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Living with Glycogen storage disease, type V

Also called McArdle disease: an inherited condition in which muscles can't break down glycogen, causing fatigue, pain, and cramps in the first minutes of exercise.

Understanding Glycogen storage disease, type V

Glycogen storage disease type V (McArdle disease) is an inherited disorder in which muscle cells can't break down glycogen.

People usually have tiredness, muscle pain, and cramps in the first few minutes of exercise, which eases with rest. Many can resume exercise with little discomfort after resting (the "second wind" effect). Prolonged or intense exercise can damage muscle, and about half of people have muscle breakdown (rhabdomyolysis). It usually begins in the teens or twenties but can appear any time from infancy to adulthood.

Signs & symptoms

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

  • Muscle tiredness with exercise
  • Muscle cramps with exercise
  • Muscle breakdown (rhabdomyolysis)
  • Dark or rust-colored urine

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 PYGM 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

    International Association for Muscle Glycogen Storage Disease 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: International Association for Muscle Glycogen Storage Disease, 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 International Association for Muscle Glycogen Storage Disease 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 genetic testing confirm a change in the PYGM gene?
How can I exercise safely, including using the second wind effect?
What should I do if I notice dark urine after exercise?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceAutosomal Recessive
GenesPYGM

Changes in the PYGM gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: glycogen storage disease caused by mutation in pygm; glycogen storage disease due to muscle glycogen phosphorylase deficiency; glycogen storage disease type 5; glycogen storage disease type v; glycogen storage disease v; glycogenosis due to muscle glycogen phosphorylase deficiency

Patient organizations

Source: NIH GARD · Glycogen storage disease, type VGARD ID 6528 · 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

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