Hypothyroid Myopathy Follow-up

Updated: Apr 07, 2015
  • Author: Divakara Kedlaya, MBBS; Chief Editor: Stephen Kishner, MD, MHA  more...
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Follow-up

Further Outpatient Care

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  • Outpatient physical therapy is indicated.
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Further Inpatient Care

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  • Some patients with hypothyroid myopathy may need a short stay in acute rehabilitation.
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Inpatient & Outpatient Medications

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  • Continuation of thyroid supplementation is needed, with close monitoring of the levels. Once a normal value has been achieved (normal TSH), levels can be checked annually, unless the patient becomes pregnant or exacerbation of symptoms develops.
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Deterrence

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  • Patients with hypothyroid myopathy should be careful with regard to the use of cholesterol-reducing agents (ie, HMG CoA reductase inhibitors), such as statins.
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Prognosis

With treatment, hypothyroidism has a good prognosis. An early diagnosis and the prompt introduction of thyroid supplemental treatment are needed. Complete resolution of weakness and other symptoms of hypothyroid myopathy may take several months to years of treatment. [13]

In a study of patients with endocrine disorder myopathies, Sharma et al found that out of 10 hypothyroid patients with apparent muscle dysfunction, 7 patients (70%) achieved resolution of muscle complaints after being treated for low T4 levels for an average period of 6.4 months. [31]

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