By Dov Michaeli
First published 2/21/11 on The Doctor Weighs In
A study in the Feb. 18 online issue of Lancet on different therapeutic modalities of Chronic Fatigue Syndrome (CFS) is bound to raise howls with the “CFS community”, meaning their advocacy groups. So let’s take a dispassionate look at the issue.
What is CFS?
Here is the major problem: nobody knows. The CDC definition of CFS:
- A new onset (not lifelong) of unexplained, persistent fatigue unrelated to exertion and not substantially relieved by rest, that causes a significant reduction in previous activity levels.
- Four or more of the following symptoms that last six months or longer:
- Impaired memory or concentration
- Post-exertional malaise, where physical or mental exertions bring on “extreme, prolonged exhaustion and sickness”
- Unrefreshing sleep
- Muscle pain (myalgia)
- Pain in multiple joints (arthralgia)
- Headaches of a new kind or greater severity
- Sore throat, frequent or recurring
- Tender lymph nodes(cervical or axillary)
Continue reading “The Puzzle of Chronic Fatigue Syndrome”