Tag: Symptoms Of Chronic Fatigue Syndrome

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.

Exercise And Chronic Fatigue Syndrome

Chronic fatigue syndrome or CFS is a disorder characterized by extreme and prolonged exhaustion combined with several other symptoms such as muscle and joint pains, headache, sore throat and other flu-like symptoms. The exact cause of chronic fatigue syndrome is yet to be discovered and it may take years before the individual can recover from the ailment.

Sometimes, the CFS victims suffer recurring bouts with CFS through their lifetime. Because the exact cause of CFS is yet to be determined, there is no known cure for this illness yet. Non-drug treatments and medications are primarily to relieve the many symptoms of CFS.

One of the non-drug therapies put forward by doctors, as a treatment for CFS, is exercise. However. Medical opinion is still divided on whether exercise can actually help improve or worsen the symptoms of chronic fatigue syndrome. Some doctors believe that mild exercise can be helpful in overcoming CFS. Others warn against any form of aerobic activity that can aggravate CFS.

Exercise can be a problem for people with chronic fatigue syndrome because strenuous physical activity can worsen the symptoms of CFS such as muscle pain, fatigue and tenderness of the joints. While exercise is important in maintaining health and wellness, it can become dangerous for people with chronic fatigue. But a recent study released by the British Medical Journal has revealed that proper patient education on chronic fatigue syndrome combined with a supervised exercise program can help improve the symptoms of CFS.

Still, people with CFS typically find it difficult to perform basic activities such as walking let alone do rigorous physical activities such as aerobic exercise. During an onset of chronic fatigue, the patient may be bedridden. They usually feel better after some time and may attempt to do regular exercise. However there is danger that the symptoms of chronic fatigue syndrome may relapse once the individual attempts aerobic activity.

Muscular activity causes lactic acid to be produced in the muscles. This chemical by-product leads to fatigue. Research says that exercise can worsen the effects of chronic fatigue syndrome because it sets off production of excess lactic acid in the muscles. Recent studies reveal that people with CFS actually produce twice the amount of lactic acid than people without chronic fatigue syndrome. Researches believe that their findings suggest a link between chronic fatigue syndrome and an error in the body’s energy metabolism.

Researchers are also looking at a link between chronic fatigue and low levels of potassium electrolytes. A deficiency in potassium supply usually causes chronic fatigue. The bulk of the body’s potassium supply is in the muscle tissue as well as the brain, blood and internal organs. Studies have revealed that people with chronic fatigue syndrome have actually less total body potassium compared to healthy people of the same weight and age.

On the other hand, a sedentary lifestyle can also cause a whole range of health problems for people with CFS. These include loss of bone mass, muscle wastage or atrophy, and increased vulnerability to obesity and cardiovascular disease. People with chronic fatigue syndrome should have a gentle approach to physical activity.

There should only be minute increases in the frequency, intensity and duration of the exercise program to prevent any detrimental effects to the health and well-being of the chronic fatigue syndrome patient.

Complementary And Alternative Medicine For Chronic Fatigue Syndrome

Controlling the symptoms of chronic fatigue syndrome is no longer restricted to changes in lifestyle, medications and behavioral therapies. There are in fact current treatment modalities that make use of Complementary and Alternative Medicine.

Since many conventional treatments do not guarantee absolute success, alternative medicine, for most people, prove to be very attractive treatment options. Below are some of the most common complementary and alternative treatments used in relieving patients from the symptoms of Chronic Fatigue Syndrome.

Ginseng
In Asia, ginseng is a popular herbal treatment for fatigue as well as in increasing energy which is basically what patients of CFS need. It turns out, the claims around this ancient energy booster herb hold water even when tested through contemporary research. Based on the study conducted by the University of Iowa, ginseng is among the more reliable and effective herbs for CFS. An independent study conducted in California further proved that ginseng is a powerful herb for treating CFS.

Nicotinamide Adenine Dinucleotide (NADH)
In a pioneering study conducted among chronic fatigue patients, it was proven that Nicotinamide Adenine Dinucleotide, more commonly known as NADH, helps in providing extra energy for CFS patients.

Carnitine
Carnitine, a substance found in almost all living cells, has the main function of transporting fatty acids to the powerhouse or the mitochondria of cells. This substance, in a way, is instrumental in the production of cellular energy. Carnitine supplements are helpful to CFS patients since it is found out that among these people, Carnitine levels are very low which is linked to some types of pain, muscle fatigue and decreased tolerance to physical exertion. Supplementation, therefore, can help fix low Carnitine levels.

