A clinical report concerning the results of Dr. Francis T. H'Doubler's study conducted to evaluate the effectiveness of electrostimulation of auricular accumpuncture points in the treatment of confirmed post-polio syndrome patients. An Approach to the Patient with Suspected Post-Polio Syndrome. Guidelines originally written by Dr. Warren Anderson and the Medical Advisory Board of the Post Polio Program Easter Seal Society of Oregon. Information on pathology, patient presentation, evaluation, and resources in patient management are provided. Patients experience generalized muscle soreness, fatigue, and malaise in the absence of clinical evidence of muscle atrophy or fasciculations, elevation in serum muscle enzymes, and normal electrodiagnostic and muscle biopsy evaluations.
Patients experience new signs of asymmetric muscle weakness, atrophy, and fasciculations.
Neuroimaging of cervical or lumbar spine excludes degenerative disc disease or spinal stenosis. MS is accurately diagnosed by typical central nervous system MRI and cerebrospinal fluid studies. Impingement of peripheral nerves of upper or lower extremities, resulting from long-standing musculoskeletal deformities or other unrelated processes, leads to asymmetric muscle atrophy. Pain and paresthesias are usually associated symptoms. Like PPS, IBM advances slowly and asymmetrically, and there may be electromyographic abnormalities resulting from secondary distal axonal degeneration.