Early diagnosis and early intervention in people with Charcot- Marie-Tooth disease give clinicians and patients a valuable head start on keeping symptom progression in check.
By Robyn Parets, Lower Extremity Review May 2015
If you ask Brennan Ryan what his favorite after-school activities are, he’ll tell you, “Basketball, baseball, flag football, and Cub scouts.” Ask him what his favorite part of school is and he’ll answer, “Recess.” This isn’t surprising considering that Brennan Ryan is 10 years old and in fourth grade.
“He’s a regular boy. He likes sports and has a ton of friends,” said Kathy Ryan, Brennan’s mother.
But, at the same time, Brennan, who has Charcot-Marie-Tooth disease (CMT, specifically subtype CMT1A), is no ordinary kid. His mother, who has extremely mild CMT symptoms, knew something was wrong from the time her son was six months old. He had trouble moving around and didn’t start walking until he was around two years old. The developmentally delayed baby started physical therapy before his first birthday and, as a toddler, he had trouble with balance and couldn’t run or jump like the other kids, Kathy said.
Once diagnosed with CMT through genetic testing, Brennan immediately began wearing SureStep SMOs (supramalleolar orthoses) to help his excessive pronation and other symptoms.
“The SMOs helped his overall stability and gait. They also gave him confidence,” Kathy said.
Orthotic devices have played a bigger role in Brennan’s life as his CMT symptoms have become more severe over the years, said Kathy, who also has twin 12-year-old daughters who do not have CMT. Brennan becomes fatigued easily, frequently has pain in his feet and hands, and has trouble with weakness in his extremities. For example, his thumb dislocates often and he has difficulty holding a pencil. In school he uses technology, including an iPad with a keyboard, to help him write and keep up in class, said Kathy, who is a third- and fourth-grade teacher. Perhaps the hardest thing is watching her son come home from school wiped out or just lie on the floor after playing sports.
“It takes him awhile to gain his energy back,” she said.
Brennan goes to physical therapy once a week, and his mom also helps him stretch his legs at home. They’ve found that it’s important for him to do these exercises regularly, Kathy said.
“He’s a very bright boy and very aware of what he has [to deal with],” she said.
However, Brennan is happy to have orthotic devices that allow him to wear cool sneakers, just like his friends. Kathy and Brennan’s father, Kevin Ryan, just have to search a little harder for the extra-wide footwear brands that will fit over the devices.