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Living with Charcot-Marie-Tooth disease, demyelinating, type 1G

An inherited nerve condition starting in childhood that causes weakness and loss of feeling in the hands and feet.

Understanding Charcot-Marie-Tooth disease, demyelinating, type 1G

Charcot-Marie-Tooth disease demyelinating type 1G is a rare, inherited nerve disease in which the coating around nerves (myelin) is damaged.

It causes slowly worsening weakness and wasting in the hands and feet, loss of feeling there, and weak or absent reflexes. It begins in the first or second decade of life. Foot differences are common, and fat can replace muscle tissue in the lower legs.

Signs & symptoms

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

  • Weakness in the lower legs
  • Wasting of muscles in the hands and feet
  • Loss of feeling in the hands and feet
  • Absent ankle and knee reflexes
  • Frequent falls
  • Hammertoes

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 PMP2 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

    The Foundation for Peripheral Neuropathy 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: The Foundation for Peripheral Neuropathy
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 CMT Research 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 PMP2 genetic testing confirm the diagnosis?
What braces or therapy can help with falls and walking?
How should my foot differences be treated?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Dominant
GenesPMP2

Changes in the PMP2 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: cmt1g; pmp2-related charcot-marie-tooth disease type 1; pmp2-related charcot-marie-tooth neuropathy type 1; pmp2-related cmt1; pmp2-related hereditary motor and sensory neuropathy type 1

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease, demyelinating, type 1GGARD ID 17851 · 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 Charcot-Marie-Tooth disease, demyelinating, type 1G.

Explore the Charcot-Marie-Tooth disease, demyelinating, type 1G blog

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