I am suffering for Post polio residual paralysis in my left leg. It makes my left leg a little (about 2 inches) smaller and thinner that my right leg. I am 23 years old. Is there a permanent cure to this? I would strongly recommend you to consult an orthopaedician.
It is in the stage of residual paralysis that more active orthopaedic treatment is required. It consists of the following:
1.Detailed evaluation of the patient: Most patients with PPRP walk with a limp,with or without calipers.An assessment is made whether functional status of the patient can be improved.For this, evaluation of the deformities and muscle weakness is made.The gait can be improved by the use of calipers or operations.
2.Prevention or correction of deformities:The main emphasis is on correction of deformity.This is done by splinting of the paralysed part in such a way that the effect of the muscle imbalance and gravity is neglected. An operation may sometimes be necessary to prevent the deformity. Commonly Tendon Transfer operations are done.
3.Leg length equalisation:In cases where one leg is short by more than 4 cm,a leg lengthening procedure may be required.
Good luck. What can be done?
Generally, PPS has a slowly progressive course. It is important to stay in good condition, avoid stress and to get rest when you need it.
The important aspects of management are:
Lifestyle Modification
Exercise
Weight Control and Diet
Assistive Devices
Most of the symptoms of PPS are due to tired, overworked muscles. The sensible way of managing them is to change your activity level so that you can do what is important to you.
Lifestyle Modification
It is important that there is a balance between rest and activities. You should rest for twice as long as you are active. You are the person who can best manage you lifestyle.
Keep a diary and use it to identify the activities that produce symptoms and look at how much time you spend on them. You must forget the old slogan "no pain, no gain." For polio survivors, pain is the signal for rest.
Devices
There are many devices that can help you decrease the energy needed to perform your desired activities, such as electric can openers or jar holders, card holders, walking aid(s), scooters and electric wheelchairs.
Use a cart and avoid carrying loads.
Do tasks in a sitting, not standing position.
Take the elevator instead of the stairs.
Exercise
A careful exercise program, such as walking, swimming, cycling and weights has been shown to be beneficial for some. Pain on exercise, however, is a signal to stop! Consult your physiotherapist to plan your exercises and monitor its effects.
Health Care Professionals
Health professionals, doctors, physical & occupational therapists and counselors can provide advice. Few health care professionals today have experience with acute polio, however, if they don't know, they will usually investigate.
In summary: Not all polio survivors will experience PPS. Keep fit, avoid stress, have a balance of 2:1 between rest and activity. You are sensible, not lazy, if you use devices to avoid fatigue and pain.
Want to learn more?
Contact Polio Canada to find a Polio Survivors Support Group near you.
Groups are run by polio survivors to provide mutual support and share information and coping mechanisms.
Polio Canada can also provide information packages for you and your health care professionals.
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