Tag: Exercise Therapy

Exercise Therapy For Chronic Fatigue Syndrome

Many doctors and specialists consider exercise as an important and effective treatment for chronic fatigue syndrome. People with chronic fatigue syndrome are trapped in a downward spiral. They suffer from extreme exhaustion and muscle pains, thus the need to have as much rest as possible. However, having too much rest leads to a sedentary lifestyle which has several detrimental effects to the body. Decreased physical activity leads to muscle wasting and loss of bone mass. But regular exercise can help stop that downward trend and replace it with more positive cycle.

Exercise has a number of benefits. Starting a regular exercise routine leads to increased performance and strengthened muscles. This, in turn results to a more optimistic outlook. Research has also revealed that exercise helps combat anxiety and depression. This may be the result of a combination of the release of endorphins (the body’s natural pain killers) and the sense of fulfillment at being able to improve the body’s functions. Exercise also helps strengthen the cardiovascular system.

Individuals with chronic fatigue syndrome should first consult their doctor to determine if they are fit and ready to perform strenuous physical activities such as exercise. To embark on an exercise program without ascertaining if the patient is ready for it can be very dangerous. A patient should first get the approval of his/her doctor before attempting any form of strenuous exercise.

They can then start with gentle exercise routines that will be slowly and gradually increased in intensity and frequency. A physical therapist can also be hired to develop an exercise program that is custom-fit for the patient and his particular condition.

Some good exercise routines for people with chronic fatigue syndrome include swimming, walking, aerobic exercises, rowing machine, and riding a stationary bike. Activities that worsen fatigue and the other symptoms of chronic fatigue syndrome should be avoided. These include weightlifting, playing basketball, etc. Meanwhile, stretching and other relaxation exercises such as yoga, tai chi, breathing exercises and more are helpful in stimulating lymph flow and producing a sense of well-being in the patient without overexertion.

For an exercise program to be effective, it should become a regular activity. Ideally, a person should exercise daily. When starting an exercise program, the duration and frequency can be as little as five minutes per day or even less. Every week, the duration can be increased by increments of several minutes. The patient can progress from five minutes to a full hour or more of exercise per day within a few months.

The patient must exercise caution at all times to prevent overexertion, which can lead to worsening of the symptoms of chronic fatigue. Overdoing exercise when the patient isn’t feeling well can lead to an overall performance decline. If the patient overexerts himself, this will inevitably result to several days of muscle pain, which necessitates rest. When this happens, the patient might relapse into that downward trend of non-activity and sedentary lifestyle.

Recent studies have revealed that people with chronic fatigue syndrome have a rather distorted perception of muscular activity. They might not be able to determine how much exercise they have already done or when it is time to stop and rest.

If the goal of exercise is to regain muscle strength, it is very important to get the advice and approval of a doctor or specialist before starting on an exercise program.

Chronic Fatigue Treatment Options

Patients of CFS or Chronic Fatigue Syndrome respond differently to various treatments. Some of them recover after drastic changes in lifestyle, some of them are more responsive to pharmacological treatments. Here are the most common treatment modalities to which CFS patients are subjected and to which most of them respond well.

Self-Care/Management Techniques
Some patients can facilitate self-care treatments. This can be done by monitoring the level and pacing of activities such that prolonged and extreme levels of exhaustion are prevented. This can also be done by preventing the urge to rest. Since CFS is not relieved through rest, regardless of the duration, health care professionals do not advise the patients to rest excessively. Some form of physical activity must be maintained. This is oftentimes recommended by the physician. When trying to manage the symptoms of the disorder by yourself, it is best to keep the pacing and the level of the activities under control. Otherwise, symptoms may occur at a more debilitating rate.

Cognitive Behavioral Therapy
CBT or Cognitive Behavioral Therapy is a psychological therapy that delivers relief of symptoms but not necessarily cure. This helps the patients understand their conditions and can therefore better guide them in forming their beliefs, perception and attitudes towards the syndrome. It is believed that through a more accurate depiction of the condition, the patient can better respond to the symptoms and they can cause lesser inhibition of the recurrence of their symptoms.

Graded Exercise Therapy
This therapy involves the introduction of incremental changes in the patients’ levels of activity. While concrete evidence are yet to be established, many experts believe that integration of activities is very important in managing the disease. Under this therapy then, the patient will have to monitor his own activities and exercises. As the therapy progresses, he moves to higher intensities until he gets back to the doing activities he normally participated in prior to the onset of the condition.

