Zespół post-polio
Objawy

Zespół post-polio (PPS) to zespół objawów pojawiających się średnio 15-40 lat po przebytym poliomyelitis, dotykający 25-40% pacjentów po pierwotnej infekcji. Charakteryzuje się postępującym osłabieniem mięśni, zmęczeniem oraz bólem mięśniowo-stawowym, często obejmującym mięśnie wcześniej uszkodzone przez wirusa. Dodatkowo mogą wystąpić atrofia mięśni, zaburzenia oddychania (w tym bezdech senny), dysfagia, deformacje szkieletowe oraz problemy z mową i snem. Progresja choroby jest powolna, z okresami stabilizacji trwającymi 3-10 lat, a nasilenie objawów waha się od łagodnych do ciężkich, wpływając na mobilność i codzienne funkcjonowanie pacjentów. Czynniki ryzyka cięższego przebiegu to m.in. ciężkość pierwotnej infekcji, nadmierny wysiłek fizyczny, stres, urazy oraz wiek zachorowania na polio.

Objawy zespołu post-polio

Zespół post-polio (PPS – Post-Polio Syndrome) to grupa potencjalnie upośledzających objawów, które pojawiają się u osób po przebytym w przeszłości poliomyelitis (chorobie Heinego-Medina). Objawy te rozwijają się zazwyczaj po długim okresie stabilności klinicznej, średnio 15-40 lat po pierwotnym zakażeniu wirusem polio, choć mogą pojawić się nawet 10-70 lat później.1234 Na zespół post-polio zapada około 25-40% osób, które przebyły polio. Osoby, które doświadczyły cięższej postaci choroby, są bardziej narażone na rozwój cięższej postaci zespołu post-polio.56

Główne objawy zespołu post-polio

Zespół post-polio charakteryzuje się przede wszystkim trzema głównymi objawami:789

  • Postępujące osłabienie mięśni – zazwyczaj dotyka mięśnie wcześniej dotknięte przez polio, ale może również wystąpić w mięśniach, które wydawały się nieuszkodzone przez pierwotną infekcję. Jest to charakterystyczny objaw PPS.101112
  • Zmęczenie – zarówno fizyczne (mięśniowe), jak i ogólne, jest jednym z najbardziej powszechnych i uciążliwych objawów. Pacjenci mogą odczuwać przytłaczające poczucie fizycznego wyczerpania.1314
  • Ból mięśni i stawów – często występujący jako głęboki ból w mięśniach lub skurcze i spazmy mięśniowe.1516

Dodatkowe objawy i manifestacje kliniczne

Oprócz głównych objawów, pacjenci z zespołem post-polio mogą doświadczać szeregu innych symptomów:171819

  • Zanik mięśni (atrofia) – stopniowe zmniejszanie się rozmiarów mięśni, szczególnie tych wcześniej dotkniętych przez polio2021
  • Problemy z oddychaniem – spowodowane osłabieniem mięśni oddechowych, co może powodować duszność i trudności z głębokim oddychaniem2223
  • Zaburzenia oddychania podczas snu – w tym bezdech senny2425
  • Problemy z połykaniem (dysfagia) – wynikające z osłabienia mięśni używanych do żucia i połykania, co może prowadzić do zakrztuszania się lub zachłyśnięcia2627
  • Nietolerancja niskich temperatur – zwiększona wrażliwość na zimno lub nagły spadek temperatury2829
  • Deformacje szkieletowe – takie jak skrzywienie kręgosłupa (skolioza)3031
  • Zaburzenia snu – często związane z problemami oddechowymi lub bólem3233
  • Problemy z mową – wynikające z osłabienia mięśni krtani i gardła3435

Progresja zespołu post-polio

Zespół post-polio jest stanem, który charakteryzuje się powolną, ale postępującą degeneracją. Zrozumienie wzorca progresji jest kluczowe dla zarządzania chorobą i planowania opieki długoterminowej.3637

Charakterystyka progresji

Progresja zespołu post-polio ma kilka charakterystycznych cech:383940

  • Powolny rozwój objawów – objawy zespołu post-polio rozwijają się stopniowo i nasilają się bardzo powoli w ciągu wielu lat4142
  • Okresowa stabilizacja – u większości pacjentów występują nowe objawy, po których następują okresy stabilności trwające nawet 3-10 lat4344
  • Nieregularne tempo – w niektórych przypadkach progresja może być nieregularna, z okresami szybszego pogarszania się stanu45
  • Różnorodność nasilenia – niektórzy pacjenci doświadczają jedynie łagodnych objawów, podczas gdy u innych występuje znaczne osłabienie mięśni i zanik4647

Wpływ na codzienne funkcjonowanie

Wraz z postępem choroby, objawy zespołu post-polio mogą znacząco wpływać na codzienne funkcjonowanie pacjentów:484950

  • Ograniczenie mobilności – połączenie zmęczenia, osłabienia i bólu może utrudniać chodzenie i prowadzić do narastających problemów z poruszaniem się5152
  • Trudności w codziennych czynnościach – takich jak ubieranie się, wchodzenie po schodach czy przygotowywanie posiłków5354
  • Zmniejszona aktywność fizyczna – większość osób z zespołem post-polio staje się mniej aktywna fizycznie niż wcześniej5556
  • Potrzeba korzystania z urządzeń wspomagających – w miarę postępu choroby pacjenci mogą wymagać korzystania z urządzeń wspomagających, takich jak laski, ortezy czy elektryczne skutery5758

Czynniki wpływające na progresję

Na tempo i nasilenie progresji zespołu post-polio wpływa kilka czynników:596061

  • Ciężkość pierwotnej infekcji polio – osoby, które doświadczyły cięższej postaci polio, są bardziej narażone na rozwój cięższej postaci zespołu post-polio6263
  • Czynniki wywołujące – objawy mogą pojawić się lub nasilić po okresie nadmiernego wysiłku fizycznego, stresu emocjonalnego, urazu, operacji lub okresie unieruchomienia6465
  • Wiek zachorowania na polio – zachorowanie na polio w młodym wieku może skutkować szczególnie upośledzającymi objawami zespołu post-polio66
  • Aktywność w latach pomiędzy infekcją a rozwojem PPS – zwiększona aktywność w latach pomiędzy pierwotną infekcją a wystąpieniem zespołu post-polio może nasilić objawy67

Zróżnicowanie nasilenia objawów

Zespół post-polio może się różnić pod względem nasilenia objawów u poszczególnych pacjentów. Ta różnorodność kliniczna jest istotnym aspektem choroby, który należy wziąć pod uwagę przy planowaniu leczenia.6869

Spektrum nasilenia objawów

Nasilenie objawów zespołu post-polio może wahać się od łagodnych do ciężkich:707172

  • Łagodna postać – niektórzy pacjenci doświadczają jedynie niewielkiego osłabienia mięśni, minimalnego zmęczenia i łagodnego dyskomfortu7374
  • Umiarkowana postać – pacjenci mogą doświadczać znacznego osłabienia mięśni, wyraźnego zmęczenia i bólu, co wpływa na ich zdolność do wykonywania codziennych czynności7576
  • Ciężka postać – w najcięższych przypadkach pacjenci mogą doświadczać znacznego osłabienia i zaniku mięśni, co prowadzi do znacznej utraty funkcji. Mogą również wystąpić poważne problemy z oddychaniem i połykaniem7778

Różnice w objawach w zależności od zajętych mięśni

Objawy zespołu post-polio mogą różnić się w zależności od tego, które mięśnie zostały dotknięte:7980

  • Kończyny dolne – osłabienie mięśni nóg może powodować trudności w chodzeniu, wchodzeniu po schodach i utrzymaniu równowagi, zwiększając ryzyko upadków8182
  • Kończyny górne – osłabienie mięśni ramion i rąk może utrudniać ubieranie się, podnoszenie przedmiotów i wykonywanie precyzyjnych ruchów8384
  • Mięśnie oddechowe – osłabienie przepony i mięśni klatki piersiowej może prowadzić do problemów z oddychaniem, w tym przewlekłej niewydolności oddechowej8586
  • Mięśnie opuszkowe – osłabienie mięśni gardła, krtani i przełyku może powodować problemy z połykaniem, mową i oddychaniem8788

Potencjalne powikłania

Chociaż zespół post-polio rzadko zagraża życiu, ciężkie osłabienie mięśni może prowadzić do różnych powikłań:8990

  • Upadki – z powodu osłabienia mięśni nóg91
  • Niedożywienie i odwodnienie – spowodowane trudnościami w żuciu i połykaniu9293
  • Zapalenie płuc – wynikające z aspiracji pokarmu lub płynów do płuc9495
  • Przewlekła niewydolność oddechowa – z powodu osłabienia przepony i mięśni klatki piersiowej9697
  • Osteoporoza – spowodowana przedłużoną nieaktywnością i unieruchomieniem98
  • Problemy psychologiczne – takie jak depresja, lęk i izolacja społeczna99100

Różnicowanie objawów zespołu post-polio

Zespół post-polio może przypominać inne choroby neurologiczne, co wymaga dokładnej diagnostyki różnicowej. Ważne jest, aby odróżnić objawy zespołu post-polio od innych stanów, które mogą powodować podobne symptomy.101102

Podobieństwa do innych chorób neurologicznych

Zespół post-polio może przypominać inne choroby neurodegeneracyjne, szczególnie:103104

  • Stwardnienie zanikowe boczne (ALS) – ciężkie przypadki zespołu post-polio mogą przypominać objawy ALS, ale PPS nie jest formą tej choroby. PPS różni się od ALS wyraźnym związkiem z przebytym w przeszłości zakażeniem wirusem polio105106
  • Inne choroby neuronu ruchowego – zespół post-polio naśladuje choroby neuronu ruchowego ze względu na selektywne upośledzenie, degenerację lub śmierć neuronów ruchowych w pniu mózgu i rdzeniu kręgowym107

Rozróżnienie objawów zespołu post-polio od naturalnego procesu starzenia

Objawy zespołu post-polio należy odróżnić od zmian związanych z naturalnym procesem starzenia:108109

  • Tempo progresji – objawy zespołu post-polio postępują powoli, ale zazwyczaj szybciej niż zmiany związane z naturalnym starzeniem się110
  • Wzorzec osłabienia – osłabienie mięśni w zespole post-polio zazwyczaj dotyka mięśnie wcześniej dotknięte przez polio, co różni się od ogólnego osłabienia związanego z wiekiem111112
  • Intensywność objawów – nagłe pojawienie się objawów lub ich szybka progresja sugeruje inną przyczynę niż zespół post-polio113

