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Living with Friedreich ataxia

A genetic condition of the nervous system that causes worsening problems with coordination, strength, speech and sometimes the heart.

Understanding Friedreich ataxia

Friedreich ataxia is a genetic condition that affects the nervous system and causes movement problems.

People develop poor muscle coordination (ataxia) that worsens over time. Other features include gradual loss of strength and feeling in the arms and legs, muscle stiffness, and problems with speech, hearing, and vision. Many have thickened heart muscle (hypertrophic cardiomyopathy). Some develop diabetes or scoliosis. Most people start having symptoms between ages 5 and 15, though about 25 percent have a later onset that usually progresses more slowly.

Signs & symptoms

GARD doesn't list a separate symptom list. Its summary describes:

  • Poor coordination and balance (ataxia)
  • Loss of strength and feeling in arms and legs
  • Muscle stiffness (spasticity)
  • Speech, hearing and vision problems
  • Thickened heart muscle
  • Diabetes or curved spine (scoliosis)

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, eye disease specialists, genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Friedreich's Ataxia Research Alliance (FARA), Hypertrophic Cardiomyopathy Association and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Friedreich's Ataxia Research Alliance (FARA), Hypertrophic Cardiomyopathy Association, MitoAction
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 Friedreich's Ataxia Research Alliance (FARA) 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
How often should my heart be checked?
Should I be screened for diabetes and scoliosis?
Which therapies can help with balance, speech and mobility?

Quick facts

InheritanceAutosomal Recessive

Changes in genes cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: fa; fa - friedreich ataxia; familial ataxia; frda; frda - friedreich ataxia; friedreich's ataxia

Patient organizations

Source: NIH GARD · Friedreich ataxiaGARD ID 6468 · 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 Friedreich ataxia.

Explore the Friedreich ataxia blog

Explore research for Friedreich ataxia

Explore actively recruiting Friedreich ataxia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Friedreich ataxia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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