L LGMDUNDERSTOOD
ENDADEFRES
KNOWLEDGE. CONNECTION. POSSIBILITY.

Living with LGMD2C.
A clearer path forward.

A guide centred on LGMD2C / LGMDR5 for patients and families, with information on the wider LGMD group.

FOR PATIENTS & FAMILIESEvidence-informed. Human-first.
Clarity for every step

Understand the science. Prepare for conversations. Find your people.

01 / UNDERSTANDING LGMD

Understanding LGMD2:
symptoms, genes and inheritance.

LGMD affects muscles around the shoulders and hips. Its course varies between subtypes and between individuals.

Underlined medical terms have a plain-language explanation. Hover, focus or tap to read it.

01

What does LGMD2 mean?

LGMD2 is the older umbrella name for limb-girdle muscular dystrophies. Many are now described using LGMDR names.

02

Why the gene matters

Different genetic changes affect different muscle proteins. Your genetic report can help your specialist identify the subtype and explain what it means.

03

No single timeline

Symptoms and progression vary. Some subtypes may affect the heart or breathing, so monitoring should be tailored to the individual.

Source: Muscular Dystrophy UK — LGMD overview

GENETIC TERMS

Understand your genetic report.
Start with the terminology.

Select a term to read a source-based explanation. This guide contains no patient report or invented test result.

VUS

A variant of uncertain significance: current evidence cannot establish whether the change causes disease. A VUS alone does not confirm a diagnosis.

Discuss the full report with a genetics professional. Some recessive conditions involve two different variants, one in each gene copy.

Sources: NHGRI genetics glossary and MedlinePlus Genetics.
Genetics glossary (NHGRI) · Understanding test results (MedlinePlus)

Safety & card · Search LGMD names and genes
02 / MAKING SENSE OF THE NAMES

LGMD2 and LGMDR:
subtype names and genes.

Search current and older names, genes and proteins. Confirm your own subtype with your genetics team.

Find your LGMD subtype: old name, new name or gene

Search 34 source-checked subtype entries: R1–R29 and D1–D5. The ENMC naming reform was published in 2018; later additions are included. This is a reference, not a diagnosis. Classification can change.

34 matches

Find your LGMD subtype: old name, new name or gene
New nameOlder nameGene / proteinInheritance
LGMDR1LGMD2ACAPN3Calpain-3Recessive (R)
LGMDR2LGMD2BDYSFDysferlinRecessive (R)
LGMDR3LGMD2DSGCAAlpha-sarcoglycanRecessive (R)
LGMDR4LGMD2ESGCBBeta-sarcoglycanRecessive (R)
LGMDR5LGMD2CSGCGGamma-sarcoglycanRecessive (R)Explore ATA-200 research
LGMDR6LGMD2FSGCDDelta-sarcoglycanRecessive (R)
LGMDR7LGMD2GTCAPTelethoninRecessive (R)
LGMDR8LGMD2HTRIM32TRIM32Recessive (R)
LGMDR9LGMD2IFKRPFKRPRecessive (R)
LGMDR10LGMD2JTTNTitinRecessive (R)
LGMDR11LGMD2KPOMT1POMT1Recessive (R)
LGMDR12LGMD2LANO5Anoctamin 5Recessive (R)
LGMDR13LGMD2MFKTNFukutinRecessive (R)
LGMDR14LGMD2NPOMT2POMT2Recessive (R)
LGMDR15LGMD2OPOMGNT1POMGNT1Recessive (R)
LGMDR16LGMD2PDAG1DystroglycanRecessive (R)
LGMDR17LGMD2QPLECPlectinRecessive (R)
LGMDR18LGMD2STRAPPC11TRAPPC11Recessive (R)
LGMDR19LGMD2TGMPPBGMPPBRecessive (R)
LGMDR20LGMD2UCRPPACRPPA / ISPDRecessive (R)
LGMDR21LGMD2ZPOGLUT1POGLUT1Recessive (R)
LGMDR22—COL6A1 / COL6A2 / COL6A3Collagen VIRecessive (R)
LGMDR23—LAMA2Laminin alpha-2Recessive (R)
LGMDR24—POMGNT2POMGNT2Recessive (R)
LGMDR25LGMD2XBVESPOPDC1 / BVESRecessive (R)
LGMDR26—POPDC3POPDC3Recessive (R)
LGMDR27—JAG2Jagged-2Recessive (R)
LGMDR28—HMGCRHMG-CoA reductaseRecessive (R)
LGMDR29—SNUPNSnurportin-1Recessive (R)
LGMDD1LGMD1DDNAJB6DNAJB6Dominant (D)
LGMDD2LGMD1FTNPO3Transportin-3Dominant (D)
LGMDD3LGMD1GHNRNPDLHNRNPDLDominant (D)
LGMDD4LGMD1ICAPN3Calpain-3Dominant (D)
LGMDD5—COL6A1 / COL6A2 / COL6A3Collagen VIDominant (D)

LGMDR and LGMDD: what is the difference?

