Hypothyroid Myopathy Treatment & Management
- Author: Divakara Kedlaya, MBBS; Chief Editor: Stephen Kishner, MD, MHA more...
Skeletal muscle weakness is the ultimate cause of most clinical problems in myopathy. In a study of patients with slowly progressive myopathies, a 12-week, moderate-resistance (30% of maximum isometric force) exercise program resulted in strength gains ranging from 4-20% without any notable deleterious effects. In the same population, a 12-week, high-resistance (training at the maximum weight that a subject could lift 12 times) exercise program showed no further added benefits when compared with the moderate-resistance program, and there was evidence of overwork weakness in some subjects.
Early intervention with gentle, low-impact aerobic exercises may increase muscle efficiency and cardiovascular performance, may fight fatigue and depression, may maintain body weight, and may improve pain tolerance. Activities include walking, swimming, and stationary bicycling.
Occupational therapy may be needed for training in the performance of ADL to enable the patient to compensate for proximal muscle weakness. Occupational therapists are able to provide adaptive equipment to assist the patient when he/she is performing ADL.
Maintaining the ability to do avocational activities that promote physical fitness and mental health is important.
Because there are multiple causes of muscle weakness, patients may not respond well to initial therapy because they have an undiagnosed secondary cause of myopathy. A thorough investigation for all causes is essential.
See the list below:
Physical medicine and rehabilitation specialist
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