Polio Place

A service of Post-Polio Health International

post-polio syndrome

Questions about receiving the polio vaccine after having already contracted polio

Question


I contracted polio as child age 12 from the live virus vaccine. Several years ago I was diagnosed with PPS. Later in the US Army age 19 I was given a polio vaccination. What would have happened to me? What would have the side effects been? Enhanced PPS? Are there any studies on this situation?


Response


Marny Eulberg, MD, polio survivor and a family physician who has run a post polio clinic since 1985.

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Trust Trainers?

Post-Polio Health, Volume 30, Number 2, Spring 2014.
Ask Dr. Maynard
Frederick M. Maynard, MD

Question: My husband had polio at age 8. He is now 71. His left leg has started giving out on him and he falls. He goes to a special trainer, but I’m afraid the trainer doesn’t know how to treat this. What type of exercises should benefit him, and what should he avoid?

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Options When a Post-Polio Clinic Is Not an Option

Carol Vandenakker, MD
Physical Medicine & Rehabilitation
University of California, Davis, Health System
Sacramento, California

Presented at PHI’s 9th International Conference: Strategies for Living Well (June 2005)

A. You must start with a good primary care physician.

1. Keys to finding a good doctor:

a. Look for a physician you trust and can communicate with.

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Weakness

New muscle weakness is the hallmark of post-polio syndrome and can significantly impact activities of daily living. Some amount of new muscle weakness is likely to occur in about half of post-polio individuals (Jubelt & Drucker, 1999). Muscle weakness is most likely to occur in muscles previously affected during the acute poliomyelitis followed by a partial or full recovery (Cashman et al., 1987; Dalakas & Illa, 1991).

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ICD Codes

The International Classification of Diseases is a clinical cataloging system of alphanumeric designations given to every diagnosis, description of symptoms and cause of death attributed to human beings.

It means that each diagnosis a human being may be given has a code, a numbered designation, that goes with it. That code means that every medical professional in the United States and many other parts of the world will understand the diagnosis the same way.

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Diagnosis

 The criteria for diagnosing post-polio syndrome include:

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Definitions

Technically, post-polio syndrome is not the same condition as Post-Polio Sequelae/ the late effects of polio. Post-polio syndrome is usually considered a specific new condition. A diagnosis of exclusion is used to determine if a patient has PPS. This means if a survivor of polio is found to have osteoarthritis, for example, that is what the diagnosis will be – osteoarthritis, not PPS. Because of this, the number will be lower for post-polio syndrome than when the number is referring to post-polio sequelae or the late effects of polio.

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