Recessive (R): disease-causing changes affect both copies of a gene. Dominant (D): one disease-causing copy can be sufficient. A gene such as CAPN3 can be associated with either pattern; the variant and clinical interpretation matter. Your genetics team can explain the implications for your family.

Some older labels have been reclassified: LGMD1B is associated with Emery–Dreifuss muscular dystrophy, LGMD1C with rippling muscle disease, LGMD2R with myofibrillar myopathy and LGMD2V with Pompe disease. Not every old name has an R/D equivalent.

ENMC · 2018 · MDUK · AFM-Téléthon · 2025 · NCBI · SNUPN / R29 · CRPPA / ISPD · MedlinePlus

Keep a copy of your genetic report. Ask your care team which name and gene apply to you.

NEWER NAME

LGMDR5

Gamma-sarcoglycan-related

OLDER NAME LGMD2CGENE SGCGExplore ATA-200 research

Name reference: Current and older LGMD names

SUBTYPE RESEARCH · SGCG

LGMD2C / LGMDR5: ATA-200 research

Investigational gene therapy

ATA-200 is Atamyo Therapeutics’ AAV-based programme for gamma-sarcoglycan-related LGMD. It aims to deliver a functioning copy of SGCG. This programme targets LGMD2C / LGMDR5, not every LGMD subtype.

The study at a glance

Gene
SGCG
Registry phase
Phase 1
Registry status
Active, not recruiting

Registry last updated: 29 January 2026. Sources checked: 8 October 2026. Status and eligibility can change; confirm them with the study team.

What Atamyo has reported

In its 13 May 2026 release, Atamyo reported four participants treated and 12-month follow-up for the first two. The company describes the programme as Phase 1b/2.

These are early company-reported observations in a small group. They do not establish long-term safety, lasting benefit or outcomes for other patients.

Atamyo · company update · 13 May 2026

The Dion Foundation’s role

The Dion Foundation says it supported the U.S. deployment of the trial financially. It does not recruit or enrol participants and cannot guarantee a trial place.

Families can explore its LGMD2C / R5 patient resources and contact list. Joining a contact list is separate from trial enrolment; read the organisation’s consent and privacy information.

The Dion Foundation · patient resources

Questions for your specialist

Does my confirmed SGCG diagnosis match the study criteria? What risks, follow-up and alternatives should we discuss? Use the official record for full criteria and study contacts.

AWARENESS · CHILDREN & FAMILIES

Help more people understand LGMD2C.

Children living with LGMD2C / LGMDR5, and their families, deserve to be seen, heard and supported. Help raise awareness of this rare muscular dystrophy and the ways it can affect everyday life.

Sharing reliable information can help more people understand the need for research, care and support. Better treatments remain a goal of ongoing research. Together, we can build understanding and stand alongside children and families.

03 / LIVING WITH LGMD

Living with LGMD2:
care and daily support.

You do not have to understand everything at once. Start with conversations that help you feel informed and supported.

Newly diagnosed? Start here.

You do not need to solve everything today. These three steps can help you prepare for your next conversation.

  1. Keep your diagnosis and genetic report together.
  2. Write down your questions and the changes you have noticed.
  3. Ask your specialist who to contact between appointments.
YOUR CARE TEAM

Who could be part of your team?

Choose the topics you want to discuss. This builds a conversation checklist, not a referral or a diagnosis. Heart and breathing checks may be needed even without symptoms.

Topics for my next conversation

Your discussion checklist

    Sudden or severe breathing difficulty, chest pain or fainting needs urgent medical assessment. This checklist is for routine care planning.

    LGMD care overview (MDUK)

    YOUR NEXT APPOINTMENT

    Good questions.
    More clarity.

    • What is my confirmed genetic subtype?
    • Which heart or breathing checks do I need?
    • Who can help with mobility and daily activities?
    • What research might be relevant to my subtype?
    Prepare, print or save your appointment sheet (PDF)
    How is LGMD diagnosed?

    Assessment can include a , blood tests, genetic testing and sometimes other investigations. A can explain the findings; a can discuss inheritance.

    Read MDA's diagnosis guide
    What support can help with daily life?