Zespół post-polio jest stanem progresywnym, który wymaga kompleksowego podejścia do leczenia. Chociaż nie ma specyficznego leczenia przyczynowego, objawy można skutecznie kontrolować poprzez kombinację terapii fizykalnej, leków przeciwbólowych, urządzeń wspomagających i modyfikacji stylu życia.114115 Zrozumienie objawów i wzorca progresji jest kluczowe dla skutecznego zarządzania chorobą i poprawy jakości życia pacjentów z zespołem post-polio.116117

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Post-polio syndrome – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/symptoms-causes/syc-20355669
    Post-polio syndrome is a group of potentially disabling signs and symptoms that appear decades after the initial polio illness. These signs and symptoms usually appear between 30 to 40 years after having polio. […] Common signs and symptoms of post-polio syndrome include: Muscle and joint weakness and pain that gets worse over time, Feeling easily fatigued and exhausted, Losing muscle tissue (atrophy), Breathing or swallowing problems, Sleep-related breathing disorders, such as sleep apnea, Decreased tolerance of cold temperatures. […] Post-polio syndrome progresses slowly in most people. They may experience new signs and symptoms followed by periods of stability.
  • #2 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that can affect people several years after an initial polio infection. It causes gradual muscle weakness and atrophy. Theres no cure, so treatment focuses on managing symptoms. […] Post-polio syndrome (PPS) is a condition that causes gradual muscle weakness and muscle atrophy (loss) that can affect people whove had polio. PPS usually happens 10 to 40 years after youve recovered from the initial polio infection. […] Post-polio syndrome affects people whove had polio. PPS develops 10 years or more after the original illness and can occur as late as 40 years afterward. […] Approximately 30% to 40% of people whove had polio will develop PPS. A person who was more severely affected by polio may develop a more severe case of PPS. […] The most common first sign of post-polio syndrome is gradual new weakening in your muscles that were previously affected when you had polio.
  • #3
    https://www.nhs.uk/conditions/post-polio-syndrome/
    Post-polio syndrome is where some of these symptoms develop or get worse many years or decades after the original polio infection. […] Post-polio syndrome can include a wide range of symptoms that usually develop gradually over time, including: persistent fatigue (extreme tiredness), muscle weakness, shrinking muscles, muscle and joint pain, sleep apnoea. […] The symptoms tend to get gradually worse over many years, but this happens very slowly and treatment may help slow it down further. […] Post-polio syndrome is rarely life-threatening, although some people develop breathing and swallowing difficulties that can lead to serious problems, such as chest infections. […] Post-polio syndrome only affects people who have had polio. It usually develops 15 or more years after the infection. […] It’s not clear why only some people who have had polio develop post-polio syndrome. However, those who had severe polio when they were younger may be more likely to develop the condition.
  • #4 Post-Polio Syndrome | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/post-polio-syndrome
    Post-polio syndrome (PPS) is a disorder of the nerves and muscles. It happens in some people many years after they have had polio. PPS may cause new muscle weakness that gets worse over time, pain in the muscles and joints, and tiredness. People with PPS often feel exhausted. […] Symptoms of polio can range from a mild, flu-like illness to serious muscle paralysis. Many people who survive polio are later at risk for PPS. […] PPS happens in some people who have recovered from polio. It starts an average of 35 years after the original polio and may eventually make it hard to breathe. PPS may cause the muscles to shrink. […] Symptoms usually start between 20 and 40 years after the original polio illness. But they may appear anywhere from 10 to 70 years after. Muscle weakness may be the main symptom. This weakness may affect one side of your body more than the other. In general, symptoms of PPS may include: Progressive weakness (common), Tiredness (fatigue) (common), Pain in the muscles and joints (common), Muscle shrinkage, Trouble swallowing, Breathing problems, Sleep disorders, Sensitivity to cold temperatures.
  • #5 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that can affect people several years after an initial polio infection. It causes gradual muscle weakness and atrophy. Theres no cure, so treatment focuses on managing symptoms. […] Post-polio syndrome (PPS) is a condition that causes gradual muscle weakness and muscle atrophy (loss) that can affect people whove had polio. PPS usually happens 10 to 40 years after youve recovered from the initial polio infection. […] Post-polio syndrome affects people whove had polio. PPS develops 10 years or more after the original illness and can occur as late as 40 years afterward. […] Approximately 30% to 40% of people whove had polio will develop PPS. A person who was more severely affected by polio may develop a more severe case of PPS. […] The most common first sign of post-polio syndrome is gradual new weakening in your muscles that were previously affected when you had polio.
  • #6 Post-Polio Syndrome Revisited
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10123742/
    Post-polio syndrome (PPS) is characterized by recrudescence or worsening of motor neuron disease symptoms decades after recovery from acute paralytic poliovirus infection, i.e., poliomyelitis. PPS afflicts between 25% and 40% of poliomyelitis survivors and mimics motor neuron diseases (MNDs), such as amyotrophic lateral sclerosis (ALS), due to its selective impairment, degeneration, or death of motor neurons in the brainstem and spinal cord. […] Decades after the polio epidemic, it was discovered that between 25% and 40% of people who had recovered either fully or partially from poliomyelitis developed motor neuron disease with features that were indistinguishable from sporadic motor neuron disease (MND). […] PPS uniquely differs from sporadic or primary MND due to its natural history corresponding to what is regarded as a clinical recrudescence of a childhood poliovirus CNS infection.
  • #7 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #8 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    Post-polio syndrome is a slow progressive condition that affects some people that have had polio. Its not life threatening but it can cause problems in your ability to carry out daily activities. […] The symptoms of post-polio syndrome include: muscle weakness, shrinking of the muscles (atrophy), tight joints (contractures), pain in muscles or joints, chronic fatigue including physical tiredness and brain fatigue, swallowing and speech problems, respiratory problems like breathlessness and sleep apnoea, cramps and muscle twitching, being sensitive to cold temperatures. […] The muscle weakness and atrophy usually affects muscles that were previously affected by polio. Sometimes it affects other muscles. […] Chronic fatigue is one of the most common and troublesome symptoms of post-polio syndrome. This can be physical fatigue (tiredness) and brain fatigue.
  • #9 Post Polio Syndrome | Diagnosis & Treatment | MedStar Health
    https://www.medstarhealth.org/services/post-polio-syndrome
    Post-Polio Syndrome (PPS) is a neurologic disorder that produces a group of symptoms in persons who had paralytic polio many years earlier. Typically, symptoms arise after a period of functional and neurological stability of at least 15 years after the initial episode of polio and include: […] New weakness in the muscles previously affected by polio, as well as in muscles thought to be unaffected by the original illness. […] Pain in the muscles or joints. […] Fatigue. […] Decreased endurance and function. […] Muscle atrophy. […] Breathing difficulties. […] Swallowing problems. […] Cold intolerance. […] Some PPS symptoms (such as weakness, fatigue, and atrophy) appear to be caused by a progressive degeneration or impairment of motor units. […] Other symptoms (such as muscle and joint pain) are more likely the result of excessive wear and tear on different parts of the musculoskeletal system. This wear and tear can be brought on or worsen when muscles become weaker.
  • #10 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that can affect people several years after an initial polio infection. It causes gradual muscle weakness and atrophy. Theres no cure, so treatment focuses on managing symptoms. […] Post-polio syndrome (PPS) is a condition that causes gradual muscle weakness and muscle atrophy (loss) that can affect people whove had polio. PPS usually happens 10 to 40 years after youve recovered from the initial polio infection. […] Post-polio syndrome affects people whove had polio. PPS develops 10 years or more after the original illness and can occur as late as 40 years afterward. […] Approximately 30% to 40% of people whove had polio will develop PPS. A person who was more severely affected by polio may develop a more severe case of PPS. […] The most common first sign of post-polio syndrome is gradual new weakening in your muscles that were previously affected when you had polio.
  • #11 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    Post-polio syndrome is a slow progressive condition that affects some people that have had polio. Its not life threatening but it can cause problems in your ability to carry out daily activities. […] The symptoms of post-polio syndrome include: muscle weakness, shrinking of the muscles (atrophy), tight joints (contractures), pain in muscles or joints, chronic fatigue including physical tiredness and brain fatigue, swallowing and speech problems, respiratory problems like breathlessness and sleep apnoea, cramps and muscle twitching, being sensitive to cold temperatures. […] The muscle weakness and atrophy usually affects muscles that were previously affected by polio. Sometimes it affects other muscles. […] Chronic fatigue is one of the most common and troublesome symptoms of post-polio syndrome. This can be physical fatigue (tiredness) and brain fatigue.
  • #12
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Post-polio syndrome (PPS) can cause a wide range of symptoms that can significantly affect everyday life. […] These tend to develop gradually and get worse very slowly over time. […] Fatigue (tiredness) is the most common symptom of post-polio syndrome. […] Increasing muscle weakness is another common symptom of post-polio syndrome. […] Muscle and joint pain are also common in post-polio syndrome. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker.
  • #13
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Post-polio syndrome (PPS) can cause a wide range of symptoms that can significantly affect everyday life. […] These tend to develop gradually and get worse very slowly over time. […] Fatigue (tiredness) is the most common symptom of post-polio syndrome. […] Increasing muscle weakness is another common symptom of post-polio syndrome. […] Muscle and joint pain are also common in post-polio syndrome. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker.
  • #14 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    Post-polio syndrome is a slow progressive condition that affects some people that have had polio. Its not life threatening but it can cause problems in your ability to carry out daily activities. […] The symptoms of post-polio syndrome include: muscle weakness, shrinking of the muscles (atrophy), tight joints (contractures), pain in muscles or joints, chronic fatigue including physical tiredness and brain fatigue, swallowing and speech problems, respiratory problems like breathlessness and sleep apnoea, cramps and muscle twitching, being sensitive to cold temperatures. […] The muscle weakness and atrophy usually affects muscles that were previously affected by polio. Sometimes it affects other muscles. […] Chronic fatigue is one of the most common and troublesome symptoms of post-polio syndrome. This can be physical fatigue (tiredness) and brain fatigue.
  • #15 Post-polio syndrome – Symptoms | Health Information from Oak Tree Pharmacy
    https://oaktreepharmacy.co.uk/nhs_conditions_post-polio-syndrome_symptoms
    Muscle and joint pain are also common in post-polio syndrome. Muscle pain is usually felt as a deep ache in the muscles or muscle cramps and spasms. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. This can often lead to weight gain and, in some cases, obesity. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker. […] Sleep apnoea may affect people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to swallowing problems (dysphagia). […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature.
