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Living with Central core myopathy

A muscle condition that causes weakness from barely noticeable to very significant, often starting in childhood.

Understanding Central core myopathy

Central core myopathy, also called central core disease, is a disorder that affects the muscles used for movement (skeletal muscles).

Weakness ranges from barely noticeable to very severe, even within one family. Most people have mild weakness that does not worsen over time, mainly in the shoulders, upper legs, and hips. In infants, weakness can delay motor skills. It usually appears in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Muscle weakness near the center of the body
  • Low muscle tone (hypotonia)
  • Easily tired (fatigue)
  • Hip dislocation present from birth
  • Clubfeet and flat feet
  • Curved spine (kyphoscoliosis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RYR1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    RYR-1 Foundation and Muscular Dystrophy Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: RYR-1 Foundation, Muscular Dystrophy Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with RYR-1 Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can RYR1 genetic testing confirm the diagnosis?
What therapies can help with strength and movement?
Should I tell any doctors or anesthesia teams about this diagnosis?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesRYR1

Changes in the RYR1 gene cause this condition. It is inherited in an autosomal dominant way, so one changed copy of the gene can cause it.

GeneticNeurological

Also known as: central core disease; cmyo1a; congenital myopathy 1a, autosomal dominant, with susceptibility to malignant hyperthermia; myopathy, central fibrillar

Patient organizations

Source: NIH GARD · Central core myopathyGARD ID 6014 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Central core myopathy.

Explore the Central core myopathy blog

Explore research for Central core myopathy

Explore actively recruiting Central core myopathy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Central core myopathy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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