Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

Overview

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a long-term condition that causes a significant drop in the ability to perform activities that were once manageable, along with extreme fatigue that doesn’t get better with rest. It can start either slowly or suddenly and may last for years.

People often find that their symptoms worsen if they push themselves physically or mentally or even if they’ve been standing for too long. This can make it difficult to work, commute, or engage in social activities. In the most severe cases, some individuals may even become housebound, which greatly impacts their daily lives¹. 

Causes of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

The cause of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) remains unknown, but several factors may contribute. Infections, such as Epstein-Barr virus, Ross River virus, and COVID-19, have been linked to ME/CFS, particularly when severe symptoms occur. However, not all cases follow an infection. Immune system changes, including increased inflammation and possible autoimmune-like responses, might also play a role, though tissue damage seen in autoimmune diseases is not present in ME/CFS. Stress, both physical and emotional, may trigger ME/CFS, potentially affecting cortisol levels, which regulate immune function. Additionally, people with ME/CFS may have differences in how their cells produce energy, leading to fatigue. Genetic and environmental factors may also be involved, but further research is needed to fully understand the causes². 

Signs of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

• Extreme tiredness post physical or mental exercise: Previously manageable activities—like taking a short walk or concentrating on a task—can lead to overwhelming exhaustion that may last for days or even weeks. This isn't just regular tiredness; it feels like a deep, all-consuming fatigue that can make everyday tasks seem insurmountable. As a result, individuals often have to carefully manage their energy levels, balancing activity with rest to avoid triggering this debilitating exhaustion.
• Memory and cognitive problems: Many people with ME/CFS experience cognitive difficulties, often referred to as "brain fog." This can manifest as problems with memory, attention, and overall thinking skills. Individuals may find it challenging to concentrate on tasks, recall information, or follow conversations. This cognitive impairment can be frustrating and isolating, as it affects not only work and academic performance but also social interactions. Even simple tasks may require more mental effort, leading to increased fatigue and a sense of helplessness.
• Dizziness when making movements: Dizziness is another common symptom, particularly when transitioning from a lying or sitting position to standing. This form of dizziness, often described as lightheadedness or a feeling of unsteadiness, can be disorienting and may be accompanied by a racing heart or faintness. It can make it difficult for individuals to maintain their balance and can lead to an increased risk of falls. This symptom can further limit daily activities and contribute to a cycle of reduced mobility and increased fatigue.
• Muscle or joint pain: Individuals with ME/CFS frequently report muscle and joint pain that can vary in intensity and location. This pain may feel like general soreness, stiffness, or even sharp aches, and it can be widespread or localized. Unlike typical muscle soreness from exercise, this pain can be chronic and debilitating, impacting mobility and quality of life. Even minor activities can exacerbate this discomfort, making it difficult to maintain a normal routine and leading to further physical limitations.
• Restless sleep: Despite feeling exhausted, many individuals with ME/CFS struggle with unrefreshing sleep. They may have difficulty falling asleep, experience frequent awakenings throughout the night, or wake up feeling just as tired as when they went to bed. This lack of restorative sleep contributes to ongoing fatigue and can create a frustrating cycle of sleep disturbances and daytime exhaustion. Even after a full night’s sleep, individuals may feel mentally and physically drained, which can compound the challenges of managing daily life³. 

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and TCIH Approaches

• Acupuncture: Research indicates that acupuncture can be an effective treatment for managing Chronic Fatigue Syndrome (CFS), helping to alleviate symptoms and enhance overall quality of life. While acupuncture has shown promising results in reducing fatigue, and pain, and improving energy levels, it’s important to understand that it does not provide a cure for CFS. Instead, acupuncture works by targeting specific points on the body to promote relaxation, improve circulation, and balance the body’s energy, offering relief from the persistent symptoms associated with the condition⁴.
• Bowen Therapy: The Bowen Technique uses gentle, precise movements that send neurological impulses to the brain, prompting immediate muscle relaxation and pain relief. These subtle but effective movements create energy surges that focus on specific areas of the body, facilitated by the use of "blockers" or "stoppers." These blockers temporarily hold the energy in place, and once the person stands up, the energy is released, leading to a sense of release and improved circulation⁵.
• Chair Yoga: A study showed that regular chair yoga over two months helped reduce fatigue and symptoms of depression in people with Chronic Fatigue Syndrome (CFS). Participants reported feeling less tired, and their overall well-being improved as they practised seated yoga. This type of yoga, which can be done while sitting in a chair, appears to provide lasting relief from fatigue, offering both physical and mental benefits. These results suggest that chair yoga can be an effective, accessible practice for helping manage the persistent exhaustion and emotional challenges often experienced by people with CFS⁶.
• Chiropractic: Chiropractic care can be a helpful treatment for people with Chronic Fatigue Syndrome (CFS), offering a personalized, non-invasive approach to recovery. Chiropractors can begin treatment as soon as symptoms emerge, focusing on addressing the root causes of fatigue rather than simply masking the symptoms with medications. By promoting whole-body wellness, chiropractic care works to restore both physical and mental balance, helping the body function at its best. In addition to spinal adjustments, chiropractors often provide guidance on lifestyle changes, including dietary modifications, stress management, and relaxation techniques, offering a holistic approach that empowers individuals to improve their quality of life and manage the challenges of CFS more effectively⁷.
• Colon Hydrotherapy: Colon hydrotherapy may provide potential benefits for those looking to alleviate their symptoms. It can assist in detoxifying the body, enhancing nutrient absorption, restoring balance to the gut microbiome, boosting energy, and promoting overall health⁸.