Muscle fatigue. How to get rid of fatigue

Almost every person sooner or later develops a feeling of muscle fatigue as a result of various reasons. In medicine, this phenomenon is called myalgia, and it is not a terrible disease, although it brings discomfort. There are several types of muscle pain, depending on the reason it occurs.

What causes muscle pain

Pain in muscle tissues can occur both during exercise and at rest. After exercise, in principle, muscle pain is a completely normal state of the body that does not require special treatment and does not cause anxiety. If pain occurs, without a specific clear cause, then you should consult a specialist to determine the exact diagnosis. Muscle weakness can be caused by a number of different circumstances, described below.

  1. Injuries and fractures- the main factors of muscle pain. With injuries of soft or bone-cartilaginous tissues, pain is a response. As a rule, with such factors, the doctor prescribes a remedy that will relieve muscle tension and soothe pain.
  2. in which the muscle mass is in tension. During this period, lactic acid is collected in the muscles, and the greater the load, the more acid is formed in the muscle. After the muscle structures begin to relax, the acid irritates the nerve endings and an uncomfortable sensation occurs. In this case, a glass of water with a pinch of baking soda will help reduce the pain that comes from tension.
  3. Stress. With a moral disorder and stress loads, a feeling of discomfort in the muscles appears. Most often, pain in the ligaments occurs at night and in the morning. In science, this phenomenon is called fibromyalgia - a form of myalgia. Most often binds cervical region spine, knees and lower back.
  4. Bad posture. As a result of incorrect posture, deformation of the bone and cartilage tissues occurs, which automatically "pull" the muscles along with them. As a result, there is a burning sensation along the muscle fibers.
  5. Chronic diseases of bone and cartilage tissues and blood vessels:
  • arthritis, arthrosis, osteochondrosis are the first causes of muscle pain and a constant feeling of fatigue. The destruction of bone tissue entails deformation in muscle and soft tissues;
  • flat feet is a problem in which the feet become flat and this makes walking much more difficult. This may cause muscle pain in the legs from the foot to the knee;
  • thrombophlebitis and varicose veins veins - vascular diseases in which venous elasticity is disturbed and blood blockages occur. Inflamed veins tend to bulge out and cause severe pain. There may be a burning sensation and severe muscle discomfort along the entire length of the affected vein;
  • neuralgia also often causes muscle fatigue. Seizures resulting from a malfunction of the peripheral nervous system, cause severe weakness. At rest, the muscles do not hurt. In this case, you should not take painkillers, as you need to overcome neuralgic symptoms and muscle fatigue will go away on its own;
  • obesity is a common cause of muscle fatigue. The fact is that an obese figure and a large body mass is a constant burden on the physical condition of the body. When walking, legs, back, neck often hurt, aching pains in the muscles in these areas occur. With such a disease, myalgia does not go away on its own, since the muscles have a constant load. There are two ways out here - either lose weight or take pharmaceutical drugs that can relieve pain in the muscles.
  1. Pain during pregnancy. Pregnancy is a strong physical and moral stress on the body, and the occurrence of muscle discomfort in this position is normal for all women who are expecting a baby. It is strictly forbidden to self-medicate and take medications without consulting a doctor.

The feeling of muscle fatigue can be an independent phenomenon or a symptom of a serious illness. After exertion and excessive stress, the so-called “strength” or muscle pain syndrome occurs. Under normal conditions, it passes in a few days without outside intervention. If a person feels muscle pain and weakness for no particular reason, this is a cause for concern and contact a specialist.

Important! Muscle fatigue cannot be ignored, as it can be a signal of a serious illness.

Medicines for muscle pain

Before you start fighting muscle pain it is important to understand the cause of its occurrence. If the feeling of muscle fatigue has arisen as a result of muscle strain due to physical activity, external pharmaceutical preparations can be used:

  • anesthetics such as Menovazin or Novocain;
  • warming or cooling ointments based on medicinal plants and animal products - bee venom, snake venom, chondroitin, mink fat;
  • cooling medications based on mint, camphor or lemon balm.

