Question: I am 79 years old and was diagnosed with post-polio syndrome a few years ago. I was originally diagnosed with polio when I was nine years old. On a follow-up visit to Rancho Los Amigos in Downey, California, the doctor I saw (different from the one I had previously seen) told me he wasn’t certain that I had ever …
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Is It Safe for a Polio Survivor with Breathing Problems to Have a Heart Stress Test?
Question: I am going to have a heart stress test. Is it dangerous for a 72-year-old polio survivor who has some breathing problems to do so? Dr. Maynard: A Stress Test does involve some risks, but they are minimized by medical professionals trained and equipped to handle cardiac arrests and arrhythmia should they occur. I am unaware of evidence to …
Cervical Spondylotic Myelopathy and Post-Polio Syndrome
Question: In cervical spondylotic myelopathy there may be muscle weakness in lower limbs and gait disturbance, so it may be confused with a post-polio syndrome in a person who has had polio. Is there some information regarding the prevalence of this pathology in elderly patients who have had polio and how to diagnose correctly and not attribute the new weakness …
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 …
Cortisone Shot Side Effects and Hip Replacement Anxiety
Question: Several years ago my right ankle muscles gave out after a cortisone shot. I wear a brace to steady this leg. Now, after two bad falls, my left hip will need replacement. My current orthopedic physician wanted to give me a cortisone shot, and I refused, recalling the reaction from my ankle. Now I am frightened about hip replacement, …