  • #16 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #17 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #18 Polio | Post-Polio Syndrome | PPS | MedlinePlus
    https://medlineplus.gov/polioandpostpoliosyndrome.html
    Post-polio syndrome (PPS) is a condition that affects polio survivors many years after they recovered from polio. It usually happens 15-40 years later. It is not contagious. […] People who get PPS start having new weakening in muscles that were previously affected by the polio infection. Symptoms may range from mild to serious. The symptoms of PPS include: Muscle weakness, Muscle atrophy (wasting away of muscles), Loss of muscle function, Mental and physical fatigue, Joint pain, Curving of the spine (scoliosis). […] PPS is rarely life-threatening, but the symptoms can interfere with your daily life.
  • #19 Post-Polio Syndrome: Symptoms, Treatment, and Outlook
    https://www.healthline.com/health/post-polio-syndrome
    Poliomyelitis (polio) is a severe and potentially life threatening condition caused by the poliovirus. If you had a polio infection as a child and have since recovered, its still possible to develop a complication called post-polio syndrome (PPS). […] One of the most significant effects of PPS is permanent muscle wasting, which can affect your mobility. PPS shows up much later after recovering from a polio infection, often several decades later. PPS affects an estimated one-quarter to nearly one-half of all people who recover from polio. […] The symptoms of PPS may begin up to 15 to 40 years after youve recovered from an initial poliovirus infection. Possible symptoms include: unexplained fatigue, muscle weakness that gradually worsens, gradual decrease in muscle size, decreased endurance during everyday activities, joint pain, curvature of the spine (scoliosis), sleep disturbances.
  • #20 Post-polio syndrome – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/symptoms-causes/syc-20355669
    Post-polio syndrome is a group of potentially disabling signs and symptoms that appear decades after the initial polio illness. These signs and symptoms usually appear between 30 to 40 years after having polio. […] Common signs and symptoms of post-polio syndrome include: Muscle and joint weakness and pain that gets worse over time, Feeling easily fatigued and exhausted, Losing muscle tissue (atrophy), Breathing or swallowing problems, Sleep-related breathing disorders, such as sleep apnea, Decreased tolerance of cold temperatures. […] Post-polio syndrome progresses slowly in most people. They may experience new signs and symptoms followed by periods of stability.
  • #21 Polio | Post-Polio Syndrome | PPS | MedlinePlus
    https://medlineplus.gov/polioandpostpoliosyndrome.html
    Post-polio syndrome (PPS) is a condition that affects polio survivors many years after they recovered from polio. It usually happens 15-40 years later. It is not contagious. […] People who get PPS start having new weakening in muscles that were previously affected by the polio infection. Symptoms may range from mild to serious. The symptoms of PPS include: Muscle weakness, Muscle atrophy (wasting away of muscles), Loss of muscle function, Mental and physical fatigue, Joint pain, Curving of the spine (scoliosis). […] PPS is rarely life-threatening, but the symptoms can interfere with your daily life.
  • #22
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Post-polio syndrome (PPS) can cause a wide range of symptoms that can significantly affect everyday life. […] These tend to develop gradually and get worse very slowly over time. […] Fatigue (tiredness) is the most common symptom of post-polio syndrome. […] Increasing muscle weakness is another common symptom of post-polio syndrome. […] Muscle and joint pain are also common in post-polio syndrome. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker.
  • #23 What Causes Post-Polio Syndrome?
    https://www.webmd.com/children/what-is-post-polio-syndrome
    Sometimes, your breathing muscles can also become weak, which can cause breathing problems. You might have trouble coughing or taking deep breaths, which can cause mucus and fluid buildup. […] Eventually, you lose muscle strength and can have periods of stability mixed with periods of worsening weakness.
  • #24
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Sleep apnoea may affect people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to swallowing problems (dysphagia), such as coughing or choking when you eat or drink. […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature.
  • #25
    https://111.wales.nhs.uk/Postpoliosyndrome/
    Sleep apnoea affects many people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to problems swallowing (dysphagia), such as choking or gagging when you try to swallow. […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature as a result of poor blood supply.
  • #26
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Sleep apnoea may affect people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to swallowing problems (dysphagia), such as coughing or choking when you eat or drink. […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature.
  • #27
    https://111.wales.nhs.uk/Postpoliosyndrome/
    Sleep apnoea affects many people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to problems swallowing (dysphagia), such as choking or gagging when you try to swallow. […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature as a result of poor blood supply.
  • #28
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Sleep apnoea may affect people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to swallowing problems (dysphagia), such as coughing or choking when you eat or drink. […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature.
  • #29
    https://111.wales.nhs.uk/Postpoliosyndrome/
    Sleep apnoea affects many people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to problems swallowing (dysphagia), such as choking or gagging when you try to swallow. […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature as a result of poor blood supply.
  • #30 What are the Late Effects of Polio / Post-Polio Syndrome? – Polio Australia – Polio Health
    https://www.poliohealth.org.au/late-effects-of-polio/
    The broader condition known as the Late Effects of Polio takes in both PPS and a host of additional ‘bio-mechanical’ symptoms including: scoliosis; kyphosis; respiratory problems; dysphagia (swallowing difficulties); muscle contraction; head, neck and joint aches; chronic tendonitis; bursitis; nerve compression; osteoporosis; arthritis; and fatigue; many of which will impact on virtually every survivor of polio. […] As both paralytic and non-paralytic polio survivors age, the neuronal ‘sprouts’ that supported muscle activity post-infection are degenerating as part of the ageing process, causing increased muscle weakness and atrophy, joint pain, and physical disability – even for those who appeared to have no residual disability at all.
  • #31 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #32 Post-polio syndrome (PPS) – Southeast OB/GYN
    https://seobgynpc.com/womens-health/health-library?DOCHWID=tf6265
    Post-polio syndrome (PPS) is a condition that can develop several decades after a person has had polio (poliomyelitis). PPS affects the muscles and nerves, causing weakness, tiredness, pain, and other symptoms. […] Symptoms of PPS tend to develop very slowly. In addition to new muscle weakness, fatigue, and muscle and joint pain, symptoms may include sleep problems, reduced ability to tolerate cold temperatures, and increased stress. […] Treatment for post-polio syndrome may include a balanced program of rest and exercise, pain medicines, physical therapy, and assistive devices such as canes or braces.
  • #33 Post-Polio Syndrome | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/post-polio-syndrome
    Post-polio syndrome (PPS) is a disorder of the nerves and muscles. It happens in some people many years after they have had polio. PPS may cause new muscle weakness that gets worse over time, pain in the muscles and joints, and tiredness. People with PPS often feel exhausted. […] Symptoms of polio can range from a mild, flu-like illness to serious muscle paralysis. Many people who survive polio are later at risk for PPS. […] PPS happens in some people who have recovered from polio. It starts an average of 35 years after the original polio and may eventually make it hard to breathe. PPS may cause the muscles to shrink. […] Symptoms usually start between 20 and 40 years after the original polio illness. But they may appear anywhere from 10 to 70 years after. Muscle weakness may be the main symptom. This weakness may affect one side of your body more than the other. In general, symptoms of PPS may include: Progressive weakness (common), Tiredness (fatigue) (common), Pain in the muscles and joints (common), Muscle shrinkage, Trouble swallowing, Breathing problems, Sleep disorders, Sensitivity to cold temperatures.
  • #34 Pharyngolaryngeal manifestations of post-polio syndrome
    https://arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=820
    The post-polio syndrome (PPS) is characterized by a new episode of atrophy or muscle weakness in individuals previously affected by poliomyelitis. The symptoms start from an extended period of clinical stability ranging from 20 to 40 years, after the initial chart of polio. […] The complaints often reported by patients with PPS include progressive weakness, fatigue, muscle pain, joint pain, and limitation of mobility and psychological stress. The involvement in pharyngeal-laryngeal, the complaints are frequent like dysphagia, dysphonia, dyspnoea; and the therapies proposed for these cases range from phonotherapy to tracheostomy. […] The most common symptoms are fatigue and muscle tiredness previously affected or not. The PPS generally becomes apparent 30 years after the initial infection by the polio virus. It is more common the appearance during the periods of emotional stress or physical.
  • #35 Post-Polio Syndrome – Harvard Health
    https://www.health.harvard.edu/a_to_z/post-polio-syndrome-a-to-z
    Post-polio syndrome is an illness defined by a collection of symptoms that generally occur at least 10-20 years after infection with the polio virus. The hallmark of post-polio syndrome is new muscular weakness. This may present as weakness in the arms, legs, or trunk or difficulty with swallowing, talking or breathing if the muscles that control these functions are affected. Other symptoms of post-polio syndrome include muscle pain, fatigue and cold intolerance. […] Major symptoms include muscle weakness, pain, fatigue and, in some cases, wasting (atrophy) of the muscles that were involved during the polio infection, typically the legs. Additional problems can include intolerance to heat or cold, and difficulty swallowing, talking, breathing or sleeping. The syndrome also can cause abnormal muscle contractions, such as quivering or spasms, in small segments of a muscle. Worsening disability may cause social and psychological problems.
  • #36 Post-polio syndrome – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/symptoms-causes/syc-20355669
    Post-polio syndrome is a group of potentially disabling signs and symptoms that appear decades after the initial polio illness. These signs and symptoms usually appear between 30 to 40 years after having polio. […] Common signs and symptoms of post-polio syndrome include: Muscle and joint weakness and pain that gets worse over time, Feeling easily fatigued and exhausted, Losing muscle tissue (atrophy), Breathing or swallowing problems, Sleep-related breathing disorders, such as sleep apnea, Decreased tolerance of cold temperatures. […] Post-polio syndrome progresses slowly in most people. They may experience new signs and symptoms followed by periods of stability.
  • #37
    https://www.nhs.uk/conditions/post-polio-syndrome/
    Post-polio syndrome is where some of these symptoms develop or get worse many years or decades after the original polio infection. […] Post-polio syndrome can include a wide range of symptoms that usually develop gradually over time, including: persistent fatigue (extreme tiredness), muscle weakness, shrinking muscles, muscle and joint pain, sleep apnoea. […] The symptoms tend to get gradually worse over many years, but this happens very slowly and treatment may help slow it down further. […] Post-polio syndrome is rarely life-threatening, although some people develop breathing and swallowing difficulties that can lead to serious problems, such as chest infections. […] Post-polio syndrome only affects people who have had polio. It usually develops 15 or more years after the infection. […] It’s not clear why only some people who have had polio develop post-polio syndrome. However, those who had severe polio when they were younger may be more likely to develop the condition.
