Myalgic Encephalomyelitis (also known as Chronic Fatigue Syndrome, or CFS, for short) is characterized by, but does not have to include all of, specific diagnostic criteria. This criteria includes experiencing the following symptoms for six months or longer:
According to the Centers for Disease Control and Prevention (CDC), chronic fatigue syndrome patients generally present with prior infections or exposure to viruses like Epstein Barr or Long COVID, immune system dysfunction, high levels of stress, or potential genetic predispositions.1
In the re-origin program, we help individuals with chronic fatigue syndrome and other chronic illnesses retrain their brain in order to decrease symptoms and return to full health. If you want to learn more about how you can retrain your brain and heal your body, sign up for a free info call today.
Often, it can feel as though exercising with chronic fatigue syndrome can be a vicious cycle of uncertainty. Questions exist, such as:
These questions dart around our minds like ping-pong balls. This overthinking drains us of even more precious energy, eliminating any exercise motivation. There are answers to these questions, though, and they may help you solve your CFS woes.
Exercise is possible with ME/CFS. Even though your activity levels should be monitored while building exercise tolerance, you can retrain your body and mind to respond positively to physical activity.
While considering adding a movement routine into your life when suffering from chronic fatigue syndrome, both energy management and incremental training are very important.
Energy management is a technique in which one identifies his or her individual tolerance to both physical and mental activity. Doing this allows you to build clarity around the participation limit of daily activities. Going over this tolerance threshold may worsen CFS symptoms, while adhering to said threshold may level off or even decrease the prevalence of said symptoms. That is not to say that one must constantly manage one's energy at the same level. This is where incremental training can be so valuable.
Once a window of tolerance has been identified through energy management, it becomes much easier to develop a treatment plan that supports exercising despite chronic fatigue syndrome. When beginning the exercise program, incorporating incremental training comes next.
Incremental training also referred to as graded exercise therapy, is an exercise regime in which you develop your “sweet spot” for activity. You gradually move beyond the edge of said “sweet spot” in an attempt to challenge yourself and build increased levels of activity endurance. Doing this will slowly increase your window of tolerance, which will then allow you to gradually raise the threshold on energy management.
The amount of exercise you partake in will vary based on your perceived window of tolerance. People with chronic fatigue syndrome often have a lower baseline for activity, so it is important to consider day-to-day activities as exercise until your endurance improves. To start, you may consider doing any activity that elevates your heart rate to 30 beats per minute above your baseline. This could include, but is not limited to:
When dealing with deconditioning due to chronic fatigue syndrome, this elevation in heart rate is considered aerobic exercise and is more than enough engagement until activity tolerance is built. Pushing past this limit in the beginning may cause post-exertional malaise (also known as PEM).
There may be moments in which increasing your activity level feels scary or daunting. If this is the case, it is important to practice brain retraining to remind your body and mind that it is safe (nay, beneficial!) to engage in these and other types of activity.3
The most beneficial exercises for chronic fatigue syndrome are tai chi, qigong, walking, and gentle pilates or yoga. These exercises are considered beneficial for multiple reasons:
As CFS symptoms lessen, you may be able to engage in activities that require higher levels of energy output, such as strength exercises and long-distance running. This is a great opportunity to apply the technique of incremental training. Remember to start small (3-5 minutes of activity to begin), celebrate your effort, and gently push your boundaries, and you will begin to see the results!
The benefits of exercise cannot be overstated. Being physically active improves overall muscle and bone strength, lowers the risk of disease, and produces feel-good chemicals that impact overall mental health, create neuroplasticity, improve metabolic function, and increase energy! When dosed correctly and progressed accordingly, exercise can absolutely help those with Chronic Fatigue Syndrome. Applying the information above in a strategic way, coupled with brain retraining exercises, gradually increasing physical activity is a great way to manage symptoms of severe fatigue.
Brain retraining, also known as self-directed neuroplasticity, is a valuable tool to aid in decreasing the intensity of chronic fatigue syndrome and returning to optimal health. When we interrupt old thought and behavior loops related to CFS and create new loops that promote new thoughts and behaviors, we can slowly teach our nervous system that it is safe to participate in exercise again. If you are interested in hearing more about how brain retraining can help you, sign up for a free info call today.
Disclaimer: This article is not a replacement for treatment or diagnosis from a healthcare professional. If you are considering participating in graded exercise therapy, please seek expertise from a licensed physiotherapist.
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