Do you feel exhausted and even the simplest tasks leave you completely drained? You may have Chronic Fatigue Syndrome (CFS) or Myalgic Encephalomyelitis (ME)!
Chronic Fatigue Syndrome (CFS) is a complex chronic illness characterized by extreme fatigue that doesn’t improve with rest and gets worse with mental or physical activity.
CFS/ME is a patronizing condition that affects millions of people worldwide. Dr. Udine-Sophie Deumer from the University of Cologne, Germany, who did a study on CFS, defined this condition as a “chronic systemic disease that manifests via various symptoms such as chronic fatigue, post-exertional malaise, and cognitive impairment”.
Unlike normal tiredness, people with chronic fatigue syndrome experience extreme fatigue even when doing everyday things such as cooking or showering. While people with CFS/ME can appear healthy, they struggle to function normally because of these debilitating symptoms such as:
- Chronic Exhaustion
- Dizziness
- Joint Pains
- Brain fog
- Sleeping Issues
- Digestive Issues and more
The symptom that characterizes this disease is called post-exertional malaise (PEM), which causes an extreme energy “crush” even after small mental or physical energy exertion.
The causes of this illness remain a mystery, but researchers have a few hypotheses. Some studies support the post-viral fatigue theory, as well as genetic predisposition factors and physical or emotional trauma as possible causes for chronic fatigue syndrome.
Over the years, conventional medicine has overlooked the symptoms, misdiagnosed, and offered harmful therapy options for people with CFS/ME. To this day, it provides little to no support or options for people battling this condition.
On the bright side- Functional Medicine offers a different, non-conventional approach to healthcare. Dr. Jeffrey Bland, the co-founder of the Institute for Functional Medicine, defines functional medicine as “Understanding that disease is an endpoint, and function is a process”.
This approach incorporates natural treatment options and non-medicated personalized care, carried out by experienced professionals at the Bay Clinic of Chiropractic.
You can address your life-altering issues by balancing nutrition and digestion, detoxification and elimination, and optimizing immune function and hormonal regulation!
What is Chronic Fatigue Syndrome (CFS)?
Chronic Fatigue Syndrome (CFS) or Myalgic Encephalomyelitis (ME) is a chronic illness that causes severe tiredness that doesn’t improve by sleep or rest. Physical activity or mental strain can make the symptoms worse.
While people who suffer from CFS/ME do not look physically ill, this condition can have serious and long-lasting effects on their lives. The main symptom of CFS is extreme fatigue, but it can be accompanied by other life-altering symptoms.
Understanding Chronic fatigue syndrome (CFS) is of crucial meaning for people who are experiencing the extreme symptoms. For these people normal daily activities like cooking or showering, feel like an Olympic sport.
What Are The Symptoms of CFS/ME?
The most recognizable symptom of chronic fatigue syndrome is called post-exertional malaise (PEM), which is experienced by all people with this condition. Dr. Nina K. Vollestad from the University of Oslo, Norway says that PEM is the “hallmark of myalgic encephalomyelitis/chronic fatigue syndrome and is often used as one of several criteria for diagnosis”.
It is described as a “crash” of mental and physical energy after a small physical or mental activity. People with CFS/ME describe PEM as a feeling of their energy being “drained out” or “the worst flu possible”.
Normal daily tasks such as brushing teeth, cooking, or showering can trigger an episode of PEM and cause worsening of the illness. Additionally, people with CFS/ME have other symptoms that can severely impact their quality of life.
Here are the symptoms of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome:
- Post-exertional Malaise (PEM): The hallmark symptom that makes every other symptom worse after simple physical or mental tasks.
- Extreme Fatigue: The feeling of extreme exhaustion, similar to a very bad flu.
- Non-restorative Sleep: Waking up tired after hours of sleeping.
- Slowed Thinking and Confusion: Having a hard time remembering things or thinking clearly, commonly known as “Brain Fog”.
- Dizziness and Lightheadedness: Feeling dizzy and lightheaded, especially when standing up quickly.
- Muscle and Joint Pain: Pain in muscles and joints, often accompanied by headaches.
- Tender Lymph Nodes and Sore Throat: Feeling pain and swelling of the lymph nodes and having a sore throat.
- Extreme Thirst: Feeling insatiable thirst all the time.
- Sensitivity to Light and Sound: Being bothered by bright lights, loud sounds, or strong smells.
- Stomach Issues: Having symptoms such as nausea, bloating, constipation, or diarrhea.
- Temperature Issues: Episodes of feeling too hot or too cold.
Adults with CFS/ME experience worsening post-exertional malaise and weakness, have trouble sleeping, and experience brain fog and dizziness when standing up. These symptoms can be accompanied by any other symptoms from the list above.
