Affected individuals typically have normal muscle strength or only minimal muscle weakness. In individuals with Becker type
What causes myotonia?
Myotonia is caused by an abnormality in the muscle membrane, and is often associated with inherited neurological disorders.
Are you born with myotonia?
Babies with congenital DM1 often are born with clubfeet, a curvature of the feet and lower legs. The problem may be due to abnormal muscle development in the lower legs and feet during fetal life. Infants with DM1 do not have myotonia at first but develop it later in life.