Agape Physio can treat...

Chronic Fatigue Syndrome (CFS)

Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a complex, long-term illness characterised by extreme fatigue that isn’t improved by rest and can be worsened by physical or mental activity. Its cause is not fully understood, and there is no single test to diagnose CFS, making it a challenging condition to manage. Here’s an overview of Chronic Fatigue Syndrome, the symptoms patients may experience, and how physiotherapy can help manage the condition.

About this condition

CFS/ME is marked by profound and prolonged fatigue that significantly interferes with daily activities. The fatigue is not due to ongoing exertion, not substantially relieved by rest, and is not caused by other medical conditions.

What you may be feeling

Severe fatigue that is not improved by rest and is not the result of ongoing exertion.
Post-exertional malaise (PEM), where symptoms worsen after physical or mental exertion.
Sleep problems, such as unrefreshing sleep or insomnia.
Cognitive impairments, including difficulties with memory, concentration, and processing information (“brain fog”).
Muscle pain, joint pain without redness or swelling, headaches, tender lymph nodes, and sore throat are also common.
Symptoms can fluctuate in intensity and vary from person to person.

How we can help you

Graded Exercise Therapy (GET)

A structured exercise program that starts very slowly and gradually increases in intensity. The goal is to improve endurance and energy levels without exacerbating symptoms. It’s important that GET is carefully managed and personalized to avoid over-exertion and post-exertional malaise.

Pacing Techniques

Teaching patients how to balance activity and rest to avoid flare-ups. This involves identifying energy limits, breaking tasks into manageable parts, and incorporating rest periods to conserve energy.

Pain Management

Techniques such as gentle stretching, massage, heat or cold therapy, and relaxation techniques can help manage muscle and joint pain.

Sleep Hygiene Education

Advice on establishing regular sleep patterns and creating a restful sleeping environment to improve sleep quality.

Stress Management

Strategies such as mindfulness, relaxation techniques, and breathing exercises to reduce stress, which can exacerbate symptoms.

So, what next?

The approach to managing CFS is highly individualised, taking into account the variability and fluctuations in symptoms. Close communication between the patient and the physiotherapist is essential to adjust the treatment plan as needed and to ensure that activities are within the patient’s tolerance levels. Collaborating with other healthcare professionals, such as physicians and psychologists, is also important in providing comprehensive care for individuals with CFS.

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