Early symptoms of myotonic dystrophy are more behavioral than physical. For example, the have problems planning ahead, making decisions, and processing visual-spacial dimensions. For adults, symptoms include breathing and swelling abnormalities, cataracts, weakness in the head and neck area, heart difficulties, insulin resistance, weakened internal organs, hand muscle weakness, and myotonia (problems relaxing grip, causes pain). These symptoms get worse when the weather is cold. There is currently no cure for myotonic dystrophy, there are only cures to alleviate the symptoms.
References:
Signs and Symptoms | Myotonic Muscular Dystrophy | MDA
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