Children and teens can experience the same symptoms of chronic exhaustion, but cognitive issues such as trouble concentrating, dizziness, and feeling like they might faint can be more prominent. These groups of people can also experience digestive issues such as bloating, constipation, and nausea when dealing with CFS/ME.
What Causes CFS/ME?
The exact causes of chronic fatigue syndrome (CFS) are still a mystery. However, scientists have a few theories that may play a part in the development of this condition. Here are the possible causes of CFS/ME:
- Infections: Some people develop chronic fatigue syndrome after getting the flu or other viral or bacterial infection. About 1 in 10 people who get infected with Ross River Virus, Coxiella Burnetti, or Epstein-Barr Virus develop chronic fatigue syndrome, yet not everyone with CFS/ME has been infected with any of the viruses above. Additionally, some people who had COVID-19 reported symptoms of CFS, which is called Long COVID.
- Genetics: CFS/ME runs in some families, therefore, those individuals who have certain genetic variations have a higher chance of developing this condition.
- Energy Usage Problems: Some people with myalgic encephalomyelitis have trouble turning the food they eat into energy they can use.
- Physical or Emotional Trauma: People report emotional stress, physical trauma, or injury shortly before they develop symptoms of CFS.
Who Is Likely to Get CFS/ME?
It is estimated that around 3.3 million Americans have chronic fatigue syndrome. Myalgic encephalomyelitis/Chronic fatigue syndrome affects people of all ages, sex, ethnic and racial groups. Data from the National Health Interview Survey shows that “Women are more likely to have CFS/ME”.
Additionally, more adults get CFS/ME as they get older, especially from ages 60-69, but the rate is lower in adults over 70 years of age. Adults who earn less than the federal poverty level are more likely to have CFS/ME, with 2 out of every 100 people affected.
More often than not, people with CFS/ME have one or more additional conditions that may contribute to the development and worsening of the illness. Common comorbidities seen with CFS/ME are:
- Fibromyalgia: A condition that causes widespread pain in the body, along with restless sleep and tiredness.
- Postural Orthostatic Tachycardia Syndrome (POTS): A condition that affects how blood flows in the body. This condition causes lightheadedness, and dizziness especially when standing up.
- Irritable Bowel Syndrome (IBS): This condition causes digestive issues such as bloating, constipation, diarrhea, stomach pain, and more.
- Ehlers-Danlos Syndrome(EDS): This is a complex group of genetic disorders that affect the connective tissue in the body. Connective tissue is everywhere- in our joints, skin, bowels, and even blood vessels. EDS causes very flexible joints, stretchy skin, and bowel issues.
- Mast Cells Disorders: Conditions where the mast cells, which are part of our immune system, do not work properly. Mast cell disorders can lead to allergies, rash, trouble breathing, and other symptoms.
- Secondary Depression: A type of depression that is a result of another health issue or challenge. Living with a debilitating chronic illness can take a toll on your mental health, so seeking support is advised.
Chronic Fatigue Syndrome Diagnosis
The diagnosis of CFS/ME has its challenges. Conventional medicine doesn’t have a test to prove that you have CFS/ME, and diagnosing it can take some time. Doctors often misdiagnose this condition or people are told they aren’t sick at all, therefore the process of diagnosis can take years.
The U.S. Centers for Disease Control and Prevention (CDC) reports that “More than 9 in 10 people with CFS/ME have not been diagnosed by a doctor.”
CFS/ME most often presents suddenly, following an infection, surgical intervention, or a large hormonal shift such as pregnancy. However, it can also develop more slowly and gradually.
Key Diagnostic Criteria
In 2015, The National Academy of Medicine published the diagnostic criteria for Myalgic Encephalomyelitis/Chronic fatigue syndrome which state that three required symptoms and two additional symptoms are required to diagnose this condition.
Required symptoms can be:
- Failing to do everyday things (for more than six months and extreme fatigue)
- Post-exertional malaise (PEM)
- Feeling tired after sleeping
Additional symptoms are:
- Impaired cognitive function
- Dizziness when standing up
- Gastro-intestinal problems and others
Lab Tests for Chronic Fatigue Syndrome
Some lab tests can be done to help pinpoint what is causing your extreme fatigue. Here are some tests that we recommend for CFS:
- Complete Blood Count (CBC): A blood test that checks for anemia, and infection and gives a general idea of your overall health.
- Electrolyte Panel: A test that assesses levels of minerals and electrolytes in your body.
- Liver Function Tests: A test that evaluates liver function and health.
- Vitamin D and B12 Tests: Low levels of these vitamins can contribute to fatigue.
- Thyroid Function Tests: Tests to measure thyroid hormone levels to rule out hypothyroidism and hyperthyroidism.
- Sleep Studies: Tests to determine whether the reason for your fatigue has something to do with your sleeping.
- Immunological Tests: These can include tests for autoimmune disorders.