    Discuss movement, fatigue, mobility aids and home adaptations with your care team. Physiotherapy and occupational therapy can help shape support around your abilities and priorities.

    Explore condition management
    What should I discuss about heart, breathing and procedures?

    Heart and depends on the subtype. Ask your specialist about monitoring, and tell your surgical and anaesthetic team about your LGMD diagnosis before a procedure.

    Read the LGMD care overview
    How can I explore research for my subtype?

    Research is specific to the gene and study. Eligibility, availability and study status can change. Ask your specialist about relevant studies and what participation would involve.

    Explore ClinicalTrials.gov
    EVERYDAY SOLUTIONS

    Support your independence.
    Make room for what matters.

    Explore by daily challenge, not by a stage of disability. A physiotherapist or occupational therapist can assess what is safe and useful for you.

    What could help with stairs or getting up from a chair?

    Ask about a chair at a suitable height, a rise-and-recline chair, rails or a stairlift assessment. Plan frequently used items on one level where possible. Avoid improvised lifting or unsupported transfers.

    What could help with reaching, dressing or eating?

    Discuss dressing aids, lightweight utensils, accessible storage or an arm-support assessment. The right equipment should suit your movement and your home.

    How can I manage fatigue through the day?

    Try pacing: plan, prioritise and alternate activity with rest before you are exhausted. Ask for help with demanding tasks. New or worsening fatigue should be discussed with your care team.

    A mobility aid is a tool for participation, comfort and conserving energy. It is not a measure of your worth.

    Fatigue and pacing (MDUK) · Posture and everyday support (MDUK)

    04 / FOR FAMILY & CAREGIVERS

    Walking the path together.
    Supporting them while taking care of you.

    Living with LGMD is a shared journey. As a partner, parent, or loved one, your role is vital — but you don't have to carry everything on your own.

    Adapting to change, together

    Feelings of loss can return as everyday abilities change. Make room for those feelings without expecting one fixed way of coping. Talk about what each person needs, protect time together outside caregiving tasks, and seek counselling or peer support when the burden becomes difficult to carry.

    Family and caregiver support

    Children and siblings need space, too

    Use clear, age-appropriate explanations and invite questions over time. Do not promise a particular disease course. Keep familiar routines and one-to-one time where possible. Children are not responsible for managing an adult’s care or emotions. Agree a trusted adult at school or in the care team they can talk to.

    Support for children and siblings
    01 — Support without taking over

    Respecting independence

    Ask your loved one how and when they want help. Preserving autonomy builds trust and preserves dignity as mobility needs change.

    02 — Protecting your own energy

    Avoiding caregiver burnout

    Taking breaks, maintaining your own routine, and setting boundaries isn't selfish — it ensures you remain a steady, healthy presence over time.

    03 — Open family conversations

    Talking with children & relatives

    Be honest about physical changes without creating unnecessary fear. Simple, age-appropriate answers help children feel safe and included.

    CAREGIVER GUIDANCE

    Practical steps
    for daily strength.

    • Communicate openly about daily energy levels
    • Share caregiving tasks with family or professionals
    • Schedule dedicated personal time without guilt
    • Connect with other LGMD caregivers and families
    How can we prepare for appointments together?

    Offer to act as the note-taker during medical visits so your loved one can focus on the dialogue with the specialist. Agree beforehand on which questions are most important to ask.

    Where can caregivers find practical support?

    Look into local caregiver resources, respite care options, and workplace flexibilities early on. Don't wait for a crisis to map out available support systems.

    Where can I get support for my own feelings?

    It is completely normal to feel grief, anxiety, or helplessness. Joining caregiver support networks or speaking with a counsellor gives you a safe space to express your own feelings.

    Where to turn

    Availability and eligibility vary by country and service. Ask the organisation what support applies to you.

    05 / EMERGENCY & ANAESTHESIA

    LGMD anaesthesia safety:
    make essential information visible.

    Tell the emergency, surgical and anaesthesia teams about LGMD and your confirmed subtype. Bring your personal card and specialist contact details.

    Succinylcholine / suxamethonium

    MDUK advises that this depolarising muscle relaxant is unsuitable in muscle-wasting conditions. Show the anaesthesia team the source guidance.

    Heart, breathing and anaesthetic planning

    Sedatives, inhaled anaesthetics and neuromuscular blocking drugs may carry increased risk. Assessment and monitoring must be tailored to the subtype and the person.

    Before a planned procedure

    Ask whether updated lung function (including forced vital capacity, FVC), ECG or echocardiography is needed. The team decides which assessments and postoperative breathing support are appropriate.

    For an emergency, seek urgent medical help. This page and a personal card cannot replace assessment or provide anaesthetic clearance.

