Chronic Pain | Chronic Fatigue | Depression | Anxiety
Sleep Dysfunction | Vitamin and Mineral Deficiency

Chronic Fatigue

Chronic Fatigue Ways to Increase EnergyFatigue may be controllable or may be overwhelming at times in the same person. Flares are described as a period of time when the body feels drained of energy, the brain is on slow mode, concentration and memory are poorer, the body feels as if it is walking through molasses, and the whole body is very heavy.

Patients experience fatigue that is usually worse upon awakening and associated with pain and stiffness. For some, fatigue is like walking in a pool of molasses. Fatigue is exacerbated during “flares” which are periods of symptom amplification.

Types of Fatigue

Metabolic Fatigue

– such as hypothyroid or adrenal dysfunction when the body is not able to create enough molecules, another source of metabolic fatigue is mitochondrial dysfunction

Emotional Fatigue

– stressors deplete energy and increase fatigue, over exercising also creates delayed fatigue in some

Disrupted Hypothalamic - Pituitary Adrenal Axis

severe, chronic pain

pituitary overstimulation
(from excess electrical current)

release of ACTH (from pituitary)

adrenal stimulation

excess release of adrenalin and cortisol
(possibly resulting in hyperlibidemia, hyperglycemia, obesity, osteoporosis poor pain control)

tachycardia, hypertension, high serum cortisol

with time and uncontrolled pain

adrenal exhaustion
(low serum cortisol, "vegetative state", extreme fatigue)

read more

Sleep Aggravating Factors

Sleep deprivation – sleep apnea and other sleep dysfunction
Low Cortisol
Menopause – interrupts sleep
Sedentary Lifestyle – vicious cycle: as you rest more, the soreness and stiffness increase
Poor Nutrition
Emotional Stress
Physiological Stress

Self Care

To increase energy:

Take frequent 10 minute rests to “recharge batteries”
Eat healthy foods! Carbs, high sugar, and fatty foods rob you of energy.
Drink plenty of water

Pacing and Stress Management

Pace yourself and set limits.
Overworking, over exercising, and over committing yourself robs you of energy.
Breathing, exercise, yoga, meditation, and cognitive therapy can all help with stress management.

Sleep Modification

The goal is to wake up refreshed:
Keep regular hours for sleeping
Prepare for sleeping
Use sleep enhancers, including medication, if needed.

Modify Inactivity

Start low and go slow
Warm pool movement or other aerobic exercises have found to be helpful

Mariposa Dreams

Plymouth Integrative Medicine Center
Fibromyalgia Doctor ~ Irene Metro MD
44670 Ann Arbor Rd, Ste 100, Plymouth, MI 48170

Call 734.432.1900 for an appointment with Fibromyalgia Doctor ~ Irene C. Metro MD

The information contained on this web site is not intended to treat, diagnose, cure or prevent any disease, nor is it intended to replace proper medical care. All material provided in this web site is provided for educational purposes only. Always seek the advice of your physician or other qualified health care provider with any questions you have regarding a medical condition, and before undertaking any diet, exercise or other health program.

Fibromyalgia doctor Irene C. Metro, MD, Board Certified Internal Medicine, Board Certified American Board of Integrative & Holistic Medicine, is the medical director of the Plymouth Integrative Medicine Center in Livonia, Michigan. This medical clinic has internal medicine, integrative medicine, physical therapy, acupuncture, lifestyle coaching, nutritional counseling, and psychotherapy, and specializes in fibromyalgia, chronic fatigue syndrome, hypertension, high blood pressure, insomnia, anxiety, depression, chronic pain, trigger point therapy, vitamin therapy, and pain relief. This medical clinic is located across from St. Mary Mercy Hospital and is easily accessible from Plymouth, Livonia, Canton, Northville, Redford, Westland, Farmington Hills, Southfield, Dearborn Heights, and other locations in Oakland County and Wayne County Michigan. Call 734-432-1900 to make an appointment with the fibromyalgia doctor MI today!