  • #38 Post-polio syndrome – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/symptoms-causes/syc-20355669
    Post-polio syndrome is a group of potentially disabling signs and symptoms that appear decades after the initial polio illness. These signs and symptoms usually appear between 30 to 40 years after having polio. […] Common signs and symptoms of post-polio syndrome include: Muscle and joint weakness and pain that gets worse over time, Feeling easily fatigued and exhausted, Losing muscle tissue (atrophy), Breathing or swallowing problems, Sleep-related breathing disorders, such as sleep apnea, Decreased tolerance of cold temperatures. […] Post-polio syndrome progresses slowly in most people. They may experience new signs and symptoms followed by periods of stability.
  • #39 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    The symptoms can gradually get worse over many years. […] Although post-polio syndrome is rarely life threatening, some people can develop breathing and swallowing difficulties that can lead to serious problems like chest infections. […] The symptoms of post-polio syndrome are slow and progressive. The sudden appearance of symptoms is more likely to be caused by something else. […] Exercise can help slow down the progressive muscle weakness that post-polio syndrome causes. However, being active can become difficult because your symptoms might become worse after exercise or activity. […] Your healthcare team might suggest you try using pacing techniques. […] Painkillers might be used in addition to pacing techniques. […] If you have breathing problems, you might benefit from treatment or lifestyle changes. […] Losing weight (if youre overweight) can help improve your symptoms and general health. […] The symptoms of post-polio syndrome can be distressing. Developing post-polio syndrome after living with the polio virus as a child can cause anxiety, isolation and stress. This can lead to depression.
  • #40 Post-Polio Syndrome – Harvard Health
    https://www.health.harvard.edu/a_to_z/post-polio-syndrome-a-to-z
    Post-polio syndrome worsens slowly over time. […] Post-polio syndrome usually worsens slowly. With a combination of multi-disciplinary rehabilitation approaches and lifestyle modifications, people often can return to or approach their previous level of functioning. Post-polio syndrome does not usually cause symptoms that are as severe as the original polio illness.
  • #41 Post-Polio Syndrome | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/post-polio-syndrome-hw184074
    Post-polio syndrome is an illness of the nervous system that can appear 15 to 50 years after you had polio. It affects your muscles and nerves, and it causes you to have weakness, fatigue, and muscle or joint pain. […] Post-polio syndrome usually progresses very slowly. […] Symptoms of post-polio syndrome tend to show up very slowly. The main symptoms are: New muscle weakness. This is most common in the muscles that had nerve damage from polio. You may also have weakness in muscles that you didn’t realize had been affected by polio. […] Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #42
    https://www.nhs.uk/conditions/post-polio-syndrome/
    Post-polio syndrome is where some of these symptoms develop or get worse many years or decades after the original polio infection. […] Post-polio syndrome can include a wide range of symptoms that usually develop gradually over time, including: persistent fatigue (extreme tiredness), muscle weakness, shrinking muscles, muscle and joint pain, sleep apnoea. […] The symptoms tend to get gradually worse over many years, but this happens very slowly and treatment may help slow it down further. […] Post-polio syndrome is rarely life-threatening, although some people develop breathing and swallowing difficulties that can lead to serious problems, such as chest infections. […] Post-polio syndrome only affects people who have had polio. It usually develops 15 or more years after the infection. […] It’s not clear why only some people who have had polio develop post-polio syndrome. However, those who had severe polio when they were younger may be more likely to develop the condition.
  • #43 Post-polio syndrome – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/symptoms-causes/syc-20355669
    Post-polio syndrome is a group of potentially disabling signs and symptoms that appear decades after the initial polio illness. These signs and symptoms usually appear between 30 to 40 years after having polio. […] Common signs and symptoms of post-polio syndrome include: Muscle and joint weakness and pain that gets worse over time, Feeling easily fatigued and exhausted, Losing muscle tissue (atrophy), Breathing or swallowing problems, Sleep-related breathing disorders, such as sleep apnea, Decreased tolerance of cold temperatures. […] Post-polio syndrome progresses slowly in most people. They may experience new signs and symptoms followed by periods of stability.
  • #44 Post-polio Syndrome: Symptoms and Treatment | Doctor
    https://patient.info/doctor/post-polio-syndrome
    Post-polio syndrome (PPS) comprises various possible symptoms such as fatigue, weakness, joint and muscle pain, reduced respiratory function or dysphagia. […] Common symptoms include: Generalised fatigue. […] Joint and muscle pain. […] New muscle or joint weakness. […] Muscle atrophy. […] Cold intolerance. […] Bulbar symptoms – speech, swallowing or respiratory symptoms. […] Worsening respiratory function – may present as headaches, fatigue or sleep disorder. […] The symptoms of post-polio syndrome are slowly progressive, with periods of stability lasting 3-10 years.
  • #45 What are the Late Effects of Polio / Post-Polio Syndrome? – Polio Australia – Polio Health
    https://www.poliohealth.org.au/late-effects-of-polio/
    Years after contracting the initial polio infection, increasing numbers of polio survivors in Australia have developed a range of symptoms, now recognised as post-polio sequelae. […] The onset is usually slow and steady. It may occasionally develop suddenly and progress at an irregular pace. Symptoms sometimes emerge after a period of physical or emotional strain, or after a period of immobility (for example, disease or surgery). […] The main symptom of PPS is new muscle weakness that gradually worsens. It is often accompanied by decreased muscle endurance during activities, muscle and joint pain, muscle wasting, muscle spasms/twitching, and severe fatigue. These problems usually come on gradually, but may start suddenly following surgery, hospitalisation or being confined to bed. […] Gradual or sudden onset of progressive and persistent new muscle weakness or abnormal muscle fatigability (decreased endurance), with or without generalized fatigue, muscle atrophy, or muscle and joint pain.
  • #46 Post Polio Syndrome
    https://www.brainfacts.org/diseases-and-disorders/neurological-disorders-az/diseases-a-to-z-from-ninds/post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that affects polio survivors many years after recovery from an initial attack of the poliomyelitis virus. PPS is characterized by a further weakening of muscles that were previously affected by the polio infection. The most common symptoms include slowly progressive muscle weakness, fatigue (both general and muscular), and a decrease in muscle size (muscular atrophy). Pain from joint deterioration and increasing skeletal deformities such as scoliosis are common. Some individuals experience only minor symptoms, while others develop more visible muscle weakness and atrophy. PPS is rarely life-threatening but the symptoms can interfere significantly with the individual’s capacity to function independently. […] PPS is a very slowly progressing condition marked by long periods of stability. The severity of PPS depends on the degree of the residual weakness and disability an individual has after the original polio attack. People who had only minimal symptoms from the original attack and subsequently develop PPS will most likely experience only mild PPS symptoms. People originally hit hard by the polio virus, who were left with severe residual weakness, may develop a more severe case of PPS with a greater loss of muscle function, difficulty in swallowing, and more periods of fatigue.
  • #47 Post-Polio Syndrome: Symptoms, Treatment, and Outlook
    https://www.healthline.com/health/post-polio-syndrome
    Some people with PPS may experience only minor symptoms. Others might experience more severe issues with loss of muscle mass and function. […] Currently, theres no known treatment for PPS. Damage to the affected neurons is irreversible. […] While the exact cause of PPS is unknown, research is ongoing to discover concrete risk factors, including possible immunological links. This could mean earlier detection of PPS and possible treatments in the future.
  • #48 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The symptoms of PPS can significantly interfere with your ability to function independently, but mobility aids and occupational therapy can help with this. […] In most cases, the life expectancy for post-polio syndrome is good. PPS is rarely life-threatening. […] If youve had polio and notice new gradual muscle weakness many years later, talk to a healthcare provider.
  • #49 Post-Polio Syndrome Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/post-polio-syndrome/
    Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #50 Post-Polio Syndrome | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/post-polio-syndrome-hw184074
    Post-polio syndrome is an illness of the nervous system that can appear 15 to 50 years after you had polio. It affects your muscles and nerves, and it causes you to have weakness, fatigue, and muscle or joint pain. […] Post-polio syndrome usually progresses very slowly. […] Symptoms of post-polio syndrome tend to show up very slowly. The main symptoms are: New muscle weakness. This is most common in the muscles that had nerve damage from polio. You may also have weakness in muscles that you didn’t realize had been affected by polio. […] Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #51
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Post-polio syndrome (PPS) can cause a wide range of symptoms that can significantly affect everyday life. […] These tend to develop gradually and get worse very slowly over time. […] Fatigue (tiredness) is the most common symptom of post-polio syndrome. […] Increasing muscle weakness is another common symptom of post-polio syndrome. […] Muscle and joint pain are also common in post-polio syndrome. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker.
  • #52 Post-polio syndrome – Symptoms | Health Information from Oak Tree Pharmacy
    https://oaktreepharmacy.co.uk/nhs_conditions_post-polio-syndrome_symptoms
    Muscle and joint pain are also common in post-polio syndrome. Muscle pain is usually felt as a deep ache in the muscles or muscle cramps and spasms. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. This can often lead to weight gain and, in some cases, obesity. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker. […] Sleep apnoea may affect people with post-polio syndrome. […] Weakness in the muscles you use for chewing and swallowing may lead to swallowing problems (dysphagia). […] Some people with post-polio syndrome find they become very sensitive to cold temperatures or a sudden drop in temperature.
  • #53 Post-Polio Syndrome Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/post-polio-syndrome/
    Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #54 Post-Polio Syndrome – Optimize Medical
    https://optimizemedicalfl.com/patient-education/healthwise?DOCHWID=hw184074
    Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. You may often feel tired, have a heavy feeling in your muscles, or feel sleepy. At times you may have trouble thinking clearly. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. To make up for this weakness, other muscles have to work harder. This puts extra wear and tear on muscles, joints, and tendons, sometimes leading to aches, cramping, and pain. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #55
    https://www.nhs.uk/conditions/post-polio-syndrome/symptoms/
    Post-polio syndrome (PPS) can cause a wide range of symptoms that can significantly affect everyday life. […] These tend to develop gradually and get worse very slowly over time. […] Fatigue (tiredness) is the most common symptom of post-polio syndrome. […] Increasing muscle weakness is another common symptom of post-polio syndrome. […] Muscle and joint pain are also common in post-polio syndrome. […] Because of common symptoms such as tiredness and muscle weakness, most people with post-polio syndrome become less physically active than they used to be. […] The combination of fatigue, weakness and pain can also make walking difficult, leading to increasing mobility problems. […] Some people with post-polio syndrome find breathing can be difficult because the muscles used for breathing become weaker.
