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An Overview Of Chronic Fatigue Syndrome

Medically Reviewed By: Dr. Neil Neimark, M. D.
Last Updated: April 08, 2019

Chronic fatigue syndrome or CFS is the name given to a debilitating disorder characterized by conditions of extreme and lasting fatigue. Chronic fatigue syndrome is also commonly referred to as myalgic encephalomyelitis or ME. The name chronic fatigue can be somewhat confusing since chronic or persistent fatigue is also a symptom of several conditions such as rheumatoid arthritis and lupus. Fatigue is the feeling of exhaustion that results from exertion, lack of sleep and illnesses. However, ordinary fatigue is not extreme or persistent, and the patient generally gets better after getting some rest.

What is Chronic Fatigue?

Chronic fatigue happens when this sensation of extreme exhaustion and lack of energy persists for over six months. The exact cause of chronic fatigue is not known but it is believed that several factors play a role in its symptoms, such as stress, hormone levels and infection. Lack of sleep, insomnia and other sleep disturbances can also result to chronic fatigue. Other factors that contribute to the development of chronic fatigue are poor diet, lack of exercise and certain medications.

What is Chronic Fatigue Syndrome?

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases or NIAMS for a patient to be diagnosed as suffering from chronic fatigue syndrome, he must be having severe chronic fatigue for six months or longer. At the same time, the patient should also have four or more of the following symptoms:

  • Impaired short-term memory and concentration
  • Prolonged general malaise after physical exertion of any kind
  • Muscle pain
  • Pain, swelling and redness in multiple joints
  • Severe headache
  • Tender lymph nodes
  • Recurring sore throat
  • Un-refreshing sleep

Diagnosing Chronic Fatigue

Diagnosing chronic fatigue syndrome can be quite tricky since there are no physical signs that identify it. There are also no diagnostic laboratory tests that confirm chronic fatigue syndrome. A diagnosis of CFS is given if the symptoms recur for six consecutive months or more and there are no apparent explanations for the fatigue such as disease. However, it should be noted that there are other conditions that overlap and sometimes coexist with CFS and have similar symptoms.

A study of patients suffering from CFS revealed that only 38% of the patients were diagnosed solely with the syndrome. The rest had a diagnosis of a number of diseases such as fibromyalgia and multiple chemical sensitivity or both. Doctors are still unsure whether these conditions are direct causes or have common causes with CFS; or whether that have no relationship whatsoever with chronic fatigue syndrome.

Conventional Approach to Treating Chronic Fatigue

The conventional approach to treating chronic fatigue often focuses on symptom management rather than addressing the underlying causes of the condition. Healthcare providers may prescribe medications to alleviate specific symptoms, such as pain, sleep disturbances, and cognitive difficulties. While these interventions can provide temporary relief, they do not necessarily address the root causes of chronic fatigue. Additionally, conventional treatments may lack a personalized approach, as they often fail to take into account the individual's unique health history, lifestyle factors, and potential hidden contributors to the condition.

Functional Medicine Approach to Treating Chronic Fatigue

In contrast to the conventional approach, functional medicine adopts a comprehensive and patient-centered perspective when treating chronic fatigue. Functional medicine practitioners view the body as an interconnected system, where imbalances in one area can impact overall health. Instead of merely managing symptoms, functional medicine seeks to identify the underlying factors contributing to chronic fatigue, which may include hormonal imbalances, gut dysfunction, undiagnosed autoimmune conditions, untreated viral infections and more. Functional medicine practitioners conduct thorough assessments to uncover these hidden contributors, utilizing advanced diagnostic testing and a detailed understanding of the patient's health history.

Once the underlying factors are identified, functional medicine practitioners develop personalized treatment plans that address the root causes of chronic fatigue. These plans often include dietary modifications to support gut health, hormone balance, and immune function. Lifestyle recommendations, stress management techniques, and targeted supplementation may also be incorporated to promote optimal well-being. The functional medicine approach recognizes the unique needs of each individual, aiming to restore balance to the body's systems and empower patients to take an active role in their healing journey. By embracing this patient-centered approach, individuals with chronic fatigue can experience comprehensive and lasting improvements in their overall health and quality of life.

Dr. Neil Neimark, M. D.
Medical Director
support@mdPersonal.com
Dr. Neimark is a board-certified family physician, who attended the Ohio State University College of Medicine where he graduated with honors in 1981 and was elected into the scholastic medical honor society, Alpha Omega Alpha. While completing his internship, Dr. Neimark became disenchanted with traditional medicine's focus on treating the symptoms of disease, rather than dealing with the root cause. He realized that even with the best of medical care and technology, patients were unable to break out of the cycle of recurring illness.

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Do you have questions about starting your path back to health? Our patient coordinator is standing by, happy to answer any questions you have to determine if our approach is right for you.

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