Myalgic Encephalomyelitis Treatment

Myalgic encephalomyelitis is another term used for chronic fatigue syndrome (CFS). It is characterized by physically or mentally induced fatigue that does not lessen with rest. While diagnosis of CFS was once treated with open skepticism by the medical establishment, the disorder is now well-recognized. Although the causes of CFS are not well understood, treatments have been developed to address its symptoms, and recovery from the disorder is an achievable goal.

Fatigue

• There is no single standard approach to treating CFS. If you are diagnosed with the disorder, your doctor will follow a treatment program based on your particular symptoms.

  To decrease your fatigue levels, your doctor may recommend you avoid unnecessary physical or psychological stress. However, this does not mean that you should avoid all physical activity or exercise. Remaining idle will worsen your condition over time, so you should make sure to keep up some form of daily activity. Gradual exercise has been shown to diminish fatigue, so your doctor or physical therapist may include a specific exercise program as part of your treatment.

Pain and Fever

• If you present symptoms of joint pain or fever, your doctor may recommend use of a non-steroidal anti-inflammatory (NSAID) such as ibuprofen, naproxen or aspirin. Persistent runny nose or other allergy-like symptoms may be treated with antihistamines or decongestants. Be sure to learn the risks and benefits of these medications.

Cognitive Difficulties

• If you are having memory or concentration difficulties, consider organizing your schedule with a daily activity plan. You may also gain a sense of control from recording your general experiences and the course of your individual symptoms. Do your best to express your emotions regarding your illness to your doctor, family and friends, and rely on whatever support groups are available to you. Your doctor may also recommend some form of cognitive therapy, which will teach you how to replace negative thoughts and behaviors with more positive options. If necessary, see a mental health professional for other coping techniques.

Depression

• The difficulties of dealing with CFS may leave you feeling temporarily defeated or depressed. If your degree of depression is substantial, your doctor may recommend use of antidepressant medications or selective serotonin reuptake inhibitors (SSRIs), which achieve antidepressant effects by altering the availability of the brain chemical serotonin. Be aware that antidepressant use involves considerable risk, and will not resolve your CFS symptoms. Consult your doctor and family support thoroughly before beginning antidepressant treatment.

Sleep Disturbances

• Do what you can to address the sleep disturbances that can accompany CFS. Allow adequate time for nighttime rest, and plan for naps as well. Avoid the use of any substance that you know will disturb your sleep. Likely candidates include alcohol and caffeine. If sleep problems persist, ask your doctor for further assistance.

Experimental Treatments

• A number of experimental therapies for CFS are currently being pursued. They include use of oral corticosteroids, antiviral drugs, interferon compounds, immune globulins, psychostimulants and brain chemical inhibitors. Consult your doctor for a full explanation of new treatments now under development.