How to Improve Fatigue

By:  Bradley Hill, PT, DPT, NCS

Tired man rubbing eyes

One of the most common symptoms among people with chronic medical conditions is fatigue. For some people, fatigue is their most debilitating symptom. Disease-related fatigue is associated with a poorer quality of life and increased disability; however, many people feel like they do not have a treatment plan to address fatigue. Here are some common questions you may have regarding fatigue.

What is fatigue?

Fatigue is defined by variability in self-control, instable emotions, reduced mental capacity, and decreased energy needed for daily activities that typically does not improve with rest.

Why do I have fatigue?

Fatigue is a common symptom of many diagnoses, including multiple sclerosis, stroke, Parkinson’s disease, brain injury, cancer, and others.

Fatigue can also be caused by side effects of medication, deconditioning from hospitalization, and cognitive issues such as dementia and depression.

How bad is my fatigue?

Fatigue can be assessed and tracked using a questionnaire called the Fatigue Severity Scale (FSS). Click here to see the questionnaire.

How can I improve my fatigue?

Manage your schedule by:

  • Planning outings during the time of day when you have the most energy.
  • Only schedule one outing per day.
  • Schedule 20-minute rest periods throughout the day.

Be physically efficient:

  • Use a walker, cane, wheelchair, or braces if recommended by your therapist. They will minimize the physical effort required to walk.

Sleep better:

Use the Epworth Sleepiness Scale to measure your sleepiness. If your score is greater than 10, use the list below to improve your quality of sleep.

  • Keep your bedroom dark and at a comfortable temperature.
  • Prevent and avoid noises that can be heard at night.
  • Increase physical activity during the day.
  • Expose yourself to natural light during the day.
  • Follow a regular sleep schedule; try to go to bed and wake up at the same time every day.
  • Have a bedtime routine. For example, take a warm bath before bed, listen to calm music, or read a book.
  • Do not eat food or watch TV in bed. Try setting your phone in another room if it tends to be a distraction.

Exercise!

  • Exercise is scientifically proven to decrease fatigue-related symptoms caused by many diseases and other conditions.

Throughout your recovery, it is important to recognize, track, and treat all forms of fatigue. By doing so, you can improve your quality of life and participate in other areas of your recovery.

If you or someone you know needs assistance on the best way to exercise regularly and safely, contact us or call (804) 764-1000 to schedule an evaluation.

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