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Living with Myotonic dystrophy type 2

An inherited muscle condition (proximal myotonic myopathy) with stiff, weak, painful muscles and effects on the heart, eyes, and blood sugar.

Understanding Myotonic dystrophy type 2

Myotonic dystrophy type 2, or proximal myotonic myopathy, is an inherited muscular dystrophy that affects the muscles and other body systems.

It causes prolonged muscle tensing (myotonia) along with muscle weakness, pain, and stiffness. It can also affect the heart, eyes, and pancreas. Signs usually develop in a person's twenties or thirties. Muscles in the neck, fingers, elbows, and hips are typically affected. Severity varies widely, even in the same family.

Signs & symptoms

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

  • Muscle stiffness (myotonia)
  • Weakness near the center of the body
  • Muscle aches
  • Cataracts
  • Type 2 diabetes or insulin resistance
  • Trouble swallowing

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 hormone specialists.

  3. Consider genetic testing

    Changes in CNBP 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

    Myotonic Dystrophy Foundation, Muscular Dystrophy Association and Resolve: The National Infertility Association 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); Hormone specialists (endocrinologists)
Expert care
Expert lists: Myotonic Dystrophy Foundation, Muscular Dystrophy Association, Resolve: The National Infertility 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 Myotonic Dystrophy Foundation 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
Should we have genetic testing for the CNBP gene?
How often should my heart, eyes, and blood sugar be checked?
Which treatments help with muscle pain and stiffness?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesCNBP

It is caused by changes in the CNBP gene. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

GeneticNeurologicalEndocrine

Also known as: cnbp myotonic dystrophy; dm2; myotonic dystrophy caused by mutation in cnbp; myotonic myopathy, proximal; proximal myotonic dystrophy; proximal myotonic myopathy

Patient organizations

Source: NIH GARD · Myotonic dystrophy type 2GARD ID 9728 · 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 Myotonic dystrophy type 2.

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