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Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Unless otherwise stated, the views expressed on this Web site are not necessarily the official views of the Society or its Committee and are not simply an endorsement of products or services. The book includes over 100 effective treatments, spanning the full range of pharmaceutical and complementary modalities, an in-depth discussion of symptoms with cross-referencing to appropriate treatments, the latest research into the causes and mechanisms of the illness, doctors' protocols, coping techniques, special sections for managing chemical sensitivities, dietary restrictions and the special needs of children, as well as extensive appendices covering resources, locations of doctors and clinics, local, national and international organizations, and internet ordering information. Chronic fatigue syndrome (CFS) is a fairly common disorder generally defined by persistent fatigue which is unrelated to exertion and not substantially relieved by rest. The disorder is sometimes referred to as Post-Viral Fatigue Syndrome (PVFS), when the condition arises following a flu-like illness, or myalgic encephalomyelitis (ME), or by several other terms. For unknown reasons CFS occurs most often in people in their 40s and 50s, more often in women than men, and is less prevalent among children and adolescents.
Bear in mind that by the time I see many of the patients that come to The Haven, they have tried everything their doctor has recommended, and some they haven't, and have begun to believe there is no cure for their condition. For all the hype, CBT has been criticised by patients' organisations because of negative reports from some of their members that have indicated that CBT can sometimes make people worse, a common result across multiple patient surveys. So why do CFS patients feel so exhausted all the time and why is MLD the answer, do you think? In a nutshell, it has to do with the lymph system and its ability to 'cleans' the body of toxins and waste in a timely manner, before they can build up to the point of literally poisoning the body.
When we move, by walking, stretching, exercising, or breathing, our muscles move and so our lymph moves too. As Manual Lymph Drainage stimulates the circulation of lymph and superficial blood flow, effectively removing the toxic and stagnant lymph and replacing it with 'clean' lymph, the cells of the body receive a shot of water, nutrients and oxygen, at normal pressure, that they can use to repair themselves and restore normal function.
But, there is another circulatory system that is seperate from the lymph system, but behaves in a similar way.
This is what I am attempting to stimulate when performing Manual Lymphatic Drainage on the head, neck, shoulders, back and spine. Please click the link to learn more about Manual Lymph Drainage, or here, for using MLD in the treatment of CFS.
If you live in the Bristol or South West area, appointments and a treatment price list are available by clicking here. DISCLAIMER: This information is not presented by a medical practitioner and is for educational and informational purposes only. What is Chronic Fatigue Syndrome?Chronic fatigue syndrome (CFS) is the most common name The disorder may also be referred to as post-viral fatigue syndrome (PVFS, when the condition arises following a flu-like illness), myalgic encephalomyelitis (ME), or several other terms. Many but not all chronic fatigue physicians offer selected patients Valcyte (valganciclovir), Valtrex, or Famvir a€” anti-virus medicines against Herpes class viruses. Strengthening Immune SupportAHCC (Shitake Mushroom), Reishi Mushroom, Specific Probiotics, Immunovir, repair nutritional deficiencies e.g.
In contrast, Valtrex and Famvir are relatively safe and relatively inexpensive anti-virals. Among Chronic Fatigue Syndrome patients certain parts of the immune system tend to be weak. Experts agree that although the CFS immune system is weak in several ways, in other ways it is over-stimulated or inflamed. Minocycline and doxycyline, two antibiotics related to tetracycline have anti-inflammatory effects in addition to their actions as antibiotics.
Rifaximab is a powerful immune suppresant drug that is usually used to treat lymphoma or severe rheumatoid arthritis. Many natural products can reduce inflammation, although none have been tested formally for CFS. Ten percent or more of people with Chronic Fatigue Syndrome also have low blood pressure especially when they stand still for long periods. A small but important number of Chronic Fatigue Syndrome patients improve when treated with Ritalin (methylphenidate) or related stimulant medicines.


