Orthopedic Hospital of Oklahoma

Chronic Fatigue Syndrome

The cause of Chronic Fatigue Syndrome remains a mystery.  It has been known to follow viral infections and occur in people with immune system problems.  There may be a malfunction in either or all of the hypothalamus, pituitary, and adrenal glands.  Almost three out of every four patients with CFS have depression, but whether depression contributes to the cause or is a symptom of CFS is not understood. It occurs most often in women between the ages of 25 and 45.

The primary symptom of CFS is fatigue to the point of severe exhaustion.  Other symptoms may include headaches, muscle and joint aches, and fever.  Since many diseases cause these symptoms, CFS can go undiagnosed for a long time. The fatigue may go away for a while, only to return later.  CFS may start out as a vague symptom, slowly progressing, or it may come on suddenly.

Runny noses, itchy eyes, and coughs may mimic a cold or hay fever.  Depression and difficulty sleeping are also common symptoms.  Frustration and anxiety may occur if the condition goes undiagnosed and untreated.

Treatment most often involves supportive measures to relieve the symptoms:

  • Non-steroidal Anti-inflammatory Drugs (NSAID’s) to decrease the aches and pains
  • Antihistamines and decongestants for the cold and allergy symptoms
  • Anti-depressants for help improve mood and sleep
  • Social, emotional, and financial support to deal with the chronicity of the disease and the times when the illness is so debilitating that the patient may not be able to work or adequately care for him or herself