear, the spine of an individual...
Nutrition : home blended foods through a gastrostomy tube
Real Blended Nutrition (or home blended foods) The accepted standard feed for patients is still liquid, nutritionally complete, pre-prepared commercial feed which is sterile, standardised and easy to prepare and administer. However, there is currently increasing...
Abnormal heart rhythms in XLMTM
The following case report ('Arrhythmias in XLMTM' Pons Espinal et al, 2023), looked at heart rhythms in two patients with X linked myotubular myopathy (XLMTM). The report suggests that cardiac involvement has not been previously been described in this condition, and...
Liver management in XLMTM and CNM
Liver involvement and management in CNM and MTM Some (but not all) people with MTM and CNM have occasionally experienced abnormal liver function blood test results. Very rarely there are more severe liver related complications. We have provided liver recommendations...
Managing a Personal Health Budget (UK)
Zak provides us with his experience of managing his home care with an Personal Health Budget (NHS Continuing Healthcare) I have a personal health budget which is a way of self-managing your care under NHS Continuing Healthcare (UK). I have opted for a version where I...
Cholesteatoma and surgery, an adult’s experience
Jeno, an adult living with myotubular myopathy, provides us with his personal account of cholesteatoma surgery, to remove a benign lump in his inner ear. Definition of Cholesteatoma - a growth in the middle ear and/or mastoid process. Presenting symptoms commonly...
Gaming – Possible for Everyone
Games changing lives Special Effects is a UK charity bringing fun, friendship and inclusion into the lives of people with physical disabilities by helping them to play video games. If you have a physical disability that limits or stops you from playing video games, do...
Home Care – the realities, a patient’s perspective
By Zak Hughes "I was born with a rare muscle condition called x-linked myotubular myopathy, which affects my safe breathing, swallowing function and my ability to move freely. For this reason I have relied substantially on others to meet my care needs - for the first...
Gastrostomy: Stomach Feeding Tube or ‘PEG’ (Adult)
Gastrostomy (stomach feeding tube) or 'PEG', by an adult manifesting female carrier of XLMTM I realised there was a problem with my swallow when I started to eat rice, it kept coming back up and made me choke (this is called ‘reflux’). My care team referred me for an...
Carrier Female (XLMTM) Pregnancy Screening
Signs and symptoms of being a 'manifesting' x-linked myotubular myopathy (XLMTM) female carrier and considerations for family planning... Since I was a child I’ve been having lots of muscle weakness symptoms but didn’t really think too much about it. In fact both my...
Reading that Resonates
Sharing experiences - perhaps reading material that resonates - can be a powerful support tool for us when we experience something extraordinary. There have been a number of publications over the years, written by parents and individuals within our own patient...
Tracheostomy
A personal perspective: The decision for a Tracheostomy (trache*)... Today, we can see all the benefits of a trache* - our son Erdi (who has RYR1 centronuclear myopathy) can now concentrate all of his energy on just enjoying life, instead of trying to breathe. But it...
Titin Myopathy (TTN)
This information is for families with variant(s) in the Titin gene (TTN). Changes in a gene are called mutations or variants. These changes may cause muscle weakness as well as heart problems. You will need to discuss with your medical team to see if and how your...
Psychological Medicine and Self Help
Free resources for psychological support and where to access urgent help... This factsheet details various types of resources for psychological support including where to access urgent help. It includes information on accessing one to one therapy, where to access...
Disneyland Paris
Elijah's trip of a lifetime... We had an amazing trip to Disneyland Paris with our son Elijah after a friend/work colleague kindly helped to raise funds for some new equipment, and a holiday for our family. I never thought we could ever manage a trip abroad, but we...
Blended Diet
Swapping Charlie over to real blended food... Charlie had no naso-gastric tube feeding (NG) and no breathing support at all for his first few months of life. He got his NG when he was about 4 months and then got poorly at 5 months, and that’s when everything kind of...
Oral Feeding Approaches
The Sensory-Motor Approach to Feeding... I have worked as a professional SaLT (Speech and Language Therapist in a number of settings including for the NHS. This training revolutionised how I think about oromotor therapy and the integration of sensation with motoric...
Corneal Scarring and Drooping Lids Surgeries
Improving Zak's dry eye and vision... I started to notice a decline in my general eyesight. I started having to sit closer to the TV and my computer screen, and increased the font size on my phone. A visit to the opticians revealed that my eyes, through years of...
Hearing and Grommets
Arnabh's ability to hear again... Soon after he received his tracheostomy, our son started to be much more responsive, but we noticed he started to gaze towards movements and moving objects rather than respond to noise and voices. We found out that this was because he...
Orchidopexy and Undecended Testes
Weighing up the benefits versus risk of Orchiopexy surgery... When our son was less than a year old, one of his medical consultants was concerned that he had undescended testicles. We then started to gather opinion from different professionals and parents on the pros...
Baby and Toddler: Therapy and Play Equipment Ideas
Our ideas and equipment for a 'floppy' child... When we first came home with our son Noah, it was difficult to know what toys and equipment would be useful for him because of his floppy muscle tone. However, we have made a few new discoveries that we would like to...
RYR1 Clinical Care Guidelines (Aug 2020)
What Patients & Families Need to Know About RYR-1-Related Diseases... In August 2020 a sister charity, The RYR1 Foundation produced a Clinical Care Guidelines Handbook. The handbook is written in non-technical, easily understood language to empower patients and...
Scoliosis
A perspective on Scoliosis, by Chantelle, Scott's mum (2020) Scott has x-linked myotubular myopathy. When Scott was 12 it was recommended by his neuromuscular team that he has spine surgery to correct the curvature in his spine. When he went into hospital for...