| CMT,
MS & MD What's the difference? by Dr. Greg Carter CMT, multiple sclerosis, and muscular dystrophy are all three completely
separate and distinct problems. Remember that our neuromuscular system
really starts at the brain, which is the master computer, and sends signals
to the motor (muscles) via the spinal cord (an intermediate connecting
cable) which hooks up to the peripheral nerves (the connecting lines between
brain and muscle). For the sake of understanding, I will simplify this a bit: I think everyone
who reads this newsletter knows what CMT is but for those who don't, it
is primarily a disease of the peripheral nerves (the connecting lines
between brain and muscle). CMT causes weakness and impaired sensory perception
because the signal can't get to and from the brain to muscle and skin,
among other things. The muscles will shrink as they aren't getting the
proper signals but the muscles themselves are not directly diseased per
se. Muscular dystrophy is a disease directly of the muscle itself and this
causes weakness of varying degrees (there are many forms of MD). Sometimes
the heart can be involved because it is a muscle too. Also, the lungs
can be affected because the breathing muscles are weak (similar to CMT,
although in CMT it is because the phrenic nerves are affected which in
turn weakens the diaphragm, our main breathing muscle). Multiple sclerosis is a disease of the brain and spinal cord. It can
affect both movement and sensory perception and sometimes, thinking processes.
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