- Hormone Tests: Used to assess hormonal regulation, and check levels of hormones such as cortisol, adrenocorticotropic hormone (ACTH), testosterone, estrogen, prolactin, growth hormone, and others.
How is CFS/ME Treated?
Currently, there is no FDA-approved treatment for Chronic Fatigue Syndrome.
Although, in the past, graded exercise therapy (GET) and cognitive behavior therapy (CBT) were recommended for people with CFS/ME. These recommendations were given based on the assumption that people with this condition were afraid to exercise and therefore were out of shape.
These recommendations were found to do more harm than good, so the U.S. Centers for Disease Control and Prevention (CDC) eliminated these therapy recommendations from their website.
Natural Treatments for Chronic Fatigue Syndrome
Standard medical practitioners treat people with CFS/ME with sleeping pills, antidepressants, and other prescription drugs. These pills can have side effects that cause other health issues that need further treatment, which creates a never-ending cycle that doesn’t solve your primary issue- chronic fatigue.
Natural treatments for chronic fatigue syndrome are directed at restoring the mind and body balance. Research from the Journal of Alternative and Complementary Medicine says that “Alternative medical interventions for the management of ME/CSF have a positive effect, and have the potential for further research”.
Below you can read more about natural treatment options for CFS/ME.
Dietary Changes for CFS Treatment
Eating a balanced, whole-food diet rich in foods such as fruits, vegetables, lean meats, and healthy fats can provide essential nutrients that can improve your overall health. Some people with chronic fatigue find that reducing sugar, caffeine, and processed foods can also aid in managing this condition.
Foods to Eat for Chronic Fatigue Syndrome
- Complex Carbohydrates: Whole grains such as quinoa, brown rice, and oats. Legumes such as beans, lentils, and chickpeas.
- Lean Proteins: Chicken, turkey, fish, and plant-based protein such as tofu, tempeh, and edamame.
- Fruits and Vegetables: Berries such as blueberries, strawberries, and raspberries are high in antioxidants. Leafy greens such as kale, spinach, and Swiss chard contain essential nutrients. Cruciferous vegetables such as cauliflower, broccoli, and Brussels sprouts support detoxification.
- Healthy Fats: Almonds, walnuts, chia seeds, and flax seeds, as well as avocados, are rich in healthy fats and fiber.
Foods to Avoid for Chronic Fatigue Syndrome
- Processed Foods: Fast food, pre-packaged food filled with additives, preservatives, and artificial coloring.
- Refined Sugar: Sweetened drinks, pastries, cakes, sweets, and others.
- Gluten and Diary: If you have a sensitivity to these food groups, it is best to avoid them.
- Alcohol: It can interfere with sleep quality and contribute to fatigue.
- Caffeine: Excessive caffeine intake can disrupt sleep. Avoiding it can help you keep a good sleep schedule.
Gentle Exercise
Low-impact, gentle exercises can improve energy levels without triggering post-exertional malaise (PEM). For example, Tai Chi, Yoga, walking, or swimming are often recommended for individuals with CFS/ME.
Chiropractic Care for CFS Treatment
Regular chiropractic adjustments can help increase energy levels by improving body alignment and optimizing the function of the nervous system. They can also reduce muscle tension and increase circulation, which helps with relaxation and vitality.
Rest and Sleep Hygiene
Establishing a sleep routine can improve sleep quality and help in managing chronic fatigue. Some tips for a good sleep routine are- limiting screens before bed, a comfortable sleep environment, and going to bed on a consistent schedule.
Acupuncture
This practice originates from traditional Chinese medicine and involves inserting thin needles into specific points in your body. Studies suggest that acupuncture is anti-inflammatory, pain-reducing, and overall good for your health.
Stress Management
Effective management of stress in individuals with ME/CSF is vital as stress is one of the main triggers of this condition. Techniques such as deep-breathing exercises, meditation, and progressive muscle relaxation can help improve relaxation and reduce stress. Taking just a few minutes a day to practice these techniques can improve your energy levels.
Supplements
Certain supplements, such as magnesium, vitamin D, and omega-3 fatty acids can also help with CFS/ME.
Magnesium
Good for nerve and muscle function, as well as increasing energy levels. This supplement is essential for numerous bodily functions on a cell level. It plays a role in the contraction and proper relaxation of muscles. Additionally, it activates adenosine triphosphate (ATP), which carries energy to cells.
You can naturally find magnesium in foods such as leafy greens, nuts and seeds, legumes, whole grains, bananas, avocados, dark chocolate, and others. The recommended daily dosage of magnesium is 400-420 mg for men and 310-320 mg for women.
Vitamin D
Plays an important role in immune function, and calcium absorption. It helps in the regulation of the immune response, and can potentially reduce the risk for autoimmune diseases. Vitamin D is turned into its active form with the help of the sun. That’s why supplementation is needed for people who have a deficiency or live in areas with limited sunlight.
