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Living with Charcot-Marie-Tooth disease type 5

A rare inherited nerve condition with weakness in the hands and feet, walking trouble, and sometimes muscle stiffness.

Understanding Charcot-Marie-Tooth disease type 5

Charcot-Marie-Tooth disease type 5, also called hereditary motor and sensory neuropathy type 5, is a rare nerve disease with slowly worsening weakness and wasting.

It affects the muscles farthest from the center of the body, with or without loss of feeling. People have trouble walking, foot drop, and high foot arches. It may include signs from nerve pathways in the brain, such as mild stiffness and brisk reflexes, along with cramps, pain, and spasticity. It usually starts in adulthood.

Signs & symptoms

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

  • Weakness in the hands and feet
  • Trouble walking
  • Foot drop
  • High foot arches (pes cavus)
  • Muscle cramps and pain
  • Muscle stiffness and spasms

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 MFN2 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

    Hereditary Neuropathy Foundation Inc., Charcot-Marie-Tooth Association 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: Hereditary Neuropathy Foundation Inc., Charcot-Marie-Tooth Association, 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 Hereditary Neuropathy Foundation Inc. 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 MFN2 genetic testing confirm the diagnosis?
What can help with cramps, pain, and stiffness?
What therapy or braces can help with foot drop?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesMFN2

Changes in the MFN2 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: charcot-marie-tooth disease with pyramidal features, autosomal dominant; charcot-marie-tooth disease-pyramidal features syndrome; charcot-marie-tooth disease, pyramidal features syndrome; charcot-marie-tooth neuropathy with pyramidal features, autosomal dominant; cmt with pyramidal features; hereditary motor and sensory neuropathy 5

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease type 5GARD ID 9208 · 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 type 5.

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