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Living with Distal myopathy with posterior leg and anterior hand involvement

A genetic muscle condition that slowly weakens the muscles in the front of the hands and the back of the lower legs.

Understanding Distal myopathy with posterior leg and anterior hand involvement

Distal myopathy with posterior leg and anterior hand involvement is a genetic muscle condition linked to the FLNC gene.

This condition, also called distal ABD-filaminopathy, causes muscle weakness that slowly gets worse and is the same on both sides of the body. It affects the front of the hands and forearms and the back of the lower legs. It usually begins from the teen years to adulthood. Walking, running, and balance can become harder over time.

Signs & symptoms

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

  • Weakness in the lower legs and feet
  • Foot drop (trouble lifting the front of the foot)
  • Weak finger muscles
  • Shrinking small muscles of the hand
  • Trouble running or walking
  • Muscle pain with exercise

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 FLNC 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 FLNC gene help our family?
Do I need heart checks, since GARD lists heart muscle disease as uncommon?
What braces or therapy could help with foot drop and walking?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesFLNC

GARD says changes in the FLNC gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticNeurological

Also known as: distal abd-filaminopathy; myopathy, distal, type 4; williams distal myopathy

Patient organizations

Source: NIH GARD · Distal myopathy with posterior leg and anterior hand involvementGARD ID 16666 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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