For polio survivors, managing pain and fatigue revolves around a fundamental principle: conserving energy to protect already compromised neurons and muscles. The most impactful non-surgical treatments are rigorous lifestyle modifications, primarily pacing and energy conservation. This means scheduling daily activities with mandatory rest periods before exhaustion sets in and unapologetically using mobility aids like braces, canes, or electric scooters to reduce the metabolic cost of walking. In terms of exercise, "less is more." The most effective regimen involves gentle, non-weight-bearing activities like aquatic therapy or slow swimming in a warm pool, which helps maintain strength and flexibility without causing the damaging fatigue associated with land-based exercises. Strength training, if done at all, must be extremely conservative with low weights and high repetitions, under the guidance of a therapist familiar with PPS. Avoiding activities that cause pain or weakness the next day (post-exertional malaise) is the single most important rule for preserving long-term function and quality of life.