Management of FTD largely depends on the underlying cause. If the disproportion is due to a congenital myopathy, treatment may focus on supportive care, including physical therapy, occupational therapy, and, in some cases, surgical interventions to address specific complications. Genetic counseling may also be recommended for families affected by hereditary conditions that cause FTD. If an acquired condition is responsible, treating the underlying disease may help improve muscle function and reduce the degree of fiber type disproportion.