Paralysis Resource Guide - (Page 74) HEALTH MANAGEMENT FATIGUE Fatigue is a very common symptom of many conditions related to paralysis. About 80 percent of people with multiple sclerosis report that fatigue significantly interferes with their ability to function. It gets worse as the day progresses; it’s aggravated by heat and humidity and may be the most prominent complaint in many MSers who otherwise have few other symptoms. Fatigue is also a prominent symptom of post-polio syndrome. People who had polio long ago, even those who made complete recoveries from their original polio, sometimes begin years later to feel a lack of energy — tiring much faster than in the past, feeling that once simple things now take a huge effort. These symptoms may be caused by the gradual wearing out of already weakened and damaged nerve cells. Some believe chronic fatigue syndrome, which affects about 500,000 people in the United States, may be related to undiagnosed post-polio syndrome. According to recent research in spinal cord injury, more than 60 percent of people who experience changes in function identified fatigue as a major problem. Underlying medical problems such as anemia, thyroid deficiency, diabetes, depression, respiratory problems or heart disease may be factors in a person’s fatigue. Also, medications such as muscle relaxants, pain drugs and sedatives can contribute to fatigue. Low fitness levels may result in too little energy reserves to meet the physical demands of daily life. People should consult a physician if fatigue becomes a problem. Disrupted sleep is reported in up to 35 percent of people with MS. The resulting daytime fatigue may be caused by sleep apnea, periodic leg movements, neurogenic bladder problems, spasticity, pain, anxiety or depression. Better sleep starts with better symptom management. Consult your doctor about options for treating pain, depression, sleep apnea, etc. There isn’t a single remedy for fatigue. Listen to your body and use your energy wisely. Sources National Multiple Sclerosis Society, Rancho Los Amigos Hospital, Paralyzed Veterans of America, Centers for Disease Control and Prevention 74
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