Back Support
Question: I use a motorized chair the majority of the time. I have recently been unable to stand and walk longer than a few minutes, making it more difficult to do much cooking, which I love. I’ve noticed that besides my legs getting weaker, my core and back muscles are also weakening thus adding to my fatigue, pain, and reduced stamina. My husband bought me a back-support brace from the pharmacy but it doesn’t seem to be helping. Will a back-support cause muscle atrophy?
Dr. Bruno’s Response: Limited use of a back support -- for a few minutes to maybe half an hour -- probably won't cause muscle weakness or atrophy. But the need for a back support - being "unable to stand and walk longer than a few minutes" and "core and back muscles are also weakening" - is your body telling you you're overworking those muscles’ motor neurons.
Speak to your physician about having an occupational therapy evaluation in your home to help you find energy efficient ways to cook even while sitting.
Remember: "Conserve to Preserve" remaining, poliovirus-damaged neurons is always the first step.