WORK OUT CHRONIC FATIGUE . . .
by ACE
Chronic fatigue is more than just
feeling tired all the time. For those who suffer from
this mysterious syndrome, it can be a constant battle
simply to get out of bed in the morning. Symptoms of
chronic fatigue syndrome (CFS) include unexplained
fatigue lasting 30 days or more; flu-like symptoms
such as a sore throat, generalized muscle pains, head-aches
and swollen lymph nodes; difficulty concentrating and
sensitivity to
bright light. CFS was dubbed the yuppie flu in the ‘80s
and, despite the fact that it has been recognized as a
legitimate, often debilitating illness, it is still met
with scorn and disbelief. There is no cure for CFS. For
some people, it simply goes away, while others
are debilitated by it for many years. Because the cause
is largely unexplainable,
treatment for CFS focuses primarily on relieving symptoms.
Low Blood Pressure
Can Bring You Down
One of the
latest theories proposed to explain CFS is that individuals
who suffer from this condition also may have extremely
low blood pressure. Researchers at Johns Hopkins University
found that 22 of 23 CFS patients also had a disorder
called neurally mediated hypotension (NMH). People
with NMH get dizzy from standing up too quickly or
from standing for extended periods of time, signaling
that not enough blood is reaching the brain. When treated
for NMH for six months (either with medication or by
increasing salt and fluid intake), nine of the 22 CFS
patients said that all or nearly all of their CFS symptoms
had disappeared; another seven said that their symptoms
had improved.
A Novel Approach
But what
about those who have normal blood pressure, bStill,
physicians such as Dr. Neil Gordon, author of Chronic
Fatigue: Your Complete Exercise Guide, view exercise
as a form of medication and an integral part of rehabilitation
from CFS. Exercise programs for people with CFS are
not much different than any other comprehensive exercise
program: Cardiovascular, strengthening and range-of-motion
training should all be
addressed. The primary difference is the pace and degree of progression: CFS
patients
need time to build their strength and adapt to the increased demands of exercise.
And, as with any other physical condition, CFS patients should consult with their
physicians
before beginning an exercise program.ut still
fight persistent fatigue? Here’s an interesting proposition:
Is it possible to treat chronic fatigue with exercise?
Some researchers think so. A recent review of existing
research on CFS
explored the possibility of using physical activity programs
to treat this puzzling
condition. The findings are intriguing, if not conclusive.
Many people with CFS claim that they are too tired to exercise.
Measurements of strength, exercise capacity and muscle
function, however, suggest that CFS patients are not much
weaker than the
controls (people without CFS) they are compared to in research
studies. This suggests that their capacity to exercise
is greater than they may perceive. But telling someone
who feels unable to get out of bed to exercise is probably
an exercise in futility.
Exercise For Energy
Still, physicians
such as Dr. Neil Gordon, author of Chronic Fatigue:
Your Complete Exercise Guide, view exercise as a form
of medication and an integral part of rehabilitation
from CFS. Exercise programs for people with CFS are
not much different than any other comprehensive exercise
program: Cardiovascular, strengthening and
range-of-motion training should all be addressed. The primary
difference is the
pace and degree of progression: CFS patients need time
to build their strength and adapt to the increased demands
of exercise. And, as with any other physical condition,
CFS patients should consult with their physicians before
beginning an exercise program.
Exercise Your Options
People with
CFS feel limited by their condition to enjoy the benefits
of an active life. But as anyone who exercises will
tell you, expending energy brings about increased energy
in return. The same may hold true for individuals who
are plagued by the unexplained tiredness of CFS.