  • #56 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    The symptoms can gradually get worse over many years. […] Although post-polio syndrome is rarely life threatening, some people can develop breathing and swallowing difficulties that can lead to serious problems like chest infections. […] The symptoms of post-polio syndrome are slow and progressive. The sudden appearance of symptoms is more likely to be caused by something else. […] Exercise can help slow down the progressive muscle weakness that post-polio syndrome causes. However, being active can become difficult because your symptoms might become worse after exercise or activity. […] Your healthcare team might suggest you try using pacing techniques. […] Painkillers might be used in addition to pacing techniques. […] If you have breathing problems, you might benefit from treatment or lifestyle changes. […] Losing weight (if youre overweight) can help improve your symptoms and general health. […] The symptoms of post-polio syndrome can be distressing. Developing post-polio syndrome after living with the polio virus as a child can cause anxiety, isolation and stress. This can lead to depression.
  • #57 What are the Late Effects of Polio / Post-Polio Syndrome? – Polio Australia – Polio Health
    https://www.poliohealth.org.au/late-effects-of-polio/
    The broader condition known as the Late Effects of Polio takes in both PPS and a host of additional ‘bio-mechanical’ symptoms including: scoliosis; kyphosis; respiratory problems; dysphagia (swallowing difficulties); muscle contraction; head, neck and joint aches; chronic tendonitis; bursitis; nerve compression; osteoporosis; arthritis; and fatigue; many of which will impact on virtually every survivor of polio. […] As both paralytic and non-paralytic polio survivors age, the neuronal ‘sprouts’ that supported muscle activity post-infection are degenerating as part of the ageing process, causing increased muscle weakness and atrophy, joint pain, and physical disability – even for those who appeared to have no residual disability at all.
  • #58 Living With Post Polio Syndrome | Quantum Rehab Power Chairs
    https://www.quantumrehab.com/meeting-your-needs/living-with-post-polio-syndrome.asp
    Post-polio syndrome is rarely life-threatening, but the symptoms can significantly interfere with an individual’s ability to function independently. Respiratory muscle weakness, for instance, can result in trouble with proper breathing, affecting daytime functions and sleep. Weakness in swallowing muscles can result in aspiration of food and liquids into the lungs and lead to pneumonia. Therefore, general health must be monitored closely. […] Many with post-polio syndrome experience the progressive loss of the ability to walk and position themselves, necessitating the use of a specialized power wheelchair.
  • #59 What are the Late Effects of Polio / Post-Polio Syndrome? – Polio Australia – Polio Health
    https://www.poliohealth.org.au/late-effects-of-polio/
    Years after contracting the initial polio infection, increasing numbers of polio survivors in Australia have developed a range of symptoms, now recognised as post-polio sequelae. […] The onset is usually slow and steady. It may occasionally develop suddenly and progress at an irregular pace. Symptoms sometimes emerge after a period of physical or emotional strain, or after a period of immobility (for example, disease or surgery). […] The main symptom of PPS is new muscle weakness that gradually worsens. It is often accompanied by decreased muscle endurance during activities, muscle and joint pain, muscle wasting, muscle spasms/twitching, and severe fatigue. These problems usually come on gradually, but may start suddenly following surgery, hospitalisation or being confined to bed. […] Gradual or sudden onset of progressive and persistent new muscle weakness or abnormal muscle fatigability (decreased endurance), with or without generalized fatigue, muscle atrophy, or muscle and joint pain.
  • #60 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that can affect people several years after an initial polio infection. It causes gradual muscle weakness and atrophy. Theres no cure, so treatment focuses on managing symptoms. […] Post-polio syndrome (PPS) is a condition that causes gradual muscle weakness and muscle atrophy (loss) that can affect people whove had polio. PPS usually happens 10 to 40 years after youve recovered from the initial polio infection. […] Post-polio syndrome affects people whove had polio. PPS develops 10 years or more after the original illness and can occur as late as 40 years afterward. […] Approximately 30% to 40% of people whove had polio will develop PPS. A person who was more severely affected by polio may develop a more severe case of PPS. […] The most common first sign of post-polio syndrome is gradual new weakening in your muscles that were previously affected when you had polio.
  • #61
    https://www.nhs.uk/conditions/post-polio-syndrome/
    Post-polio syndrome is where some of these symptoms develop or get worse many years or decades after the original polio infection. […] Post-polio syndrome can include a wide range of symptoms that usually develop gradually over time, including: persistent fatigue (extreme tiredness), muscle weakness, shrinking muscles, muscle and joint pain, sleep apnoea. […] The symptoms tend to get gradually worse over many years, but this happens very slowly and treatment may help slow it down further. […] Post-polio syndrome is rarely life-threatening, although some people develop breathing and swallowing difficulties that can lead to serious problems, such as chest infections. […] Post-polio syndrome only affects people who have had polio. It usually develops 15 or more years after the infection. […] It’s not clear why only some people who have had polio develop post-polio syndrome. However, those who had severe polio when they were younger may be more likely to develop the condition.
  • #62 Post Polio Syndrome
    https://www.brainfacts.org/diseases-and-disorders/neurological-disorders-az/diseases-a-to-z-from-ninds/post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that affects polio survivors many years after recovery from an initial attack of the poliomyelitis virus. PPS is characterized by a further weakening of muscles that were previously affected by the polio infection. The most common symptoms include slowly progressive muscle weakness, fatigue (both general and muscular), and a decrease in muscle size (muscular atrophy). Pain from joint deterioration and increasing skeletal deformities such as scoliosis are common. Some individuals experience only minor symptoms, while others develop more visible muscle weakness and atrophy. PPS is rarely life-threatening but the symptoms can interfere significantly with the individual’s capacity to function independently. […] PPS is a very slowly progressing condition marked by long periods of stability. The severity of PPS depends on the degree of the residual weakness and disability an individual has after the original polio attack. People who had only minimal symptoms from the original attack and subsequently develop PPS will most likely experience only mild PPS symptoms. People originally hit hard by the polio virus, who were left with severe residual weakness, may develop a more severe case of PPS with a greater loss of muscle function, difficulty in swallowing, and more periods of fatigue.
  • #63 Post-Polio Syndrome Symptoms and Types – Quipt Home Medical
    https://medsupplyplus.net/medical_health_issue/post-polio-syndrome-symptoms-and-types/
    Polio survivors may experience different symptoms of PPS. While Post-Polio Syndrome is rarely life-threatening, it can interfere with an individuals ability to function. […] The most common symptoms include slowly progressive muscle weakness in the areas that were previously affected by the polio infection. […] Other common symptoms include: Both generalized and muscular fatigue, Muscle atrophy or a gradual decrease in the size of muscles, Pain from joint degeneration, Trouble walking, Sensitivity to cold, Increasing skeletal deformities such as curvature of the spine, Respiratory muscle weakness which affects breathing while awake and asleep, Weakness in swallowing muscles can lead more aspiration of food and liquids into the lungs which can lead to pneumonia. […] Different people experience different symptoms at many levels from minor symptoms to visible muscle weakness and atrophy. The severity the PPS greatly depends on the degree of polio the person initially had and recovery from the initial disease. People who had more minimal symptoms from the original polio are more likely to experience milder PPS symptoms and a person who was more affected by the polio virus many have more severe PPS symptoms.
  • #64 What are the Late Effects of Polio / Post-Polio Syndrome? – Polio Australia – Polio Health
    https://www.poliohealth.org.au/late-effects-of-polio/
    Years after contracting the initial polio infection, increasing numbers of polio survivors in Australia have developed a range of symptoms, now recognised as post-polio sequelae. […] The onset is usually slow and steady. It may occasionally develop suddenly and progress at an irregular pace. Symptoms sometimes emerge after a period of physical or emotional strain, or after a period of immobility (for example, disease or surgery). […] The main symptom of PPS is new muscle weakness that gradually worsens. It is often accompanied by decreased muscle endurance during activities, muscle and joint pain, muscle wasting, muscle spasms/twitching, and severe fatigue. These problems usually come on gradually, but may start suddenly following surgery, hospitalisation or being confined to bed. […] Gradual or sudden onset of progressive and persistent new muscle weakness or abnormal muscle fatigability (decreased endurance), with or without generalized fatigue, muscle atrophy, or muscle and joint pain.
  • #65 Post-Polio Syndrome – GBS|CIDP Foundation International Forums
    https://forum.gbs-cidp.org/forums/topic/post-polio-syndrome/
    Gradual onset of progressive and persistent new muscle weakness or muscle fatigability (decreased endurance), with or without generalized fatigue, muscle atrophy, or muscle and joint pain. Onset may at times follow trauma, surgery, or a period of inactivity and can appear to be sudden. Less commonly, symptoms attributed to PPS include new problems with breathing or swallowing. […] There are currently no effective pharmaceutical or specific treatments for the syndrome itself. However, a number of controlled studies have demonstrated that nonfatiguing exercises can improve muscle strength.”
  • #66 Post-polio syndrome – Wikipedia
    https://en.wikipedia.org/wiki/Post-polio_syndrome
    Post-polio syndrome (PPS) is a group of latent symptoms of poliomyelitis (polio), occurring in more than 80% of polio infections. The symptoms are caused by the damaging effects of the viral infection on the nervous system and typically occur 15 to 30 years after an initial acute paralytic attack. Symptoms include decreasing muscular function or acute weakness with pain and fatigue. The same may also occur years after a nonparalytic polio infection. […] After a period of prolonged stability, some people who recover from polio infections begin to experience new signs and symptoms, characterised by muscular atrophy, weakness, pain, and limb fatigue. PPS is a very slowly progressing condition marked by periods of stability followed by new declines in the ability to carry out usual daily activities. Most patients become aware of their decreased capacity to carry out daily routines due to significant changes in mobility and decreasing upper limb function and lung capability. Fatigue is often the most disabling symptom; even slight exertion often produces disabling fatigue and can also intensify other symptoms. Problems breathing or swallowing, sleep-related breathing disorders, such as sleep apnea, and decreased tolerance for cold temperatures are other notable symptoms. […] Increased activity during healthy years between the original infection and onset of PPS can amplify the symptoms. Thus, contracting polio at a young age can result in particularly disabling PPS symptoms.
  • #67 Post-polio syndrome – Wikipedia
    https://en.wikipedia.org/wiki/Post-polio_syndrome
