HMSN

Hello sir,
              My daughter sneha  ,9years old has an problem in walking.She is not able to put her ankles on the ground while walking .The nerves  which is attached with the ankles are very tight.she walks with the front part of her foot.It is difficult for her to have physical activities.
              We have taken MRI scan of her spine  and skeletal structure  which shows normal ,that is conformed by neurologist doctor.She has also taken CPK blood test and EMG,which is normal.Our doctor suggested some exercises for losening her nerves which has to be followed daily.Our doctor said that it may be a disease called HMSN.
             She has the problem for about four years gradually increasing.We are a couple who got married in relation.
            I want to know whether there is any treatment  for her .Is there any treatment that loses her nerves ,that may help her walk easily.If there is any such treatment ,please inform me through mail.                    
                                                                        Thanking you,
                                                                                          

[Joanna Fong, MD]

Hi sneha301998,

Treatment for HMSN is supportive. Daily stretching exercises early in the course of the disease may help delay ankle contractures. Ankle orthotics often are used to help stabilize the ankles. Orthopedic foot surgery often is required by the time the patient reaches adolescence to treat the pes cavus deformity and hammer toes.  There are several treatment options that are still in the experimental phase (animal studies).

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