QUESTION: I am going to schedule a left-shoulder replacement soon and would like to know if recovery will be more difficult with atrophied left paraspinal muscles. I had polio at eight years of age and was paralyzed from my neck down. I made a remarkable recovery and am now 77 years old. I have never needed mobility aids, but I …
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Kneecap Strength and Healing After a Fall
Question: I fell nine weeks ago, breaking my distal femur and patella and spraining my distal ACL. A physical therapist comes to my home every week. X-rays show my bones are healing well. This week I’m working on starting to walk stairs, but it’s extremely difficult because of my kneecap. I believe the PT is being cautious, knowing about my …
What are the Symptoms in Patients with Post-Polio Syndrome with Facial Involvement?
Question: What are the symptoms in patients with post-polio syndrome with facial involvement? I am a PT with facial nerve involvement due to polio. Answer: Regarding facial nerve involvement after poliomyelitis: It is not common but also not rare. I have seen well over a dozen patients with significant one-sided facial weakness secondary to polio. I have not seen anyone …
Are There Any New Medicines That Can Improve Muscle Functioning in Those with Post-Polio Syndrome?
Question: I am a 61-year-old female who has recently been diagnosed with post-polio syndrome. I am looking for the latest research on improving muscle function in the affected limb. Are there new medicines that can improve muscle functioning? Answer: Research studies have demonstrated that muscle strength and endurance can be improved among polio survivors, even those diagnosed with PPS, through …
Have Studies Been Done to Determine if Polio Affects Sexual Functioning?
Question: Have any studies been done to determine if polio affects sexual functioning? Answer: I am unaware of any medical studies of sexual function in polio survivors. Conventional medical opinion is that polio did not affect sexual functioning of survivors, and the history of normal potency in men who have had polio and fertility among women polio survivors would support …
Will a Viral Infection Take Longer to Clear Up in Those with Post-Polio Syndrome?
Question: I have post-polio syndrome, and I have also been diagnosed with a viral infection. Will the viral infection take longer to clear up since I have post-polio syndrome? Answer: Recovery time after viral infections in polio survivors has not been studied. There is no reason to expect that the basic healing mechanisms of the body are altered as a …
Advice for Foot Edema After Hernia Surgery
Question: I have lower left leg PPS atrophy. Since hernia surgery recently, I haven’t been able to walk or bicycle as I regularly used to do. I’ve sometimes noticed worrisome foot edema that is more pronounced and sustained since the surgery. Other than trying not to sit for too long, cutting back on salt and elevating the leg more, is …
EMG on Limb with No Electrical Response and Other Options?
Question: I have a question regarding differential diagnosis specifically utilizing electromyographpy (EMG, a test that measures the electrical activity of muscles at rest and during contraction). I am 63 with a family history of stenosis. I have low back pain, sometimes radiating diagonally to the hip/thigh region and increasing in intensity, leading to sudden inability to rise from sitting to …
Are There Any Nutritional Issues Specifically for Polio Survivors, Specific Dietary Needs or Concerns, or Any Beneficial Supplements?
Question: Are there any nutritional issues that polio survivors should pay special attention to? Are there any particular dietary needs or concerns? Any supplements that are beneficial? Answer: There are several important nutritional issues for people who had polio. No other issue is more important to good health than optimal nutrition, and no other is more controversial and little studied …
Ankle Fusion for Polio Survivor
Question: Thank you for the help you have given me in the past. I’m a 79-year-old male who developed polio at the age of four. I was in an iron lung for several weeks then treated at home with Sister Kenny’s hot baths and massage. My left leg was paralyzed but improved over the years to a point that I …
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