    Post-polio syndrome (PPS) is a group of latent symptoms of poliomyelitis (polio), occurring in more than 80% of polio infections. The symptoms are caused by the damaging effects of the viral infection on the nervous system and typically occur 15 to 30 years after an initial acute paralytic attack. Symptoms include decreasing muscular function or acute weakness with pain and fatigue. The same may also occur years after a nonparalytic polio infection. […] After a period of prolonged stability, some people who recover from polio infections begin to experience new signs and symptoms, characterised by muscular atrophy, weakness, pain, and limb fatigue. PPS is a very slowly progressing condition marked by periods of stability followed by new declines in the ability to carry out usual daily activities. Most patients become aware of their decreased capacity to carry out daily routines due to significant changes in mobility and decreasing upper limb function and lung capability. Fatigue is often the most disabling symptom; even slight exertion often produces disabling fatigue and can also intensify other symptoms. Problems breathing or swallowing, sleep-related breathing disorders, such as sleep apnea, and decreased tolerance for cold temperatures are other notable symptoms. […] Increased activity during healthy years between the original infection and onset of PPS can amplify the symptoms. Thus, contracting polio at a young age can result in particularly disabling PPS symptoms.
  • #68 Post Polio Syndrome
    https://www.brainfacts.org/diseases-and-disorders/neurological-disorders-az/diseases-a-to-z-from-ninds/post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that affects polio survivors many years after recovery from an initial attack of the poliomyelitis virus. PPS is characterized by a further weakening of muscles that were previously affected by the polio infection. The most common symptoms include slowly progressive muscle weakness, fatigue (both general and muscular), and a decrease in muscle size (muscular atrophy). Pain from joint deterioration and increasing skeletal deformities such as scoliosis are common. Some individuals experience only minor symptoms, while others develop more visible muscle weakness and atrophy. PPS is rarely life-threatening but the symptoms can interfere significantly with the individual’s capacity to function independently. […] PPS is a very slowly progressing condition marked by long periods of stability. The severity of PPS depends on the degree of the residual weakness and disability an individual has after the original polio attack. People who had only minimal symptoms from the original attack and subsequently develop PPS will most likely experience only mild PPS symptoms. People originally hit hard by the polio virus, who were left with severe residual weakness, may develop a more severe case of PPS with a greater loss of muscle function, difficulty in swallowing, and more periods of fatigue.
  • #69 Post-Polio Syndrome Symptoms and Types – Quipt Home Medical
    https://medsupplyplus.net/medical_health_issue/post-polio-syndrome-symptoms-and-types/
    Polio survivors may experience different symptoms of PPS. While Post-Polio Syndrome is rarely life-threatening, it can interfere with an individuals ability to function. […] The most common symptoms include slowly progressive muscle weakness in the areas that were previously affected by the polio infection. […] Other common symptoms include: Both generalized and muscular fatigue, Muscle atrophy or a gradual decrease in the size of muscles, Pain from joint degeneration, Trouble walking, Sensitivity to cold, Increasing skeletal deformities such as curvature of the spine, Respiratory muscle weakness which affects breathing while awake and asleep, Weakness in swallowing muscles can lead more aspiration of food and liquids into the lungs which can lead to pneumonia. […] Different people experience different symptoms at many levels from minor symptoms to visible muscle weakness and atrophy. The severity the PPS greatly depends on the degree of polio the person initially had and recovery from the initial disease. People who had more minimal symptoms from the original polio are more likely to experience milder PPS symptoms and a person who was more affected by the polio virus many have more severe PPS symptoms.
  • #70 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #71 Post Polio Syndrome
    https://www.brainfacts.org/diseases-and-disorders/neurological-disorders-az/diseases-a-to-z-from-ninds/post-polio-syndrome
    Post-polio syndrome (PPS) is a condition that affects polio survivors many years after recovery from an initial attack of the poliomyelitis virus. PPS is characterized by a further weakening of muscles that were previously affected by the polio infection. The most common symptoms include slowly progressive muscle weakness, fatigue (both general and muscular), and a decrease in muscle size (muscular atrophy). Pain from joint deterioration and increasing skeletal deformities such as scoliosis are common. Some individuals experience only minor symptoms, while others develop more visible muscle weakness and atrophy. PPS is rarely life-threatening but the symptoms can interfere significantly with the individual’s capacity to function independently. […] PPS is a very slowly progressing condition marked by long periods of stability. The severity of PPS depends on the degree of the residual weakness and disability an individual has after the original polio attack. People who had only minimal symptoms from the original attack and subsequently develop PPS will most likely experience only mild PPS symptoms. People originally hit hard by the polio virus, who were left with severe residual weakness, may develop a more severe case of PPS with a greater loss of muscle function, difficulty in swallowing, and more periods of fatigue.
  • #72 Post-polio syndrome | Handouts | MedLink Neurology
    https://www.medlink.com/handouts/post-polio-syndrome
    Post-polio syndrome (PPS) usually occurs 15-40 years after the infection and recovery. PPS is believed to be the result of a deterioration of nerve cells called motor neurons over many years that leads to loss of muscle strength and dysfunction. […] Symptoms include: Slowly progressive muscle weakness, Fatigue, A gradual decrease in the size of muscles (muscle atrophy), Loss of muscle function, Pain from joint degeneration, Increasing skeletal issues such as curvature of the spine (scoliosis). […] Most often, polio survivors start to experience gradual weakening in muscles that were previously affected by the polio infection. Some people may have minor symptoms while others develop visible muscle weakness and atrophy (wasting away). A person who was more acutely affected by polio and who had a longer recovery may experience a more severe case of PPS.
  • #73 Post-Polio Syndrome: Symptoms, Treatment, and Outlook
    https://www.healthline.com/health/post-polio-syndrome
    Some people with PPS may experience only minor symptoms. Others might experience more severe issues with loss of muscle mass and function. […] Currently, theres no known treatment for PPS. Damage to the affected neurons is irreversible. […] While the exact cause of PPS is unknown, research is ongoing to discover concrete risk factors, including possible immunological links. This could mean earlier detection of PPS and possible treatments in the future.
  • #74 Post-polio syndrome | Handouts | MedLink Neurology
    https://www.medlink.com/handouts/post-polio-syndrome
    Post-polio syndrome (PPS) usually occurs 15-40 years after the infection and recovery. PPS is believed to be the result of a deterioration of nerve cells called motor neurons over many years that leads to loss of muscle strength and dysfunction. […] Symptoms include: Slowly progressive muscle weakness, Fatigue, A gradual decrease in the size of muscles (muscle atrophy), Loss of muscle function, Pain from joint degeneration, Increasing skeletal issues such as curvature of the spine (scoliosis). […] Most often, polio survivors start to experience gradual weakening in muscles that were previously affected by the polio infection. Some people may have minor symptoms while others develop visible muscle weakness and atrophy (wasting away). A person who was more acutely affected by polio and who had a longer recovery may experience a more severe case of PPS.
  • #75 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #76 The long tail: Post-Polio Syndromeverifiedverifiedverifiedverifiedverifiedverifiedverifiedverifiedverifiedverified
    https://www.gavi.org/vaccineswork/long-tail-post-polio-syndrome
    Decades after recovering from polio, some survivors are developing progressive muscle weakness and fatigue that can severely impair their quality of life. […] Characterised by new, gradual and progressive muscle weakness and wasting, difficulty swallowing, joint or muscle pain, and general fatigue after being stable for many years, PPS typically develops 15 to 40 years after people have recovered from polio. Although it is not contagious, it can still have a considerable impact on people’s quality of life. […] Not everyone experiences severe symptoms; in some individuals, they may be mild, whereas in others they may significantly impair that person’s ability to live independently. Weakness in the neck, chest or diaphragm muscles, for example, can result in problems breathing or swallowing, which can in turn impact people’s sleep and daytime functions, or result in food or liquids accidentally being inhaled into the lungs, leading to pneumonia.
  • #77 Post-polio syndrome | Handouts | MedLink Neurology
    https://www.medlink.com/handouts/post-polio-syndrome
    PPS is rarely life-threatening, but the symptoms can significantly interfere with a person’s ability to function independently. Respiratory muscle weakness, for instance, can result in trouble with proper breathing, affecting daytime functions and sleep. Weakness in the swallowing muscles can result in food or liquids entering the airway or lungs and lead to pneumonia.
  • #78 The long tail: Post-Polio Syndromeverifiedverifiedverifiedverifiedverifiedverifiedverifiedverifiedverifiedverified
    https://www.gavi.org/vaccineswork/long-tail-post-polio-syndrome
    Decades after recovering from polio, some survivors are developing progressive muscle weakness and fatigue that can severely impair their quality of life. […] Characterised by new, gradual and progressive muscle weakness and wasting, difficulty swallowing, joint or muscle pain, and general fatigue after being stable for many years, PPS typically develops 15 to 40 years after people have recovered from polio. Although it is not contagious, it can still have a considerable impact on people’s quality of life. […] Not everyone experiences severe symptoms; in some individuals, they may be mild, whereas in others they may significantly impair that person’s ability to live independently. Weakness in the neck, chest or diaphragm muscles, for example, can result in problems breathing or swallowing, which can in turn impact people’s sleep and daytime functions, or result in food or liquids accidentally being inhaled into the lungs, leading to pneumonia.
  • #79 Post-Polio Syndrome | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/post-polio-syndrome-hw184074
    Post-polio syndrome is an illness of the nervous system that can appear 15 to 50 years after you had polio. It affects your muscles and nerves, and it causes you to have weakness, fatigue, and muscle or joint pain. […] Post-polio syndrome usually progresses very slowly. […] Symptoms of post-polio syndrome tend to show up very slowly. The main symptoms are: New muscle weakness. This is most common in the muscles that had nerve damage from polio. You may also have weakness in muscles that you didn’t realize had been affected by polio. […] Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #80 Post-Polio Syndrome Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/post-polio-syndrome/
    Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #81 Post-Polio Syndrome Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/post-polio-syndrome/
    Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #82 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #83 Post-Polio Syndrome Information & Treatment
    https://www.columbiadoctors.org/health-library/condition/post-polio-syndrome/
    Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #84 Post-Polio Syndrome – Optimize Medical
    https://optimizemedicalfl.com/patient-education/healthwise?DOCHWID=hw184074
    Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. You may often feel tired, have a heavy feeling in your muscles, or feel sleepy. At times you may have trouble thinking clearly. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. To make up for this weakness, other muscles have to work harder. This puts extra wear and tear on muscles, joints, and tendons, sometimes leading to aches, cramping, and pain. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. For example, people with shoulder or arm weakness may have trouble getting dressed. People who have weakness in their legs may have trouble walking or climbing stairs. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #85 The legacy of polio: 2 cases of post-polio syndrome and review