If muscle fatigue is the result of an injury or fracture, then it is better to use oral pain relievers. Before taking such funds, it is better to consult a doctor.

Traditional medicine against myalgia

In addition to medicines, there are a number of folk recipes that can relax muscles, eliminate heaviness in various parts of the body and tone muscle mass. Examples of the most effective recipes for pain in various parts of the body, even in the heart muscle, are described below.

  1. With frequent muscle fatigue associated with overweight or constant physical exertion, you can use this home remedy: for 3 teaspoons of dry chopped bay leaves, you need 1 tablespoon of dried juniper. 6 teaspoons of vegetable or animal fat are added to the resulting herbal mixture. The slurry must be stirred until a homogeneous mass is obtained and the affected areas are treated overnight. Plants have a relaxing and soothing property that will relieve pain and fatigue in the muscles for several hours.
  2. Natural honey, mixed in equal proportions with chopped black radish, will perfectly relieve muscle fatigue if a compress is applied to a sore limb, neck or lower back. Perfectly helps with fatigue during pregnancy, after training or hard physical labor.
  3. With chronic muscle weakness, the following remedy will perfectly help: 25 grams of dried barberry bark must be poured with a glass of alcohol and insisted for a week in a dark, cool place. Use ready-made infusion inside before meals 3 times a day, 30 drops of the product.

Important! Before using any remedy traditional medicine it is important to make sure that there are no contraindications and an allergic reaction

Prevention of muscle fatigue

In order not to feel fatigue and weakness in the muscles after small physical exertion, it is necessary to gradually strengthen them. To do this, you need to perform a small set of exercises daily. Also, do not forget about healthy eating. In order for the muscles to be strong and healthy, it is necessary to include vitamins, minerals, protein, and iron in the diet. Be sure to include dairy products rich in calcium, meat and fish containing phosphorus and protein in the daily menu. Fresh vegetables, berries and fruits are a 100% source of nutrients not only for muscle mass but for the whole organism as a whole.

Chronic diseases of the heart and blood vessels are one of the most popular causes of fatigue. In this case, it is recommended to take special medications that strengthen the heart muscle, thin the blood and improve its circulation.

In conclusion, I would like to note that there are many reasons for muscle fatigue. Fatigue and weakness can appear after physical exertion, as a result of illness or stress. With chronic muscle weakness, it is necessary to visit a doctor to identify the true cause of muscle pain.

It is worth noting separately bad habits and their effect on the muscles of the body. Drinking alcohol or smoking constricts blood vessels, which significantly weakens the muscles. When using tranquilizers or narcotic substances, a person may feel tired all the time.

116747

Movement is life, and exercise is good for health. How often have we been told this, haven't we? Indeed, it is. But, unfortunately, unprepared for intense training people (and often trained people too) usually experience severe fatigue during or after classes. What could be the reasons? Can this be avoided? What are the ways to deal with this phenomenon?

Why do we get tired?

The answer is extremely simple: we are physically overtired. But not everything can be so simple in reality. Pleasant fatigue and pleasant sore muscles after a workout, literally making you feel like a person, is one thing. But breathing failure, pulse at the limit, lack of stamina and strength, constant thirst or hunger, yawning, the desire to go to bed right in the hall - this is completely different. Especially if such symptoms appear at the very beginning of the lesson, and not at the end.

How greater result we strive to achieve, the more burden we take on. This is wrong and should not be done. The training program should be fully consistent with your physical form and fitness level. Therefore, ideally, it is better to start training in the gym with a trainer who will help you choose the optimal load and increase it gradually, according to progress in classes. Even if you worked out before, but then there was a break, be sure to start with a minimum.

Reason number 2 - incorrect exercise technique. This is even more dangerous than reason number 1. Here there is a risk not only to overwork and overstrain the muscles, but also to get serious injuries, stretch the ligaments, “kill” the joints and spine. It's not even a lot of weight, but the fact that the wrong technique is fraught with stress on the wrong area at all, to which, you think, it is directed. Energy, as a result, is wasted. Solution: Again, try to work with a trainer first so that he can teach you the technique. It is important not to take immediately big weights, and to achieve the correct execution of the exercise at first completely without weight.