Minocycline: far beyond an antibioticis a review article discusses the use of the antibiotic Minocycline to reduce immune system inflammation. Inhibitors of Microglial Neurotoxicity is about natural products that might reduce inflammation involving the glial cells within the brain. With 1 million people diagnosed, spreading the word about this treatment for CFS will change lives. All communication, both verbal and written, is merely to disseminate information and not to make recommendations or directives. The book also features over 2600 useful links to further reading, research articles, and patient reviews.
Amazon provides free apps that allow eBooks to be read on computers, iPads, phones and other devices. It is unclear if these secondary symptoms occur together with the primary condition or whether they are the cause of the disease. The WHO have already classified CFS as a disease of the nervous system, so it makes sense that a breakdown in the Cerebrospinal Fluid circulation will have a detrimental effect on the nerves and the bodies ability to send a clean signal to the muscles and limbs via nerve impulse.
The etiology (cause or origin) of CFS is currently unknown and there is no diagnostic laboratory test or biomarker. In contrast, when used for its FDA approved indicationa€”CMV virus infections among patients with AIDS or after organ transplantsa€”Valcyte did cause major side effects. Curcumin (derived from the Indian flavoring, Tumeric), Pycnogenol, Green Tea, Panax Ginseng and Lycopene and others could be considered. Recent research suggests that among people with chronic fatigue, mitochondrial energy is often reduced. A fairly large number of nutritional supplements have the potential to improve mitochondrial function.
CFS patients may report additional symptoms including muscle weakness, hypersensitivity, orthostatic intolerance, digestive disturbances, depression, poor immune response, and cardiac and respiratory problems.
It is unclear if these symptoms represent co-morbid conditions or are produced by an underlying etiology of CFS. Andreas Kogelnik and others from Stanford published a small but well designed double blind study testing Valcyte against a placebo for a six month course of treatment. Insurance coverage is rarely obtained unless the patient also has high antibodies against cytomegalovirus (CMV). All diagnostic criteria require that the symptoms must not be caused by other medical conditions. For unknown reasons CFS occurs most often in people in their 40s and 50s, more often in women than men, and is less prevalent among children and adolescents.Whereas there is agreement on the genuine threat to health, happiness and productivity posed by CFS, various physicians' groups, researchers and patient advocates promote different nomenclature, diagnostic criteria, etiologic hypotheses and treatments, resulting in controversy about many aspects of the disorder. The name CFS itself is controversial as many patients and advocacy groups, as well as some experts, believe the name chronic fatigue syndrome stigmatizes, by not conveying the seriousness of the illness, and want the name changed. Based on my personal conversations with them, both believe that Valcyte has helped a substantial sub-group of their patients.
However, accurate prevalence and exact roles of infection and stress in the development of CFS are currently unknown. CFS affects a person's functional status and well-being more than major medical conditions such as multiple sclerosis, congestive heart failure, or type II diabetes mellitus The severity of symptoms and disability is the same in both genders with strongly disabling chronic pain, but despite a common diagnosis the functional capacity of individuals with CFS varies greatly. While some lead relatively normal lives, others are totally bed-ridden and unable to care for themselves. Employment rates vary with over half unable to work and nearly two-thirds limited in their work because of their illness. More than half were on disability benefits or temporary sick leave, and less than a fifth worked full-time. Athough it is unclear which factors are a cause, or consequence, of CFS, various models are proposed.A 2009 study suggests a link between the retrovirus xenotropic murine leukemia virus-related virus (XMRV) and chronic fatigue syndrome. Researchers identified DNA of the virus in the blood of 68 of 101 patients (67%) compared to 8 of 218 (3.7%) of healthy controls, and reported the ability to infect cell cultures in vitro with XMRV from activated cells or plasma derived from CFS patients.


Important differences are that the presence of mental fatigue is necessary to fulfill the critera and symptoms are accepted that may suggest a psychiatric disorder.a€”this definition requires the presence of symptoms from at least one category of autonomic, neuroendocrine, or immune symptoms. An important difference is the Canadian definition excludes patients with symptoms of mental illness.Using different case definitions may influence the types of patients selected and there is research to suggest subtypes of patients or disease exist.
Clinical practice guidelines, with the aim of improving diagnosis, management, and treatment, are generally based on case descriptions.
Diets, physiotherapy, dietary supplements, antidepressants, pain killers, pacing, and complementary and alternative medicine have been suggested as ways of managing CFS. Cognitive behavioural therapy (CBT) and graded exercise therapy (GET) have shown effectiveness for some patients in multiple randomized controlled trials. In three studies, CBT worked better than other types of psychological therapies (48% vs 27%).
Another recent meta-analysis finds improvements in randomized controlled trials ranging from 33-73%.
Those able to function within their individual limits are encouraged to gradually increase activity and exercise levels while maintaining established energy management techniques. A recent survey of 828 people suffering CFS found that pacing was evaluated as useful by 96% of the participants, whereas 79% of the participants who had experienced GET reported this had worsened their health status.
Medications thought to have promise in alleviating stress-related disorders include antidepressant and immunomodulatory agents. Many CFS patients are sensitive to medications, particularly sedatives, and some patients report chemical and food sensitivities.
A systematic review of 14 studies of the outcome of CFS recorded 8 deaths, two were unrelated to CFS, one person died by suicide, and the circumstances of death of the other five were unclear.
Studies in the United States have previously found between 75 and 420 cases of CFS for every 100,000 adults. The CDC states that more than 1 million Americans have CFS and approximately 80% of the cases are undiagnosed.
Multiple chemical sensitivity, Gulf War syndrome and post-polio syndrome have symptoms similar to those of CFS, and the latter is also theorized to have a common pathophysiology.A 2006 review found that there was a lack of literature to establish the discriminant validity of undifferentiated somatoform disorder from CFS. The author stated that there is a need for proponents of chronic fatigue syndrome to distinguish it from undifferentiated somatoform disorder. The author also mentioned that the experience of fatigue as exclusively physical and not mental is captured by the definition of somatoform disorder but not CFS.
Hysterical diagnoses are not merely diagnoses of exclusion but require criteria to be met on the positive grounds of both primary and secondary gain. Primary depression can be excluded in the differential diagnosis due to the absence of anhedonia and la belle indifference, the variability (lability) of mood, and the presence of sensory phenomena and somatic signs such as ataxia, myoclonus and most importantly, exercise intolerance with paresis, malaise and general deterioration. Feeling depressed is also a commonplace reaction to the losses caused by chronic illness which can in some cases become a comorbid situational depression.Co-morbidityMany CFS patients will also have, or appear to have, other medical problems or related diagnoses.
Co-morbid fibromyalgia is common, where only patients with fibromyalgia show abnormal pain responses.
Fibromyalgia occurs in a large percentage of CFS patients between onset and the second year, and some researchers suggest fibromyalgia and CFS are related. As previously mentioned, many CFS sufferers also experience symptoms of irritable bowel syndrome, temporomandibular joint pain, headache including migraines, and other forms of myalgia. CFS patients have significantly higher rates of current mood disorders than the general population. CFS is significantly more common in women with endometriosis compared with women in the general USA population.



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