End stage post-polio syndrome (ESPPS) is a condition that affects people who have had polio in the past. It is characterized by a gradual, progressive decline in the function of muscles and nerves that were affected by the original polio infection. It can lead to difficulty walking, breathing, and other activities that require physical strength and coordination.
The cause of ESPPS is not known, but it is thought to be related to the original polio infection. It is believed that the virus of polio may have caused damage to the nerve cells that control muscle function, leading to the weakened muscles seen in those with ESPPS. It is also possible that the original infection may have caused muscle damage as well.
The symptoms of ESPPS include muscle weakness, fatigue, muscle pain, poor coordination, difficulty walking, difficulty breathing, and difficulty swallowing. In more severe cases, the individual may experience muscle atrophy, joint contractures, and respiratory problems. In some cases, individuals may develop chronic pain or paralysis in one or more limbs.
Treatment for ESPPS is mainly aimed at reducing the symptoms. This includes physical therapy, occupational therapy, medications, and supportive devices, such as braces and wheelchairs. In severe cases, surgery may be necessary to address muscle contractures or joint deformities.
ESPPS is an unpredictable condition, and the rate of progression and severity of symptoms can vary from person to person. It is important to speak with a healthcare provider if you have had polio in the past and are experiencing any of the symptoms of ESPPS. Early diagnosis and treatment can help to reduce the impact of the condition and improve quality of life.