How can I effectively manage the symptoms of post-polio syndrome in my patients, particularly regarding pain and fatigue?

Effective management of post-polio syndrome (PPS) symptoms, particularly pain and fatigue, involves a multidisciplinary, individualized approach focused on symptom relief and functional improvement.

For fatigue, energy conservation techniques and tailored, low-impact aerobic exercise are recommended to avoid overuse of weakened muscles while maintaining cardiovascular fitness and overall function ¹. This approach helps prevent exacerbation of fatigue and muscle weakness, which are common in PPS (Khan, 2004).

Regarding pain management, a combination of physical therapy modalities such as gentle stretching, strengthening exercises, and use of assistive devices can reduce musculoskeletal pain by improving posture and reducing joint stress ¹. Pharmacological interventions may be considered for neuropathic or musculoskeletal pain but should be used cautiously and tailored to individual patient needs (Khan, 2004).

Psychological support and education about pacing activities and recognizing early signs of fatigue or overuse are essential components to empower patients in self-management ¹. Additionally, regular monitoring and adjustment of the rehabilitation plan are important to address fluctuating symptoms and prevent secondary complications (Khan, 2004).

In summary, managing PPS symptoms effectively requires a balance between activity and rest, individualized exercise programs, pain control strategies, and patient education to optimize quality of life and functional capacity.