Pharmacological Treatments
Managements of the conditions through pharmacological treatments can involve the following medications:

Antidepressants are primarily used to manage mood swings and secondary depression. Low dosage antidepressants, on the other hand, are helpful in managing sleep disturbance and pain.

Autonomic nervous system stimulants are used to help improve concentration and short-term memory which are greatly affected by the disorder.

NSAIDs or Non-Steroidal Anti-Inflammatory Drugs are prescribed to CFS patients to relieve them from muscle and joint pains.

Anxiolyticagents are used to target symptoms of anxiety.

CAM or Complementary and Alternative Medicine
The use of dietary supplements in managing Chronic Fatigue Syndrome is central in alleviating the symptoms of CFS. According to some pilot studies, supplements of Carnitine, essential fatty acids, Magnesium and polynutrient supplements have shown strong indications of symptom reduction among patients.

Because the origins of Chronic Fatigue Syndrome are not yet fully understood, treatment options are more directed to managing the symptoms and not really in curing the disorder. The main objective in producing relief from symptoms is to reinstate the conditions of the person as well as his well-being prior to the onset of the disorder.

As a result, majority of sufferers do not fully recover and even if they do, they recover gradually. For people who expect better and faster recovery, frustrations often ensue which for most of the cases, worsen the condition. It is therefore recommended to undergo a treatment at a very slow but well-managed pace.

Chronic Fatigue Syndrome: Coping Techniques

Chronic Fatigue Syndrome, like all chronic illnesses, poses a host of stresses that patients have to suffer from. Among the most common are the loss of life roles, ongoing medical expenses, loss of job or source of income, confusing symptoms, and constant medical check-ups with healthcare professionals who sometimes do not fully understand the condition.

With these stresses, it is very important for patients to know how to cope. Coping is integral to the management of the disorder and to some extent recovery from the syndrome. Presented below are some coping techniques that may not only help you deal with the disorder better but can also free you from some of the discomforts it could give.

Establish a positive understanding of the disease. It is not only important to know the nature of the fatigue and its accompanying symptoms but it is also vital that the patient knows how to positively deal with them. Establishing a positive concept regarding CFS is known to help patients respond to the symptoms better and facilitate self-regulatory techniques much more effectively. This is the crux of Cognitive Behavioral Therapy, a psychological therapy that brings about relief from symptoms by way of establishing a good outlook with respect to the condition.

Avoid excessive resting It is natural to rest whenever one feels extremely fatigued. However, the reverse is often the more effective technique. Stop the urge of resting as this could debilitate your condition further. Instead, try to incorporate minor activities into your daily life which may include low levels of activities at first.

Then, progress to higher intensity activities, according to what level your body can afford. Do not overexert yourself though as this can also have damaging effects. When in doubt, consult your health care professional, he can recommend therapy options like graded exercise therapy.

Manage your daily activities Limit your activities according to a well-defined plan. Most patients limit their activities according to the particular activities they can perform in a day. This is counter-productive and should not be done at all costs. The key is to have a consistent pattern of activities that progresses according to the levels of difficulty and required physical exertion. Try to attain a balance between stress, physical exertion and rest.

Dont focus on the symptoms It is not uncommon for people to nurse the symptoms of their disease. Despite the fact that this is not helpful, patients still persist with this attitude. Among people who suffer from chronic fatigue syndrome, nursing their pains and aches only lead to higher sensitivities to both as well as to disengagement. Disengagement is an attitude of surrendering in the face of inconvenient experiences (stressors) when they seem too overwhelming.

Hence, disengagement is a poor coping mechanism. Patients of CFS are advised not to give too much emphasis on the pains instead, they are recommended to live with them and conquer the urge of giving up.

Avoid the pitfalls of coping Most patients fail not because the treatment and therapy they have undergone are not effective but because they try to rush back to their lives prior to the onset of the condition. It is important to understand that chronic fatigue syndrome is a disorder that cannot be remedied immediately.

It takes time and patience to progress from one stage of the disorder to another. Most patients who try to achieve immediate relief from symptoms often find themselves rebounding to square one, that is to the stage where the syndrome is most severe.