También el dolor oseaoarticular, hay personas que mantienen mayormente "dolor continuo" y no tienen fatiga, lo que considero que es más frecuente es la "fatiga Mental" Brain fatigue, cada individuo manifiesta uno o más síntomas que otros. No podemos generalizar cual síntoma es el que todos padecen más.
Personalmente considero que solamente con un diagnostico bien realizado, nos podría brindar datos más exactos de los síntomas que los pacientes en México, padecen más.
Estos son datos de USA. Liliana Marasco Garrido
Post-polio syndrome (PPS) can cause a wide range of symptoms, some of which are more common than others. These are explained below.
Common symptoms of PPS
Fatigue is the most common symptom of PPS. Fatigue can take many forms in PPS, including:
- muscle fatigue, where your muscles feel very tired and heavy, particularly after physical activity
- general fatigue, where you feel an overwhelming sense of physical exhaustion as if you have not slept for days
- mental fatigue, where you find it increasingly difficult to concentrate, have problems remembering things and make mistakes that you would not usually make
Symptoms of fatigue are usually worse in the early afternoon and can often be improved with rest or brief naps.
Increasing muscle weakness is another common symptom of PPS. It can be easy to confuse muscle weakness with muscle fatigue, but they are different.
Muscle weakness means that you are increasingly unable to use affected muscles, whether you feel fatigued or not. Weakness can occur in muscles that were previously affected by an active polio infection, as well as in muscles that were not previously affected.
There may also be associated shrinking (atrophy) of affected muscles.
Muscle and joint pain
Muscle and joint pain is also common in PPS. Muscle pain is usually experienced as a deep ache in the muscles and/or muscle cramps and spasms.
The pain is often worse after you have used the affected muscles. Therefore, it can be particularly troublesome during the evening after a day’s activities.
Joint pain is similar to arthritis, consisting of soreness, stiffness and a reduced range of movement.
As well as the common symptoms of PPS, there are a number of associated symptoms that arise from the combination of fatigue, muscle weakness and muscle and joint pain. These are explained below.
Due to the combination of fatigue, muscle weakness and muscle and joint pain, most people with PPS become less physically active than they used to be. This can often lead to weight gain and, in some cases, obesity. This in turn can make the symptoms of fatigue, muscle weakness and pain worse.
As well as weight gain, the combination of fatigue, weakness and pain can lead to walking difficulties and increasing difficulties with mobility. Many people with PPS will require a walking aid, such as crutches or a cane, at some stage and some people may eventually require the use of a wheelchair.
Sleep apnea affects many people with PPS. It is a condition in which the muscles in your throat relax during sleep.
Once the muscles relax, the airway in your throat can narrow or become totally blocked. This interrupts the oxygen supply to your body, which triggers your brain to pull you out of deep sleep so that your airway can be reopened and you can breathe normally.
As you need a certain amount of deep sleep for your body and mind to be fully refreshed, having only limited episodes of deep sleep will cause you to feel very tired the next day.
Weakness in the muscles you use for chewing and swallowing may lead to problems swallowing (dysphagia), such as choking or gagging when trying to swallow.
You may experience changes in your voice and speech, such as hoarseness, low volume or a nasal-sounding voice, particularly after you have been speaking for a while or when you are tired.
Usually, swallowing problems are mild and progress very slowly. A speech and language therapist may be able to help.
Sensitivity to cold
Some people with PPS find that one particular part of their body, usually a limb, becomes very sensitive to the effects of cold temperature or a sudden drop in temperature.
Due to this intolerance to cold, you may need to add extra layers of clothing to the affected body part.