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Living with Distal myopathy with anterior tibial onset

A genetic muscle condition that starts with weakness in the front of the lower legs and slowly spreads to other muscles.

Understanding Distal myopathy with anterior tibial onset

Distal myopathy with anterior tibial onset is a genetic muscle condition caused by changes in the DYSF gene.

The condition causes muscle weakness that gets worse over time. It starts in the muscles at the front of the lower leg (anterior tibial muscles) and later affects other leg and arm muscles. Blood tests show higher creatine kinase, and a muscle biopsy shows no dysferlin protein. GARD says patients become wheelchair dependent. Symptoms usually begin from the teen years to adulthood.

Signs & symptoms

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

  • Weakness in the front of the lower legs (tibialis muscles)
  • Progressive weakness in muscles near the center of the body
  • Muscle pain with exercise
  • No dysferlin protein in muscle fibers

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 DYSF 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

    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: 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 Muscular Dystrophy Association
  • 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
Would genetic testing for the DYSF gene help our family?
What therapy or devices might help with walking over time?
Which specialists should be part of my care team?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Recessive
GenesDYSF

GARD says changes in the DYSF gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: distal anterior compartment myopathy

Patient organizations

Source: NIH GARD · Distal myopathy with anterior tibial onsetGARD ID 17080 · 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 Distal myopathy with anterior tibial onset.

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