Chronic Fatigue (Chronic Fatigue Syndrome / ME/CFS)

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a serious chronic disease with profound fatigue, post-exertional malaise, sleep problems, and cognitive dysfunction. It is poorly understood but very real.

Table of Contents

Quick Facts

  • ICD-10: G93.3

Core Features

  • Substantial reduction in pre-illness activity lasting 6+ months
  • Post-exertional malaise (worsening after exertion)
  • Unrefreshing sleep
  • Cognitive impairment OR orthostatic intolerance

Management

  • Pacing — staying within energy envelope; avoid pushing through
  • Treat sleep, pain, and orthostatic intolerance
  • Cognitive behavioral therapy for coping (not as cure)
  • Avoid graded exercise prescriptions as cure — can worsen ME/CFS
  • Address co-occurring conditions
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • CDC. ME/CFS Resources.