    http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-50442022000300097
    Symptoms may be seen in clinically affected and unaffected muscles during primary polio infection. Post-polio progressive muscle atrophy is the term designated to describe the clinical picture, and muscle weakness progression is usually slow and lasts for many years. About 90% of patients with PPS also complain of general fatigue, concentration problems, and mood swings. […] The leading cause of death during acute polio is respiratory disorder. Although respiratory failure is often caused by weak breathing muscles or bulbar dysfunction, it is also related to the high incidence of secondary complications such as scoliosis, obesity, and sleep breathing disorders (sleep apnea) in individuals with PPS. […] According to pathophysiology, polio survivors suffer mainly from restrictive respiratory deterioration. At present, approximately 27-36% of patients with PPS suffer from respiratory failure. The main respiratory conditions have been described as dyspnea, fatigue, or sleep-related respiratory disorders, increasing the risk of morbidity and mortality.
  • #86 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #87 Pharyngolaryngeal manifestations of post-polio syndrome
    https://arquivosdeorl.org.br/conteudo/acervo_eng.asp?Id=820
    The post-polio syndrome (PPS) is characterized by a new episode of atrophy or muscle weakness in individuals previously affected by poliomyelitis. The symptoms start from an extended period of clinical stability ranging from 20 to 40 years, after the initial chart of polio. […] The complaints often reported by patients with PPS include progressive weakness, fatigue, muscle pain, joint pain, and limitation of mobility and psychological stress. The involvement in pharyngeal-laryngeal, the complaints are frequent like dysphagia, dysphonia, dyspnoea; and the therapies proposed for these cases range from phonotherapy to tracheostomy. […] The most common symptoms are fatigue and muscle tiredness previously affected or not. The PPS generally becomes apparent 30 years after the initial infection by the polio virus. It is more common the appearance during the periods of emotional stress or physical.
  • #88 What Causes Post-Polio Syndrome?
    https://www.webmd.com/children/what-is-post-polio-syndrome
    Post-polio syndrome, or PPS, is a non-contagious disorder that affects your nerves and muscles. It happens to polio survivors years after a polio infection, sometimes as much as 30 to 40 years later. […] PPS affects your nerves and muscles, usually in the same area that was originally affected. The main symptom is weak muscles, but the severity can vary. Some people only have minor symptoms, while others have severe muscle weakness and shrinking. […] Other post-polio syndrome symptoms include: Tiredness, Muscle pain, Joint pain, Sleeping problems, Sensitivity to cold, Frequent falls. […] If you had bulbar polio, which affects nerves that lead to your chewing and swallowing muscles, you can have trouble with these again when experiencing post-polio syndrome. Symptoms include: Trouble swallowing, Trouble chewing, Aspiration pneumonia, where you breathe food into your lungs, which causes a lung infection, Dehydration, Malnutrition.
  • #89
    https://www.nhs.uk/conditions/post-polio-syndrome/
    Post-polio syndrome is where some of these symptoms develop or get worse many years or decades after the original polio infection. […] Post-polio syndrome can include a wide range of symptoms that usually develop gradually over time, including: persistent fatigue (extreme tiredness), muscle weakness, shrinking muscles, muscle and joint pain, sleep apnoea. […] The symptoms tend to get gradually worse over many years, but this happens very slowly and treatment may help slow it down further. […] Post-polio syndrome is rarely life-threatening, although some people develop breathing and swallowing difficulties that can lead to serious problems, such as chest infections. […] Post-polio syndrome only affects people who have had polio. It usually develops 15 or more years after the infection. […] It’s not clear why only some people who have had polio develop post-polio syndrome. However, those who had severe polio when they were younger may be more likely to develop the condition.
  • #90 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #91 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #92 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #93 What Causes Post-Polio Syndrome?
    https://www.webmd.com/children/what-is-post-polio-syndrome
    Post-polio syndrome, or PPS, is a non-contagious disorder that affects your nerves and muscles. It happens to polio survivors years after a polio infection, sometimes as much as 30 to 40 years later. […] PPS affects your nerves and muscles, usually in the same area that was originally affected. The main symptom is weak muscles, but the severity can vary. Some people only have minor symptoms, while others have severe muscle weakness and shrinking. […] Other post-polio syndrome symptoms include: Tiredness, Muscle pain, Joint pain, Sleeping problems, Sensitivity to cold, Frequent falls. […] If you had bulbar polio, which affects nerves that lead to your chewing and swallowing muscles, you can have trouble with these again when experiencing post-polio syndrome. Symptoms include: Trouble swallowing, Trouble chewing, Aspiration pneumonia, where you breathe food into your lungs, which causes a lung infection, Dehydration, Malnutrition.
  • #94 Post-polio syndrome | Handouts | MedLink Neurology
    https://www.medlink.com/handouts/post-polio-syndrome
    PPS is rarely life-threatening, but the symptoms can significantly interfere with a person’s ability to function independently. Respiratory muscle weakness, for instance, can result in trouble with proper breathing, affecting daytime functions and sleep. Weakness in the swallowing muscles can result in food or liquids entering the airway or lungs and lead to pneumonia.
  • #95 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #96 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #97 The legacy of polio: 2 cases of post-polio syndrome and review
    http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-50442022000300097
    Symptoms may be seen in clinically affected and unaffected muscles during primary polio infection. Post-polio progressive muscle atrophy is the term designated to describe the clinical picture, and muscle weakness progression is usually slow and lasts for many years. About 90% of patients with PPS also complain of general fatigue, concentration problems, and mood swings. […] The leading cause of death during acute polio is respiratory disorder. Although respiratory failure is often caused by weak breathing muscles or bulbar dysfunction, it is also related to the high incidence of secondary complications such as scoliosis, obesity, and sleep breathing disorders (sleep apnea) in individuals with PPS. […] According to pathophysiology, polio survivors suffer mainly from restrictive respiratory deterioration. At present, approximately 27-36% of patients with PPS suffer from respiratory failure. The main respiratory conditions have been described as dyspnea, fatigue, or sleep-related respiratory disorders, increasing the risk of morbidity and mortality.
  • #98 Post Polio Syndrome (2023) – SeniorCare Inc.
    https://seniorcareinc.org/post-polio-syndrome-2023/
    While the United States was declared polio free in 1979, people who had the virus in their youth are now at risk of Post Polio Syndrome. Post Polio Syndrome refers to symptoms that appear decades an average of 30 to 40 years after the initial polio illness. […] Common signs and symptoms of Post Polio Syndrome include: Progressive muscle and joint weakness and pain, General fatigue and exhaustion with minimal activity, Muscle atrophy, Breathing or swallowing problems, Sleep-related breathing disorders, Decreased tolerance of cold temperatures. […] In most people, post-polio syndrome tends to progress slowly, with new signs and symptoms followed by periods of stability. […] Post-polio syndrome is rarely life-threatening, but severe muscle weakness can lead to complications: Falls due to weakness in leg muscles, Malnutrition, dehydration and pneumonia due to weakness in the muscles involved in chewing and swallowing, Chronic respiratory failure due to weakness in the diaphragm and chest muscles, Osteoporosis due to prolonged inactivity and immobility.
  • #99 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    The symptoms can gradually get worse over many years. […] Although post-polio syndrome is rarely life threatening, some people can develop breathing and swallowing difficulties that can lead to serious problems like chest infections. […] The symptoms of post-polio syndrome are slow and progressive. The sudden appearance of symptoms is more likely to be caused by something else. […] Exercise can help slow down the progressive muscle weakness that post-polio syndrome causes. However, being active can become difficult because your symptoms might become worse after exercise or activity. […] Your healthcare team might suggest you try using pacing techniques. […] Painkillers might be used in addition to pacing techniques. […] If you have breathing problems, you might benefit from treatment or lifestyle changes. […] Losing weight (if youre overweight) can help improve your symptoms and general health. […] The symptoms of post-polio syndrome can be distressing. Developing post-polio syndrome after living with the polio virus as a child can cause anxiety, isolation and stress. This can lead to depression.
  • #100 Post-Polio Syndrome – Harvard Health
    https://www.health.harvard.edu/a_to_z/post-polio-syndrome-a-to-z
    Post-polio syndrome is an illness defined by a collection of symptoms that generally occur at least 10-20 years after infection with the polio virus. The hallmark of post-polio syndrome is new muscular weakness. This may present as weakness in the arms, legs, or trunk or difficulty with swallowing, talking or breathing if the muscles that control these functions are affected. Other symptoms of post-polio syndrome include muscle pain, fatigue and cold intolerance. […] Major symptoms include muscle weakness, pain, fatigue and, in some cases, wasting (atrophy) of the muscles that were involved during the polio infection, typically the legs. Additional problems can include intolerance to heat or cold, and difficulty swallowing, talking, breathing or sleeping. The syndrome also can cause abnormal muscle contractions, such as quivering or spasms, in small segments of a muscle. Worsening disability may cause social and psychological problems.
  • #101 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #102 Post-Polio Syndrome Revisited
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10123742/
    Post-polio syndrome (PPS) is characterized by recrudescence or worsening of motor neuron disease symptoms decades after recovery from acute paralytic poliovirus infection, i.e., poliomyelitis. PPS afflicts between 25% and 40% of poliomyelitis survivors and mimics motor neuron diseases (MNDs), such as amyotrophic lateral sclerosis (ALS), due to its selective impairment, degeneration, or death of motor neurons in the brainstem and spinal cord. […] Decades after the polio epidemic, it was discovered that between 25% and 40% of people who had recovered either fully or partially from poliomyelitis developed motor neuron disease with features that were indistinguishable from sporadic motor neuron disease (MND). […] PPS uniquely differs from sporadic or primary MND due to its natural history corresponding to what is regarded as a clinical recrudescence of a childhood poliovirus CNS infection.
  • #103 Post-Polio Syndrome Revisited
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10123742/
    Post-polio syndrome (PPS) is characterized by recrudescence or worsening of motor neuron disease symptoms decades after recovery from acute paralytic poliovirus infection, i.e., poliomyelitis. PPS afflicts between 25% and 40% of poliomyelitis survivors and mimics motor neuron diseases (MNDs), such as amyotrophic lateral sclerosis (ALS), due to its selective impairment, degeneration, or death of motor neurons in the brainstem and spinal cord. […] Decades after the polio epidemic, it was discovered that between 25% and 40% of people who had recovered either fully or partially from poliomyelitis developed motor neuron disease with features that were indistinguishable from sporadic motor neuron disease (MND). […] PPS uniquely differs from sporadic or primary MND due to its natural history corresponding to what is regarded as a clinical recrudescence of a childhood poliovirus CNS infection.