Carnitine supplements, in general, work well with patients of Chronic Fatigue Syndrome. However high dosage of these supplements may lead to side effects such as diarrhea, rashes, increased appetite and body odor.

Coenzyme Q10 or Co Q10
This is another compound that is found in the energy-producing organelle of the cells- the mitochondria. It is known to play roles in the production of ATP, a chemical compound which produces energy used during muscle contraction.

Dehydroepiandrosterone (DHEA)
DHEA is a type of hormone that is released by the adrenal glands. Small quantities of DHEA are also found in the testes and the ovaries where it is converted into testosterone and estrogen. This hormone plays a great deal in the regulation of sleep, moods and memory. Among patients of chronic fatigue syndrome, this hormone is found in abnormally lower levels. Supplements are therefore needed to normalize these levels. However there are downsides to using DHEA supplements.

Since this hormone is converted into testosterone and estrogen, conditions that are controlled by these hormones may be affected. It is therefore very important that DHEA supplements are used only with doctor’s prescription and supervision.

The substances discussed above are potentially helpful in relieving the symptoms of CFS, especially fatigue. However, it should be remembered that although these come from natural sources, the “natural” factor does not guarantee that the substance is safe. These substances can potentially interfere with other medications and may pose serious danger to the health of individuals who are taking them without sufficient professional assistance.

Having said that, there are other options that are outright safe such as breathing therapy, relaxation therapies, movement therapies, acupuncture and ayurdeva.

Chronic Fatigue Syndrome Frequently Asked Questions

What is the difference between normal fatigue and Chronic Fatigue Syndrome?
Nothing much on the first few days. Normal fatigue is the feeling of exhaustion which is usually caused by physical exertion, mental stress and sickness.

Chronic Fatigue Syndrome, on the other hand, is a group of symptoms or conditions that result to various other symptoms such as decreased mental acuity and flu-like illness and excessive fatigue. A type that will not afford its sufferers with enough energy to move freely. The difference between the two is demonstrated once full-blown symptoms occur and when they last for at least 6 months, that’s when it becomes chronic.

What are the symptoms of Chronic Fatigue Syndrome?

There are various symptoms of Chronic Fatigue Syndrome and in order to determine the presence of this condition, a patient must possess at least four of the following: post-exertional malaise which persists for more than 24 hours, muscle pains, joint pain, sleep difficulties or sleep that does not lend energy to the individual, frequent severe headaches, sore throat that is persistent and recurring, decreased mental clarity, poor memory and impaired concentration, and tenderness of the lymph nodes that are located in the neck and armpit.

What are the causes of Chronic Fatigue Syndrome?

While the exact causes of CFS are not yet identified, there are strong indications that cause can be divided into three types: immune system-related, viral and non-viral pathogens and stress-related. There are also indications that CFS is triggered by the combination of these causes. For some people, the onset of the condition begins after contracting an infection; for others it begins after a prolonged period of exposure to stress.

There are also some patients who had weakened immune system which made it easier for the symptoms to develop and progress to worse conditions. Current studies are trying to find out whether genetics, emotional distress and immunological conditions are related with the disorder.

Is there a cure for Chronic Fatigue Syndrome?

As of yet, cures for CFS are still being developed. Thus, treatment for the condition is basically focused on alleviating the symptoms.

What are the treatment options?

There are several types of treatment options available for patients of CFS which are roughly divided into four categories: medical treatments, alternative treatments, supportive treatments and lifestyle alterations. Under medical treatments are the medications and drugs that are prescribed to alleviate symptoms such as pains, headaches and psychological stress caused by CFS. These include pain relievers, NSAIDs or Non-Steroidal Anti-Inflammatory Drugs, Anxiolyticagents, Autonomic nervous system stimulants and antidepressants.

Natural, herbal and hormone supplements are commonly used under alternative medicine. Relaxation techniques and behavioral techniques are used in supportive treatments while lifestyle alterations basically help patients change some aspects of their lives to establish relief from debilitating symptoms.

How is diagnosis made?

Since there are no laboratory, diagnostic and medical examinations and tests that are used in the diagnosis of CFS, health care providers use the principle of exclusion in determining the presence of the condition. Through this method, all diseases, illnesses and conditions that are known to have symptoms similar with CFS are ruled out. Diagnosis is only made once the symptoms of the patients match with the case definition.

Where can I get help?

You can get help from health care providers who are knowledgeable in diagnosing and treating CFS are the best people patients could go to. Support groups for patients of CFS are also available.