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Living with Myopathy, distal, 5

A rare inherited muscle condition with slowly worsening weakness that starts in childhood and later affects the hands and feet.

Understanding Myopathy, distal, 5

Myopathy, distal, 5 is a rare inherited muscle condition with slowly worsening weakness that starts in childhood.

Weakness is first widespread in childhood, then mostly affects the muscles farthest from the center of the body (the hands and feet) in the teen years. Thigh muscle weakness may appear around the fourth decade. Facial muscle weakness is commonly reported.

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 climbing stairs
  • Difficulty running
  • Weakness in hands and arms
  • Tiring easily when chewing

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 ADSS1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
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 Cure ADSSL1
  • 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
Should we have genetic testing for the ADSS1 gene?
Which therapies can help me keep walking and using my hands?
How can we manage tight joints in the ankles and elbows?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Recessive
GenesADSS1

GARD lists changes in the ADSS1 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: adenylosuccinate synthetase-like 1-related distal myopathy; adssl1 distal myopathy; adssl1-related distal myopathy; distal myopathy caused by mutation in adssl1; mpd5; myopathy, distal, 5

Patient organizations

Source: NIH GARD · Myopathy, distal, 5GARD ID 17878 · 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 Myopathy, distal, 5.

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