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Living with Monomelic amyotrophy

A rare condition that causes weakness and muscle loss in one arm or hand, usually starting in the teen years or adulthood.

Understanding Monomelic amyotrophy

Monomelic amyotrophy (MMA) is a rare condition that causes muscle weakness in the upper limbs.

MMA affects lower motor neurons, the cells that carry signals from the brain to the muscles used for movement. It causes weakness and loss of muscle mass in the arms and fingers. It is most common in Asia, especially Japan and India, and males are more likely than females to develop it. Diagnosis is based on imaging and electromyography (EMG).

Signs & symptoms

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

  • Muscle weakness in the arm or hand
  • Loss of muscle mass in the arms and fingers
  • Loss of nerve cells that control muscles (anterior horn cells)
  • Muscle twitching
  • Tremor

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.

  3. Ask which tests can help

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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
Which tests, like imaging and EMG, confirm the diagnosis?
Which therapies can help me keep hand and arm function?
Which nerve and muscle specialist should follow me?

Quick facts

Symptoms usually startTeenager and as an Adult

GARD says the exact cause is unknown. It can sometimes run in families, but it is not thought to be caused by a specific genetic change.

Neurological

Also known as: benign focal amyotrophy; hirayama disease; jmadue; juvenile muscular atrophy of distal upper extremity; juvenile muscular atrophy of the distal upper limb

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Monomelic amyotrophyGARD ID 9697 · 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 Monomelic amyotrophy.

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Explore research for Monomelic amyotrophy

Explore actively recruiting Monomelic amyotrophy studies with HealthSpark.

HealthSpark

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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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