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Chronic Fatigue Syndrome

What is Chronic Fatigue Syndrome?

Chronic fatigue syndrome (CFS) is a condition that is characterized by profound fatigue, muscle pain, decreased concentration and cognitive function, swollen and painful lymph nodes, headache, sleep disturbance, low grade fever, and sore throat. According the Centers for Disease Control, approximately 1 million Americans are afflicted. The condition affects women more than men. It is seen most commonly in individuals between the ages of 40 and 59. Although it is found in all ethnic groups and countries, Caucasians are most commonly affected. Studies suggest that people who suffer from chronic fatigue syndrome may improve over time; however, every patient responds differently. Although the cause of chronic fatigue is not presently understood, there are several theories that have been proposed. Some researchers suggest that patients with CFS have dysfunction of their autonomic nervous system and alterations of the cardiovascular response to mental, environmental and/or physical stress. The onset of this dysfunction may be due to a virus or other stresses. One study published in January 2009 indicates that there is an association between a gastrointestinal virus (enterovirus) and CFS. Other suggested causative factors include oxidative stress, hormonal imbalance, nutritional deficits, immune dysfunction, and chronic infection.

How is Chronic Fatigue Syndrome diagnosed?

Although CFS may be debilitating, it is not life-threatening. It is important to ensure there is not a serious underlying condition; profound fatigue is common to many disease processes. Unfortunately, there is no biochemical marker or specific test that confirms the diagnosis. Doctors determine whether a patient has CFS by listening to a patients symptoms and excluding the presence of other conditions.

What are the options for treating Chronic Fatigue Syndrome?

Effectively treating CFS requires a multimodal approach. When at all possible, find a treatment plan that is minimally invasive without drugs or surgery. More invasive options should only be entertained after the conservative methods fail to produce the desired result. Our clinic offers evidence based treatment strategies that consist of nutritional counseling, exercise programs, soft tissue techniques, physiotherapy, behavior modification counseling, biofeedback, and chiropractic joint adjustments (also known as joint/spinal manipulation). Other conservative methods that are not provided in our office are acupuncture and cognitive behavioral therapy. On the less conservative end of the spectrum are pharmacotherapeutic options such as Tricyclic drugs or Selective Serotonin Re-uptake Inhibitors. Talk to your health care provider about the strategy that will best suit your needs. The best approach to treating CFS is one that is individualized.

References

  1. https://www.cdc.gov/cfs/cfssymptomsHCP.htm
  2. Fukuda K, Straus SE, Hickie I, et al. The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group. Ann Intern Med. Dec 15 1994;121(12):953-9.
  3. Freeman R, Komaroff AL. Does the chronic fatigue syndrome involve the autonomic nervous system? Am J Med. 1997 Apr;102(4):357-64.
  4. Peckerman A, LaManca JJ, Qureishi B, Dahl KA, Golfetti R, Yamamoto Y, Natelson BH. Baroreceptor reflex and integrative stress responses in chronic fatigue syndrome. Psychosom Med. 2003 Sep-Oct;65(5):889-95.
  5. Chia JK, Chia AY. Chronic fatigue syndrome is associated with chronic enterovirus infection of the stomach. J Clin Pathol. 2009 Jan;61(1):43-8. Epub 2007 Sep 13.
  6. Shephard RJ. Chronic fatigue syndrome. A brief review of functional disturbances and potential therapy. J Sports Med Phys Fitness. 2005 Sep;45(3):381-92. Review.
  7. Logan AC, Wong C. Chronic fatigue syndrome: oxidative stress and dietary modifications. Altern Med Rev. 2001 Oct;6(5):450-9. Review.
  8. Moss-Morris R, Sharon C, Tobin R, Baldi JC. A randomized controlled graded exercise trial for chronic fatigue syndrome: outcomes and mechanisms of change. J Health Psychol. 2005 Mar;10(2):245-59.
  9. Yao F, Ji Q, Zhao Y, Feng JL. Observation on therapeutic effect of point pressure combined with massage on chronic fatigue syndrome Zhongguo Zhen Jiu. 2007 Nov;27(11):819-20. Chinese.
  10. Nijs J, Meeus M, De Meirleir K. Chronic musculoskeletal pain in chronic fatigue syndrome: recent developments and therapeutic implications. Man Ther. 2006 Aug;11(3):187-91. Epub 2006 Jun 14. Review.
  11. Ryan M, Gevirtz R. Biofeedback-based psychophysiological treatment in a primary care setting: an initial feasibility study. Appl Psychophysiol Biofeedback. 2004 Jun;29(2):79-93.
  12. Budgell B, Polus B. The effects of thoracic manipulation on heart rate variability: a controlled crossover trial. J Manipulative Physiol Ther. 2006 Oct;29(8):603-10
  13. Zhang J, Dean D, Nosco D, Strathopulos D, Floros M. Effect of chiropractic care on heart rate variability and pain in a multisite clinical study. J Manipulative Physiol Ther. 2006 May;29(4):267-74.
  14. Guo J. Chronic fatigue syndrome treated by acupuncture and moxibustion in combination with psychological approaches in 310 cases. J Tradit Chin Med. 2007 Jun;27(2):92-5.
  15. Malouff JM, Thorsteinsson EB, Rooke SE, Bhullar N, Schutte NS. Efficacy of cognitive behavioral therapy for chronic fatigue syndrome: A meta-analysis. Clin Psychol Rev. 2007 Nov 1;
  16. Thomas MA, Smith AP. An investigation of the long-term benefits of antidepressant medication in the recovery of patients with chronic fatigue syndrome. Hum Psychopharmacol. 2006 Dec;21(8):503-9.

Dr Scott Bentson

His background in biomedical engineering/physics and specialized training as a Chiropractic Sports Physician (CCSP) gives Dr. Scott Bentson a unique perspective and area of expertise when it comes to biomechanics and pain management.
His passion for helping people to feel their best combined with this specialized expertise has made him a chiropractor who is in high demand. Dr. Bentson lives and practices in Bethlehem, PA and enjoys sharing this practice with his wife and the creator of YouAnew Lifestyle Nutrition, Dr. Kristen Bentson.

Affiliations

Lehigh Valley Chiropractic Affiliations