Chronic Fatigue Syndrome (CFS) + Myalgic Encephalomyelitis (ME)

Chronic fatigue Syndrome (ME/CFS) is more than just feeling tired; it’s a debilitating condition that can significantly impact your daily life, leaving you feeling drained and unable to perform even simple tasks. At Clarity Brain and Body Clinic, we understand the complexities of chronic fatigue and its underlying causes. Our functional neurology approach is designed to address these issues holistically and help you get your life back.

What Is Chronic Fatigue Syndrome?

Chronic fatigue is a multifaceted condition often linked to disruptions in the nervous system. Unlike temporary fatigue caused by physical exertion or lack of sleep, chronic fatigue persists over time no matter how much sleep you get and can severely impact your quality of life.

pine trees covered in fog

Symptoms of Chronic Fatigue Syndrome

Common symptoms of chronic fatigue include:

  • Persistent physical and mental exhaustion

  • Difficulty concentrating

  • Brain fog

  • Muscle and joint pain

  • Sleep disturbances

  • Worsening fatigue with physical and mental activity

  • Lightheadedness or dizziness especially when standing

  • Sensitivity to light and sound

plastic model of one half of the brain

Causes of Chronic Fatigue Syndrome

Chronic fatigue can result from multiple underlying factors, and identifying the root cause is the key to effective treatment. Causes may include:

  • Autonomic nervous system imbalances

  • Post-concussion or other brain injuries

  • Hormonal imbalances

  • Chronic stress or trauma

  • Viral or bacterial infections

Conditions Related to
Chronic Fatigue Syndrome

Several neurological and physiological conditions can contribute to chronic fatigue. These include:

Postural Orthostatic Tachycardia Syndrome (POTS)

POTS is a form of dysautonomia that affects blood flow and causes symptoms like rapid heartbeat, lightheadedness, and fatigue when transitioning to an upright position. Patients with POTS often experience extreme exhaustion, making daily activities challenging.

Concussion and
Post-Concussion Syndrome

A history of concussion can disrupt normal brain function and lead to lingering symptoms, including fatigue, headaches, and cognitive impairments. Post-concussion syndrome can persist for months or even years if proper intervention never occurred after the concussion.

Dysautonomia

Dysautonomia refers to a dysfunction of the autonomic nervous system, which regulates essential bodily functions like heart rate, blood pressure, and digestion. When this system is out of balance, it can lead to chronic fatigue, among other symptoms.

Oculomotor Dysfunction

The oculomotor system controls eye movements, which are essential for reading, focusing, and spatial awareness. Dysfunction in this system can cause visual fatigue, headaches, and difficulty concentrating, further exacerbating chronic fatigue.

Comorbid Conditions Associated with Chronic Fatigue Syndrome

Chronic fatigue often occurs alongside other medical and neurological conditions, which can complicate diagnosis and treatment. Addressing these comorbid conditions is essential for a comprehensive treatment plan, as they often interact and influence each other.

Common comorbid conditions include:

Fibromyalgia:

A condition characterized by widespread musculoskeletal pain, fatigue, and cognitive difficulties.

Depression and Anxiety:

Mental health conditions can both exacerbate and result from chronic fatigue.

Irritable Bowel Syndrome:

Chronic fatigue is frequently seen in patients with IBS, possibly due to the gut-brain connection.

Autoimmune Disorders:

Conditions such as lupus, rheumatoid arthritis, and Sjögren's syndrome often overlap with chronic fatigue symptoms.

Sleep Disorders:

Conditions like insomnia, sleep apnea, or restless leg syndrome can contribute to persistent fatigue.

Chronic Infections:

Viral infections like Epstein-Barr virus (EBV) or Lyme disease may trigger chronic fatigue in susceptible individuals.

pine trees from an aerial view

How We Diagnose Chronic Fatigue

At Clarity Brain and Body Clinic, our diagnostic process is comprehensive and tailored to uncover the root causes of chronic fatigue. Our approach includes:

  • Detailed Patient History: We take the time to understand your symptoms, medical history, lifestyle, and potential triggers.

  • Autonomic Nervous System Testing: Evaluates the function of your autonomic nervous system to identify imbalances affecting heart rate, blood pressure, and stress responses.

  • Comprehensive Neurological Examination: A detailed assessment of your nervous system to uncover dysfunctions contributing to chronic fatigue and related symptoms.

  • Vestibular Testing: Analyzes balance and spatial orientation to identify issues in the vestibular system that may cause dizziness and fatigue.

  • Cognitive Testing: Assesses memory, attention, and processing speed to detect cognitive impairments often linked to chronic fatigue.

  • Oculomotor Assessment: Examines eye movement control and visual processing to identify dysfunctions that may lead to fatigue, headaches, and difficulty focusing.

  • Collaboration with Specialists: If necessary, we collaborate with other healthcare providers to ensure a well-rounded diagnosis.

Functional Neurology Approach to Treating
Chronic Fatigue Syndrome

Functional neurology focuses on identifying and addressing dysfunctions in the nervous system that may be contributing to chronic fatigue. Our approach emphasizes non-invasive, personalized care to improve overall neurological health and balance.

Image of Clarity Brain and Body Clinic Examination room with white desk, stool, and storage cabinet

How We Treat Chronic Fatigue

Our treatment plans are tailored to each individual and may include:

  • Vestibular Therapy: To address balance and dizziness issues often linked to chronic fatigue.

  • Visual Therapy: Techniques to improve oculomotor function and reduce visual fatigue.

  • Autonomic Nervous System Regulation: Strategies to enhance autonomic balance, such as biofeedback, breathing exercises, and relaxation techniques.

  • Vagus Nerve Stimulation: Activation of the vagus nerve helps regulate autonomic function, reduce inflammation, and promote relaxation, support recovery from chronic fatigue.

  • Cognitive Training: Targeted exercises designed to improve memory, attention, and problem-solving, addressing cognitive impairments often associated with chronic fatigue.

  • Stress and Fatigue Management: Strategies such as mindfulness, biofeedback, and lifestyle modifications that help reduce stress and restore energy levels, aiding in the holistic treatment of chronic fatigue.

Why Choose Clarity Brain and Body Clinic?

At Clarity Brain and Body Clinic, we understand that living with chronic fatigue isn’t just about feeling tired—it’s about navigating a condition that impacts every aspect of your life. Dr. Timko recognizes that chronic fatigue symptoms are real, and that they are not your fault. Chronic fatigue isn’t "all in your head," and it doesn’t mean you’re not trying hard enough.

Dr. Timko also knows that living with ME/CFS means you have good days and bad days, and it can be frustrating when your energy levels seem out of your control. That’s why Dr. Timko offers a compassionate, patient-centered approach that respects your experience and tailors care to meet you where you are.

Start Your Journey to Recovery

Chronic fatigue doesn’t have to control your life. Take the first step toward renewed energy and well-being by scheduling a free discovery call with Dr. Timko. Contact us today to get started and learn how we can help you achieve lasting improvement.