Reason number 3 - malnutrition. In parallel with training, have you decided to go on a diet? Well, that's commendable. Only here, rapid fatigue can signal just that you are still eating inadequately, and your body simply lacks useful and nutritious substances. Solution: complete and healthy diet, albeit with a calorie deficit, but with everything you need - proteins, fats, carbohydrates, vitamins, macro- and microelements. Otherwise, you risk not only overworking, but simply falling into stress, overeating, and depression.

Reason number 4 - lack of rest. Workouts don't have to be daily if you don't professional sportsman and do not train for competitions or a marathon. 3-4 workouts a week or classes every other day are enough. At least a day should pass from training to training so that the body recovers as much as possible. You can alternate a day of cardio and a day strength training, but even in this mode, you need to give at least 2 days a week of complete rest, without physical exertion. And, of course, a full-fledged sleep is important - it is at night and at least 7 hours - only then both muscles and nerve cells are restored.

Reason number 5 - dehydration. Another point that should never be forgotten in training is water. Sometimes a person during an intense session may not feel thirsty at all, and a sip of water during active movements can only cause discomfort. But even the slightest lack of water in our body can lead to failures in all systems: the blood becomes thick and stops delivering oxygen and nutrients to where it is most needed - to the brain or to the muscles that work in this moment. Therefore, drink plenty of water, and the more tired you are, the more fluids you should drink.

These simple rules, if you remember about them and follow them regularly, will help you train fully and achieve great results.


26.05.2018 09:58:00
How to turn ordinary walking into a sport?
We have already talked about the benefits of walking. This cardio load is suitable for absolutely everyone, even for those who have joint problems or who are too big. excess weight. But how can you turn ordinary everyday walking into a sport that will be really effective in terms of weight loss, creating beautiful forms body, strength and endurance training? We understand in more detail.

13.07.2018 08:39:00
How to recognize depression: non-obvious signs
The diagnosis of "depression" is very serious and, unfortunately, quite common today. We decided to figure out in more detail what non-obvious signs depression can be recognized by.

06.08.2017 21:14:00
A new cause of cancer has been discovered - it's bad teeth!
Caries, periodontitis, gingivitis and other diseases of the teeth and oral cavity can provoke oncological diseases. American scientists conducted a large-scale study involving more than 65,000 people over the age of 60 years.

27.08.2018 21:12:00
Argan oil: everything you need to know about the properties of Moroccan gold
Argan oil is said to have all sorts of positive properties. It is indeed one of the most valuable of its kind. But how to use it and why? Next, we will talk about the benefits of oil for skin, hair and health.

10.11.2017 18:49:00
Sports by the stars: what suits different signs of the zodiac?
Everyone has their own preferences regarding sports. Someone likes something very calm and harmonious, while others give intense interval training, so that seven sweats come down. It turns out that the stars can also influence these preferences, or rather, the sign of the Zodiac under which you were born.

26.09.2018 08:41:00
What to eat for breakfast to start metabolism for the whole day?
Why is everyone talking about the benefits and necessity of breakfast? This is because it is the first morning meal that starts the basic metabolism for the whole day. This means that by doing everyday activities, we can easily lose more calories. What should you eat for breakfast?

muscle weakness is a common complaint, but the word “weakness” itself has a fairly wide range of meanings, including fatigue, reduced stamina, or complete inability to function. Range possible causes muscle weakness is even wider.

What is muscle weakness?

The term "muscle weakness" can be used to describe several different things.

Primary or true muscle weakness

It manifests itself in the inability to perform with the help of muscles what a person wanted. Even if such actions are not performed for the first time, but a trained person is trying to perform them. There is a decrease in the strength that the muscles need, but it is not. The muscle does not work properly, it has become abnormal.