  • #104 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #105 Post-Polio Syndrome: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/24584-post-polio-syndrome
    The severity of symptoms can vary from person to person. Symptoms include: Slowly progressive muscle weakness. Fatigue. Gradual muscle atrophy. Muscle pain and twitches. Joint pain. Skeletal deformities such as curvature of your spine (scoliosis). […] If muscles involved in breathing and swallowing are affected, you may experience difficulty with these functions. […] Severe cases of PPS can resemble the symptoms of amyotrophic lateral sclerosis (ALS), but its not a form of that condition. […] Theres currently no specific treatment for post-polio syndrome (PPS). Instead, healthcare providers focus on managing symptoms and improving quality of life. […] At this time, theres no cure for post-polio syndrome. […] The prognosis (outlook) for post-polio syndrome (PPS) varies depending on which muscles are affected and the severity of symptoms.
  • #106 Post-Polio Syndrome Revisited
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10123742/
    Post-polio syndrome (PPS) is characterized by recrudescence or worsening of motor neuron disease symptoms decades after recovery from acute paralytic poliovirus infection, i.e., poliomyelitis. PPS afflicts between 25% and 40% of poliomyelitis survivors and mimics motor neuron diseases (MNDs), such as amyotrophic lateral sclerosis (ALS), due to its selective impairment, degeneration, or death of motor neurons in the brainstem and spinal cord. […] Decades after the polio epidemic, it was discovered that between 25% and 40% of people who had recovered either fully or partially from poliomyelitis developed motor neuron disease with features that were indistinguishable from sporadic motor neuron disease (MND). […] PPS uniquely differs from sporadic or primary MND due to its natural history corresponding to what is regarded as a clinical recrudescence of a childhood poliovirus CNS infection.
  • #107 Post-Polio Syndrome Revisited
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10123742/
    PPS mimics MND due to its relatively selective impairment, degeneration, or death of motor neurons in the spinal cord and brainstem. The mechanism of PPS is not well understood. […] Clinically, the pre-morbid states that characterize patients who develop PPS include: (1) those who experience prolonged periods (up to several decades) of stable normal motor function; and (2) individuals with chronic fatigue and muscle weakness. […] The slowness of muscle weakness progression in PPS is partly due to the relatively focal involvement of motor units within multiple muscles. […] Normal functions can be further impaired by accompanying muscle pain, difficulties with breathing and swallowing, and reduced tolerance to cold. […] The extraordinarily high rate of PPS among survivors of acute poliomyelitis speaks volumes for factors related to the initial infection or mechanisms of recovery as key pathogenic mediators of PPS-associated neurodegeneration.
  • #108 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    The symptoms can gradually get worse over many years. […] Although post-polio syndrome is rarely life threatening, some people can develop breathing and swallowing difficulties that can lead to serious problems like chest infections. […] The symptoms of post-polio syndrome are slow and progressive. The sudden appearance of symptoms is more likely to be caused by something else. […] Exercise can help slow down the progressive muscle weakness that post-polio syndrome causes. However, being active can become difficult because your symptoms might become worse after exercise or activity. […] Your healthcare team might suggest you try using pacing techniques. […] Painkillers might be used in addition to pacing techniques. […] If you have breathing problems, you might benefit from treatment or lifestyle changes. […] Losing weight (if youre overweight) can help improve your symptoms and general health. […] The symptoms of post-polio syndrome can be distressing. Developing post-polio syndrome after living with the polio virus as a child can cause anxiety, isolation and stress. This can lead to depression.
  • #109 What are the Late Effects of Polio / Post-Polio Syndrome? – Polio Australia – Polio Health
    https://www.poliohealth.org.au/late-effects-of-polio/
    The broader condition known as the Late Effects of Polio takes in both PPS and a host of additional ‘bio-mechanical’ symptoms including: scoliosis; kyphosis; respiratory problems; dysphagia (swallowing difficulties); muscle contraction; head, neck and joint aches; chronic tendonitis; bursitis; nerve compression; osteoporosis; arthritis; and fatigue; many of which will impact on virtually every survivor of polio. […] As both paralytic and non-paralytic polio survivors age, the neuronal ‘sprouts’ that supported muscle activity post-infection are degenerating as part of the ageing process, causing increased muscle weakness and atrophy, joint pain, and physical disability – even for those who appeared to have no residual disability at all.
  • #110 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    The symptoms can gradually get worse over many years. […] Although post-polio syndrome is rarely life threatening, some people can develop breathing and swallowing difficulties that can lead to serious problems like chest infections. […] The symptoms of post-polio syndrome are slow and progressive. The sudden appearance of symptoms is more likely to be caused by something else. […] Exercise can help slow down the progressive muscle weakness that post-polio syndrome causes. However, being active can become difficult because your symptoms might become worse after exercise or activity. […] Your healthcare team might suggest you try using pacing techniques. […] Painkillers might be used in addition to pacing techniques. […] If you have breathing problems, you might benefit from treatment or lifestyle changes. […] Losing weight (if youre overweight) can help improve your symptoms and general health. […] The symptoms of post-polio syndrome can be distressing. Developing post-polio syndrome after living with the polio virus as a child can cause anxiety, isolation and stress. This can lead to depression.
  • #111 Post-Polio Syndrome | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/post-polio-syndrome-hw184074
    Post-polio syndrome is an illness of the nervous system that can appear 15 to 50 years after you had polio. It affects your muscles and nerves, and it causes you to have weakness, fatigue, and muscle or joint pain. […] Post-polio syndrome usually progresses very slowly. […] Symptoms of post-polio syndrome tend to show up very slowly. The main symptoms are: New muscle weakness. This is most common in the muscles that had nerve damage from polio. You may also have weakness in muscles that you didn’t realize had been affected by polio. […] Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #112 Post-polio syndrome – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/diagnosis-treatment/drc-20355674
    For a diagnosis of post-polio syndrome, doctors look for three indicators: […] The later onset weakness typically occurs in muscles that were affected at the time of the initial polio illness. Weakness often isn’t noticeable until it interferes with daily activities. You might awaken refreshed but feel exhausted by the early afternoon, tiring after activities that were once easy. […] A noninvasive test that shows promise for evaluating the severity of post-polio syndrome and monitoring its progression is muscle ultrasound, which uses sound waves to create images of muscles. More study is needed. […] The goal of treatment is to manage your symptoms and help make you as comfortable and independent as possible. Here are some treatment options that may help manage your post-polio syndrome symptoms:
  • #113 Post-polio syndrome | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/post-polio-syndrome/
    The symptoms can gradually get worse over many years. […] Although post-polio syndrome is rarely life threatening, some people can develop breathing and swallowing difficulties that can lead to serious problems like chest infections. […] The symptoms of post-polio syndrome are slow and progressive. The sudden appearance of symptoms is more likely to be caused by something else. […] Exercise can help slow down the progressive muscle weakness that post-polio syndrome causes. However, being active can become difficult because your symptoms might become worse after exercise or activity. […] Your healthcare team might suggest you try using pacing techniques. […] Painkillers might be used in addition to pacing techniques. […] If you have breathing problems, you might benefit from treatment or lifestyle changes. […] Losing weight (if youre overweight) can help improve your symptoms and general health. […] The symptoms of post-polio syndrome can be distressing. Developing post-polio syndrome after living with the polio virus as a child can cause anxiety, isolation and stress. This can lead to depression.
  • #114 Post-polio syndrome – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/post-polio-syndrome/diagnosis-treatment/drc-20355674
    For a diagnosis of post-polio syndrome, doctors look for three indicators: […] The later onset weakness typically occurs in muscles that were affected at the time of the initial polio illness. Weakness often isn’t noticeable until it interferes with daily activities. You might awaken refreshed but feel exhausted by the early afternoon, tiring after activities that were once easy. […] A noninvasive test that shows promise for evaluating the severity of post-polio syndrome and monitoring its progression is muscle ultrasound, which uses sound waves to create images of muscles. More study is needed. […] The goal of treatment is to manage your symptoms and help make you as comfortable and independent as possible. Here are some treatment options that may help manage your post-polio syndrome symptoms:
  • #115 Post-Polio Syndrome | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/post-polio-syndrome
    You may find that your symptoms get more noticeable. Nerves and muscles may continue to decline over time. […] PPS only develops in people who once had polio. […] Your healthcare provider may make a diagnosis of PPS if you had polio in the past, have new muscle weakness and other symptoms that last for a year, and have no other cause for your symptoms. […] There is no cure for PPS. But supportive therapies can help you manage the condition. The goal of treatment for PPS is to reduce the impact of the condition on your daily life. […] People with PPS who have new muscle weakness and tiredness (fatigue) may improve muscle strength with specially designed, low-intensity, muscle-strengthening exercise programs known as nonfatiguing exercises. […] PPS is a disorder that happens in as many as half of people many years after they had polio. The symptoms include progressive muscle weakness, pain in the muscles and joints, and tiredness. Some people with PPS may eventually need a machine to help with breathing. Prescribed special exercise programs, devices that provide assistance, physical therapy, occupational therapy, and medicines may all help you manage the symptoms of PPS.
  • #116 Post-Polio Syndrome | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/post-polio-syndrome-hw184074
    Post-polio syndrome is an illness of the nervous system that can appear 15 to 50 years after you had polio. It affects your muscles and nerves, and it causes you to have weakness, fatigue, and muscle or joint pain. […] Post-polio syndrome usually progresses very slowly. […] Symptoms of post-polio syndrome tend to show up very slowly. The main symptoms are: New muscle weakness. This is most common in the muscles that had nerve damage from polio. You may also have weakness in muscles that you didn’t realize had been affected by polio. […] Fatigue. You may find that the activities you used to do without getting tired are now causing fatigue. […] Muscle or joint pain. Muscles affected by polio tend to be weaker than normal. […] Depending on which muscles are affected, this trio of muscle weakness, fatigue, and pain can make daily activities more difficult. […] Some people who have post-polio syndrome also have problems with swallowing, sleeping, and tolerating cold temperatures. Or they may need help to improve their breathing.
  • #117 Post-Polio Syndrome – Harvard Health
    https://www.health.harvard.edu/a_to_z/post-polio-syndrome-a-to-z
    Post-polio syndrome worsens slowly over time. […] Post-polio syndrome usually worsens slowly. With a combination of multi-disciplinary rehabilitation approaches and lifestyle modifications, people often can return to or approach their previous level of functioning. Post-polio syndrome does not usually cause symptoms that are as severe as the original polio illness.