The recommended daily dose for those 19 and older is 600 IU, while for those over 70 years old the recommendation is 800 IU.
Omega-3 fatty acids
They are known for their anti-inflammatory properties, as well as their role in the prevention of cardiovascular diseases, cognitive function, and improvement of memory and mood. Foods that are rich in omega-3 fatty acids are fish and other seafood, plant oils, nuts, and seeds.
Of course, if you are considering taking supplements, you should be guided by an experienced professional, such as Dr. Tony Salamay, who has a master’s in Nutrition, and many years of experience.
Herbal Remedies for CFS Treatment
Some people find relief by using herbs such as ashwagandha, ginseng, rhodiola, and others. These natural remedies are known to improve energy levels.
Ashwagandha
Ashwagandha is a plant that has been used in traditional medicine for a very long time. Studies show that this plant has the potential to improve energy, improve cognitive function, and promote better sleep. Its roots are most commonly used in powdered form as a supplement.
Ginseng
Ginseng is a widely known herb that has many benefits. Studies show that it supports the immune system, is anti-cancerous, and improves blood glucose levels, as well as cognitive function.
Rhodiola
Rhodiola is a herbal remedy that has the potential to help with fatigue and depression, and it also has antioxidant and anti-inflammatory properties.
How Can Functional Medicine Help with CFS/ME?
Conventional medicine has failed people with Chronic Fatigue Syndrome in many ways. From overlooking their symptoms to misdiagnosis, and recommending wrong treatments that cause more harm than good- these people deserve better!
Functional medicine approaches healthcare in a non-conventional manner- by focusing on identifying and treating the root of your problem, not just your symptoms.
Here at the Bay Clinic of Chiropractic, we have a professional team that can lead your way back to health in an all-natural way.
Dr. Tony Salamay is an experienced and passionate expert in the field of Functional Medicine based in Panama City, Florida. His approach to every patient is individualized- he listens to their background and carefully considers factors such as diet, genetics, environment, and lifestyle, that are relevant to their condition.
The individual approach of functional medicine ensures that balance in your body is restored by optimizing the following things:
- Nutrition and Digestion
- Detoxification and Elimination
- Immune System Function
- Endocrine Function
If you or someone you know is experiencing CFS/ME, don’t hesitate to look into the functional medicine approach- it might get your life back!
Take the first steps to regain your energy, and improve your health and quality of life by scheduling a consultation at the Bay Clinic of Chiropractic at (850) 785-9372 or info@thebaydoctor.com.
Frequently Asked Questions
What Does Chronic Fatigue Syndrome Feel Like?
Chronic Fatigue Syndrome (CFS) often feels like persistent fatigue that doesn’t improve with rest, along with symptoms like muscle pain, sleep disturbances, cognitive difficulties, and post-exertional malaise, where exertion significantly worsens symptoms. CFS can impact daily functioning and quality of life.
How to Fix Chronic Fatigue Syndrome?
Fixing Chronic Fatigue Syndrome involves a multi-faced approach, including lifestyle changes, dietary adjustments, chiropractic care, supplements, and herbal remedies to support energy. Working closely with a healthcare professional who will create a personalized treatment plan that will help you get more energy and improve overall well-being.
Can You Live a Normal Life With CFS?
Yes, many people with Chronic Fatigue Syndrome can live a normal life. However, it often requires lifestyle adjustments, symptom management, and support. Some people may experience significant limitations and difficulties, while others find ways to manage symptoms and lead fulfilling, active lives.
How Do I Get Energy Back With CFS?
To get your energy back if you have CSF, you need to prioritize rest, balance physical and mental activity with relaxation, establish a consistent sleep schedule, and incorporate gentle exercise. Nutritional adjustments and stress management techniques can also support the management of CSF, and improve your overall well-being.
Conclusion
Chronic Fatigue Syndrome or Myalgic Encephalomyelitis is a complex and often misunderstood condition.
This chronic illness is characterized by extreme fatigue that can have a profound effect on your quality of life. While conventional medicine is very limited in the diagnoses, management, and treatment options for those with CFS/ME, functional medicine offers promising alternative solutions.
By focusing on the root cause, and addressing the needs of each unique individual, functional medicine strives to restore the balance of the basic bodily functions- nutrition, digestion, immune system, and hormonal regulation.
At the Bay Clinic of Chiropractic, Dr. Tony Salamay and his team are dedicated to providing quality personalized care. Through a combination of natural treatments such as dietary changes, gentle exercise, and stress management, they aim to lead their patients to healthier and happier lives!
To schedule an appointment at the Bay Clinic of Chiropractic contact us at (850) 785-9372 or info@thebaydoctor.com.
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