    MDUK · Anaesthesia · MDUK · LGMD alert card

    06 / PHYSIOTHERAPY & PACING

    Exercise with LGMD:
    protect movement and energy.

    Agree a plan with a neuromuscular physiotherapist. Avoid heavy resistance and repeated loaded muscle-lengthening (eccentric) exercise. Gentle pool activity, submaximal aerobic activity and prescribed stretches may be suitable. Alternate activity with rest. Stop for pain or unusual breathlessness; reduce activity if weakness persists. Dark, cola-coloured urine after exercise needs urgent assessment.

    Fatigue and pacing guidance

    My pacing plan

    Choose one priority, split tasks into smaller parts, plan rests and review how you feel the next day. Ask your therapist to adjust the plan when recovery or daily activities are affected.

    Read the exercise guidance

    07 / UNCERTAIN GENETIC RESULTS

    A VUS in your LGMD report:
    what can you do next?

    A variant of uncertain significance is an inconclusive finding, not a confirmed diagnosis. Ask a genetic counsellor about reanalysis and whether testing selected relatives could help interpretation. Family testing can add evidence without guaranteeing clarification; it should not be treated as predictive testing based on a VUS alone.

    Questions for your genetics team

    What evidence is missing? Would segregation analysis help? When should this result be reviewed? Who will contact me if the classification changes?

    Read the NHGRI VUS explanation

    Sponsored testing: a US programme

    Invitae’s Detect Muscular Dystrophy programme offers sponsored, no-charge testing for eligible people in the US through a healthcare professional. Eligibility and available panels must be checked with the provider; this is not a worldwide offer.

    Check current programme eligibility
    08 / REGISTRIES & RESEARCH

    LGMD patient registries:
    connect your diagnosis with research.

    Registries can support natural-history research, trial planning and contact with potentially eligible participants. Joining does not guarantee a trial place, treatment or a study in your country. Choose by confirmed gene and check the operator’s consent, eligibility and privacy terms.

    CAPN3 · LGMDR1 / LGMDD4

    Coalition to Cure Calpain 3

    International calpainopathy registry; check the operator’s enrolment requirements.

    FKRP · LGMDR9

    Global FKRP Registry

    International registry for FKRP-related conditions; check the patient information before joining.

    SGCB / SGCG / SGCD

    LGMD Awareness Foundation

    Find the individual sarcoglycan registry and its eligibility rules in the directory.

    LGMD · regional / international

    TREAT-NMD Registry Network

    A network of independent registries, not a single registry to join. Ask for a suitable national or regional contact.

    09 / MY TOOLKIT

    Prepare once.
    Bring what matters.

    Make a personal appointment sheet, an information card, or explore research by gene. Forms stay in this page and are not saved or sent to a server.

    Appointment preparation

    My next appointment — LGMD

    Choose your questions and add your own notes.

    Choose the questions to include

    Include changes you have noticed, what matters most to you, and anything you want to ask.

    No personal information is saved. Reloading or switching language clears the form. Choose “Save as PDF” in the browser’s print window.

    Emergency & anaesthesia information card

    My LGMD information card

    Complete from your confirmed diagnosis and care plan. Have your specialist review the details. This is a personal summary, not an official medical alert card.

    Copy confirmed measurements from your report, including units and test date. FVC means forced vital capacity; LVEF means left ventricular ejection fraction. Leave unknown values blank. These fields do not interpret results or confirm fitness for anaesthesia.

    The printed panels are wallet-width. Long entries may make the card taller; no information is cut off.

    Source: MDUK anaesthesia guidance
    Official MDUK LGMD alert card (PDF)

    Research & clinical studies

    Research by gene

    Browse public ClinicalTrials.gov records. Matching words do not establish that a study is suitable for you. Confirm eligibility and recruitment with the study team.

    No data loaded yet. Choose a gene and load studies.

    Titles appear in the language supplied by the registry, usually English. Study status is a registry entry, not a promise of access or benefit.

    Early research vs. clinical studies

    Preclinical work tests ideas in laboratories or models; it is not a treatment shown to work in people. Phases 1–3 investigate safety, dosing and effectiveness in human participants. Observational studies follow people without assigning an experimental treatment.

    Search preclinical publications on PubMed

    Patient registries

    Find gene-specific registries in the LGMD Awareness Foundation directory. Registration is with the external organisation, subject to its eligibility and privacy rules.

    Open the registry directory

    Some records have no phase. The list covers clinical records, not all research.

    10 / TRUSTED RESOURCES

    Find knowledge.
    Find connection.

    Start with established organisations and original study information.