MG gave me those problems too, however it was not hard for me to adjust. A few months before MG struck I had a knee replacement. I was used to walking slowly, carefully, with a cane and gripping the hand rails, so I just continued with that until MG got under control.

So, take your time, grab the rails, and watch when and where you put your feet. Things will get better if you keep from do a Jack and Jill now!
Good Luck

Progression to collapsing was what prompted me to start treatment with cellcept. Soon after I busted my head open and did IVIG to push my MG back.

Please be careful and pay close attention to your symptoms.

In the year before I went on Mestinon I fell 12 times and had several hard falls and several severe sprains. I am not sure what was influencing it the most. I did start wearing soft foot braces when working outdoors but I seemed to have a lot of problems with falling.
For some reason I have not been having that problem since I went on the mestinon. Perhaps in my case it was pure muscle weakness causing it. Not sure.

Hope you figure out how to stabilize yours. The soft braces on my ankles seemed to offer a bit more stability during that time period for me.

It is a "normal" problem for me and for my father who had MG. Before I was on Mestinon I was crawling up stairs at night. The Nightcrawler" sounds like a horror movie, but I thought it was just energy saving (and it was, but find no need to do it any more).

Do not attempt stairs with something in each hand or without using a handrail. Dad fell going down, with some warning, but no ability to stop, and like Marie, I had a couple of hard outdoor falls before the Mestinon. One was a drop and roll down our 9 concrete steps with a garden knife in my pocket and mason hammer in my belt loop, worrying about my glasses all the way down. I don't even want to think about the other one, triggered by a slip on wet earth.

Recently I had a bad sprain, didn't have my full dose of Mestinon on board. We really need to have MG under good control when we are active or at least enough Mestinon to stabilize all our joints. I do Tai Chi or I think things would have been worse. Usually I have no problems with balance. b.

Thank you very much Russ, cgreens, GreenMarie and bweeds. i don't have handrails at any entrance to our house...never even thought of it, duhhh. I think I'm in denial re: MG, except on an intellectual level. Time to get practical I think, and acknowledge that more adjustments have to be made.

Stay close to walls and furniture. I probably should have fallen lots of times, but the way my house and everything is situated lets me just tilt into a wall or lean on something to right myself. Nursing a strained ankle this week, I suppose from the stairs.

For the last few months I've been unable to climb the stairs without a fresh dose of mestinon. You might try timing it better, as much as an inconvenience as it is.

When I was in hospital getting (semi)diagnosed with MG, they gave me an amazing physical therapist. She got me on the stairs and taught me how to better navigate the stairs. She really impressed upon making sure my footing was solid before trying the next stair. And I go down sideways, hanging onto the railing. Sometimes going up I do one step, then lean on the wall and rest for a bit. Using a cane can be a big help, and there is a cane out there meant for stairs but I only use my regular cane to help push me up sometimes.

Do your stairs have a landing where you can place a small stool? I've done that and can rest there before attempting the last few steps, and it helps an incredible amount to rest those leg muscles or just catch my breath.

Thank you MayMay. I did think to purchase a small stool for the kitchen so I can chop veggies or whatever seated at the counter instead of standing...I will buy a couple more I think, one for the stair landing and one for the garage. I will also be inquiring next week about having handrails put in. I knew I could count on you guys for practical help. Thank you so much.