Chronic Fatigue Syndrome | Symptoms, Causes | Recover With JIPSI

Chronic Fatigue Syndrome | Symptoms, Causes | Recover With JIPSI

Are you feeling drained even after taking 8 hours of sleep? Do you fail to concentrate on your tasks or even on your hobby?

  • 2% of the population of India faces chronic fatigue syndrome. This syndrome is ubiquitous and permeates every household. We cannot afford to disregard this syndrome any longer. Dr. Gaurav Kant Sharma, a specialist, is required. He specialises in sports radiology and interventional musculoskeletal medicine. Dr. Gaurav Kant Sharma's studies on chronic fatigue syndrome are among the best in the world.
  • The awareness of chronic fatigue syndrome is important, just like Myofascial Pain Syndrome. Through this, the team JIPSI will share some insights about chronic fatigue syndrome.
  • Later, the expert Dr. Prableen - Pain Management Expert and Anesthesiologist will share some Chronic Fatigue symptoms and how to reach out to her for immediate treatment.

What is Chronic Fatigue Syndrome?

  • Chronic Fatigue Syndrome medically known as Myalgic Encephalomyelitis. It is also abbreviated as ME/CFS. This syndrome is evident by extreme fatigue and restlessness. This stays in the body for at least six months.
  • This syndrome is yet not fully understood under medical conditions. However, this syndrome is observed to be worsened if complete rest is not taken. Multiple theories revolve around the causes of this syndrome. The famous is psychological stress, followed by viral infections. The syndrome is another cause of backache and headache.
  • Syndrome silent like Chronic Fatigue calls for immediate intervention like Chronic Pain management by the best physiotherapist in India. JIPSI has the best team that also provides manual therapy.

Symptoms of Chronic Fatigue Syndrome

Chronic fatigue syndrome symptoms are highly conditioned- and patient-specific.

The most common symptom is extreme tiredness, which makes even simple tasks difficult.

You'll get "post-exertion malaise" — an extremely drained feeling that hits after any physical or mental exertion (PEM). There have been cases where this lasted for three days after the event.

Sleep disturbances can be brought on by chronic fatigue syndrome.

What's more, you might also feel like:

  • Forgetting what you learned decreased focus and difficulty maintaining a standing position (going from lying or seated to standing positions makes you light-headed, dizzy, or faint).
  • Some physical manifestations of CFS are sore muscles, constantly aching head, discomfort in multiple joints without heat or inflammation, repeated episodes of throat pain, and lymph nodes in the neck and underarms that are tender and swollen.

For some people with CFS, the symptoms worsen and then improve regularly.

In extreme cases, patients may experience complete symptom resolution, a phenomenon known as "remission." However, a relapse, in which the symptoms return, is always possible.

Causes Of Chronic Fatigue Syndrome

There has been no progress in identifying what triggers CFS/ME. It's possible that some people are born with a susceptibility to the disorder and that environmental and psychological factors work together to bring it on. Examples of possible causes are:

Contagions: Some people with CFS/ME have also experienced a viral infection, leading scientists to speculate that viruses may play a role in causing the condition. Epstein-Barr virus and human herpes virus 6 are two viruses to watch out for. To date, there has been no finding of a definitive connection.

Issues with the immune system: Those with chronic fatigue syndrome may have marginally compromised immune systems, but whether or not this is sufficient to generate the disorder is still up for debate.

Hormone System Disturbance: Hormones made in the hypothalamus, pituitary gland, and adrenal glands can sometimes be off in people with chronic fatigue syndrome. It has yet to be determined what role these anomalies play.

Mental Disturbance: Some patients attribute the onset of their condition to a traumatic event, such as an injury, surgery, or a particularly trying emotional period.

The Common Threads of Fibromyalgia and Chronic Fatigue Syndrome

  •  The Arthritis Foundation estimates that 50 to 70 percent of people with fibromyalgia also fit the criteria of chronic fatigue syndrome.
  • Beyond the common symptoms like extreme tiredness, fatigue, researchers have found that fibromyalgia and chronic fatigue syndrome primarily occur in middle-aged people.
  • Also, both disorders appear to target women more often than men. About 80 to 90 percent of people with fibromyalgia fatigue are female. Chronic fatigue syndrome is four times more likely to occur in women than in men.
  • As discussed, chronic pain and fatigue are common symptoms of both fibromyalgia and chronic fatigue syndrome. The difference is that, in fibromyalgia, fatigue often takes a backseat to debilitating muscle pain. In chronic fatigue syndrome, people have an overwhelming lack of energy, but also can experience some pain.

Diagnostic Criteria

The fatigue associated with chronic fatigue syndrome is defined by the United States Institute of Medicine as follows:

  • It is so severe that it impairs the ability to engage in pre-illness activities. 
  • New or distinct onset (not lifelong).
  • Rest does not significantly help.
  • Aggravated by physical, mental, or emotional effort.

A person would also need to have at least one of the following two symptoms of Chronic fatigue syndrome to meet the Institute of Medicine's diagnostic criteria for chronic fatigue syndrome:

  • Memory, focus, and concentration problems.
  • Dizziness that worsens when you stand up from lying down or sitting.

These symptoms of Chronic fatigue syndrome  must last at least six months and occur at least half of the time with moderate, significant, or severe intensity.


  • Medications

Certain symptoms of chronic fatigue syndrome can be alleviated with prescription or over-the-counter medications. Examples include:

  1. Depression: Many individuals with chronic health conditions, such as chronic fatigue syndrome, also suffer from depression. Depression treatment can make it easier to manage the difficulties associated with chronic fatigue syndrome. Some antidepressants in low doses can also improve sleep and alleviate pain.
  2. Pain: If over-the-counter medications such as ibuprofen (Advil, Motrin IB, and others) and naproxen sodium (Aleve) do not provide sufficient relief, prescription medications used to treat fibromyalgia may be an option. Pregabalin (Lyrica), duloxetine (Cymbalta), amitriptyline, and gabapentin are some examples (Neurontin).


Numerous individuals with chronic fatigue syndrome gain from:

  1. Counselling: A counsellor can help develop coping skills for chronic illness, address limitations at work or school, and improve family relationships. It can also aid in the treatment of depression.
  2. Addressing sleep problems: Sleep deprivation can make it more difficult to manage other symptoms. Your physician may recommend that you avoid caffeine or alter your bedtime routine. While sleeping, sleep apnea can be treated with a machine that delivers air pressure through a mask.
  3. Exercise: It is essential to maintain activities that can be tolerated in order to prevent deconditioning, as aggressive exercise regimens frequently exacerbate symptoms. Beginning with a very low intensity and gradually increasing it over time may be beneficial for enhancing long-term function.

How can JIPSI help you here?

JIPSI is the leader in pain management in North India. Dr. Gaurav Kant Sharma is a highly professional Radiologist who successfully treated more than 100 patients with Chronic Fatigue Syndrome.

You can book an appointment with JIPSI, or you may email us at  to book your consultation with Dr. Prableen.

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