Hello all,
I was recently diagnosed with LGMD2A/R1 (I believe, it is CAPN3 and Google says that's 2A/R1). So far neurologists have not been helpful, no advice given on maintaining health or what to expect. I understand this may be because there is no known treatment and there is quite a bit of variation in progression between people, even amongst siblings.
I would say my onset of symptoms is hard to pin point, when I was a child I didn't have any issues with physical activity. I would wake up in the middle of the night a few times a year with horrible shin pain, which we assumed was "growing pains". Around 25yrs old I began to have severe joint pain in my knees, elbows, wrists, ankles, hips. I developed psoriasis and was subsequently diagnosed with psoriatic arthritis, after quite a bit of push back to the doctors that my pain was not normal. Biologics for psoriatic arthritis helped my joint pain. Meanwhile my CK had gone up to 400-900 (not high compared to a lot of you, but out of normal range). I had seen Neurologist for CK level, even told him years ago I feel my shoulders are weak such as when lifting above my head to do my hair, nothing comes of it.
Fast forward to this last year, I had been actively going to the gym since June 2025 to March 2026 with minimal improvements in muscle strength in my hip abductor exercises and shoulders. I did go up on weight for back, chest, other leg exercises such as deadlifts. I noticed I wasn't seeing as much progression in how I looked regarding muscle building, but chalked this up to maybe I wasn't eating enough calories or being consistent enough. Around June 2025 my AST and ALT began to elevate, I didn't connect this to my addition of exercise. My rheumatologist thought it was elevated due to my biologics, as it can elevate liver enzymes.
February 2026 my little brother gets his diagnosis of LGMD. I get tested shortly after and I have it too, which was shocking to me but the puzzle pieces of things I was struggling with at the gym made sense. Suddenly after the diagnosis I begin to struggle a little, my calves are tight and hurt at least half the days of the week, my shoulders hurt and get tired easily, lower back pain, longer walks are really tiring for my legs and they feel heavy. I am constantly exhausted. I am high functioning, but definitely cannot do work that requires manual labor, luckily I work a desk job. Even my desk job causes me pain, there is no configuration for my desk that is comfortable. Driving can be uncomfortable, I hold the steering wheel at the bottom so I don't have to elevate my arms and strain shoulders. Pushing the pedals causes pain in my calf. All of the tasks are not SEVERE pain, but it's a 4/10 that sucks to live with baseline. I FULLY understand my situation is better than others, I appreciate every day that it could be worse, but it's been getting me down.
I still go to the gym, the doctors told me weight lifting is okay and to exercise "like any normal person" but not push myself too hard. I don't find NOT going to the gym improves my pain, so I still go, to try to maintain muscle. I have a handicap placard so I know I can easily get back to my car after working out legs, and only use it when there's ample spaces for those who may need it more. Doctors said to stay hydrated, didn't have any suggestions on protein intake or vitamins but I am trying to get ample of both.
I'm scared what the next years will bring, I don't want to lose my ability to do different tasks and I don't want to rely on my fiance to do more things. I'm really curious what others have experienced with later onset of symptoms and progresssion, perhaps what they're doing to help themselves on a daily basis?
I hope this post isn't too long and drawn out, I appreciate anyone who reads it.
Thanks ❤️