By

Michael Mantz
We’ve all had that moment when a drink of water goes down the wrong pipe. You start coughing, struggle to catch your breath, and wonder how something so simple can cause so much trouble. Usually, it’s over in a minute or two, and you don’t think much about it afterward. For me, it happens more...
Invisible Disabilities Week 2026 | October 18–24 Last Saturday, my balance was much worse than usual. I’d slept well, and nothing particularly stressful was going on. Living with Ataxia, I’m no stranger to being unsteady on my feet, but this was different. For most of the day, I couldn’t stand without holding on to something....
On September 18, the FDA approved a drug called AQNEURSA for ataxia-telangiectasia, a rare, inherited form of ataxia that mostly appears in childhood. It’s the first treatment ever approved specifically for A-T, which is a genuinely big deal. I don’t have A-T myself. I have Spinocerebellar Ataxia type 15, a different condition entirely. But I...
What actually changes in your life the day after someone becomes aware of it? I’ve been thinking about that question lately. International Ataxia Awareness Day is coming up, so many of us in the Ataxia community will spend the day doing exactly what the name suggests. We’ll share our stories and try to explain a...
I was scrolling through a support group recently and came across a post from someone asking whether anyone else experiences unusually vivid, unsettling dreams and a strange, off feeling upon waking. He couldn’t quite explain it, only that something about his sleep had changed in a way he didn’t yet have words for. A few...
I recently came across an article about a backpack built with real aerospace technology. It uses the same gyroscopic principle that keeps satellites oriented in orbit, and is designed specifically to help people with ataxia stand and walk more steadily. It’s the kind of headline that sounds made up until you read the actual study...
Nobody’s ever told me I need occupational therapy. Not a doctor, not my neurologist, not my physical therapist. So I’ve never asked what it could do for me. That’s not the same as deciding I don’t need it. It’s closer to never having the conversation. Physical therapy comes up constantly in the ataxia community, mine...
Researchers at St. Jude Children’s Research Hospital found a way to reactivate a gene that is silenced in Friedreich’s ataxia. The study was published on August 5. FA isn’t my type of ataxia; I have Spinocerebellar Ataxia type 15, a different condition with a different genetic cause. But research like this often matters beyond the...
Most writing about ataxia focuses on the legs. Gait, tripping, falls, the mechanics of walking when your feet don’t quite trust the ground. That’s fair, since it’s the most visible symptom and the one people ask about first. But ataxia doesn’t originate the same way in everyone. For me, the instability isn’t mainly in my...
There’s a performing version of you that shows up in public, at work, at family dinners, in the grocery store, who has it mostly together. Moves well. Answers questions with something that sounds true. Doesn’t make anyone uncomfortable. Most people have some version of this. The question nobody asks is what it costs. I’ve been...
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My purpose

michael mantz
Life rarely goes as planned. This blog is about navigating what actually happens – major disruptions, health challenges, and the quieter work of figuring out who you are through all of it. I write from inside that process. I have Spinocerebellar Ataxia (SCA 15), a rare neurological condition that shapes my perspective but doesn’t define this space. Some articles are personal. Some are practical. All of them are honest.

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My New Stories

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