Post-Polio Health, Volume 28, Number 1, Winter 2012
Ask Dr. Maynard
Frederick M. Maynard, MD“Ask Dr. Maynard,” Post-Polio Health, Volume 28, Number 1, Winter 2012
Question: I have been having a LOT of pain through my butt into my lower back. I looked up muscle groups and think I see what is causing the problem. I sit at my desk nine or so hours six days a week in order to survive financially.
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Post-Polio Health, Volume 26, Number 2, Spring 2010
Ask Dr. Maynard
Frederick M. Maynard, MD
Question: Has there ever been a study of whether antidepressants help relieve muscular pain and fatigue? Is it a plausible treatment for people who have had polio?
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Frederick Maynard, MD, retired physiatrist
Pain control in people with postpolio problems is highly individualized because there is no one source of pain. I would NOT endorse the use of a Duragesic patch (fentanyl transdermal system) for long-existing pain in a person with PPS because I think it is a “dead end” in regard to long lasting relief from pain.
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Researchers at the University of Washington’s Aging Rehabilitation Research and Training Center
Chronic pain is something that many people, including many individuals with post-polio syndrome (PPS), face on a day-today basis. In fact, from the preliminary results of our recent survey of post-polio people, we found that 373 out of 419, or 89 percent, reported at least some daily pain.
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From the series, Polio Survivors Ask, by Nancy Baldwin Carter, B.A, M.Ed.Psych, from Omaha, Nebraska, is a polio survivor, a writer, and is founder and former director of Nebraska Polio Survivors Association.
Q: I have a significant pain problem in my shoulder and I've heard about a special taping technique used by athletes. What's the deal? Could it help me?
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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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Linda Cannon Rowan
When I complain to my doctor about pain or fatigue, he usually tells me that I am not getting enough rest.
I GET SO TIRED OF HEARING THAT I NEED TO REST! BUT I KNOW THAT I MUST!
A day without pain is rare.
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One excellent reason for seeing a PT in the absence of declining physical function is to undergo a well-rounded baseline evaluation against which future problems might be measured.
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Have you thought about using a cane or crutch but dismissed the idea because you’d be self-conscious? Think you'll look "disabled"? Figure that you’ve gotten along okay without walking aids so far, so why start now?
Good question.I know that feeling well and talked about it in “Facing Reality.”
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Approach the stairs and have your therapist stand by for safety until confident of abilities.
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Keep crutches down on lower level and do not place upward on the steps. Push down hard on the crutches with your arms. This lifts the body upward.
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Then, step up first with your strong leg to the first step!
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Bring up your weak leg and crutches to the same step as the strong leg.
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Crutches and both legs should now be on the same step.
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