This type of muscle weakness can be the result of a stroke, it is also possible with muscular dystrophy. In both cases, weakened muscles cannot perform the usual load, and changes occur in muscle strength.

muscle fatigue

It is sometimes called asthenia. This is the feeling of tiredness or exhaustion that you experience. In this case, the muscles do not really become weaker, they are still functioning, but you will need more effort to perform the actions. This type of weakness is observed in those who suffer from chronic fatigue syndrome, have sleep disorders, depression, chronic heart, lung and kidney diseases. Muscle fatigue may be due to the fact that the muscles do not receive enough energy.

Muscle fatigue

“Fatigue” of the muscles lies in the fact that the muscle begins to function normally, but very quickly loses this ability, and recovery takes much longer than usual. Muscle "fatigue" is often combined with muscle fatigue, especially if a person suffers from myasthenia gravis or myotonic dystrophy.

Common Causes of Muscle Weakness

Deterioration of physical condition / inactive (sedentary lifestyle) lifestyle

Absence physical activity is one of the most common causes of muscle weakness. If the muscles are not used, then the fibers in the muscles are partly replaced by fat. Muscle atrophy eventually occurs: the muscles become less stocky and more flexible. Each fiber is still strong but loses its ability to effectively contract.

You may feel your muscles become flabby and contract in volume. This leads to mild fatigue when you are trying to do something, like gardening or doing housework. If your muscles were trained, everything would be much easier for you. This condition is reversible, but requires regular exercise. This becomes especially true with age.

Muscle development peaks between the ages of 20 and 30. It is in this age range can be found the largest number great athletes. However, you can maintain muscle tone through regular exercise at any age. Many successful long-distance runners are over 40 years old and have accustomed their muscles to the long-term loads, stretched over time, as a marathon requires.

At whatever age you decide to improve your physical form, choose a sensible exercise regimen and consult your doctor before starting them. At the initial stage of training, you also need the advice of trainers to prevent muscle injury from too intense loads.

Aging

As we age, our muscles lose strength and become weaker. Even though most people accept this as a natural consequence of age, sometimes they still feel frustrated when they are unable to do what they did at a younger age. However, even in old age, exercise can maintain and even increase muscle strength, with careful organization and safety of training.

With age, it takes much longer to recover from injuries, as the bones become thinner and break easily. So the control of the safety of physical exercises at a respectable age is of great importance.

infections

Infections and diseases are among the most common causes of temporary muscle fatigue. The most vulnerable are the thigh muscles. They can become inflamed with complications from the flu, and muscle weakness in this case can last quite a long time.

Muscle weakness can also be caused by chronic fatigue syndrome or any disease that is characterized by high fever and inflammation of the muscles. However, there are a number of diseases that pose the highest risk of muscle weakness. These include: influenza, glandular fever virus, HIV, Lyme disease, and hepatitis C.

Less common diseases that can cause muscle weakness are tuberculosis, malaria, syphilis, and polio.

Pregnancy

During and immediately after pregnancy high level steroids in the blood, as well as the lack of the required amount of iron (anemia) can cause a feeling of muscle fatigue. During pregnancy, be especially careful when physical activity, since a woman has to wear enough big weight. This can lead to lower back pain if you do not adapt to the changed condition and carefully monitor your posture.

Persistent (chronic) diseases

Many chronic diseases often cause muscle weakness. In some cases, this is due to a reduction in the blood and nutrients needed by the muscles.

Peripheral vascular disease: Caused by narrowing of the arteries, usually due to high cholesterol levels. Causes may be smoking or wrong diet. Blood flow to the muscles slows down, and this becomes especially noticeable during physical exertion, with which a person ceases to cope. Sometimes pain may appear instead of weakness, but muscle weakness can also be a problem.

Diabetes. High blood sugar levels (and sometimes changes in salt levels) negatively affect the ability of the muscles to perform their functions well. As diabetes progresses, the blood supply to the nerves also becomes more difficult. Nerves muscle fiber lose sensitivity, and the muscle fiber stops working. People with diabetes also have an increased tendency for arteries to narrow.

Cardiovascular diseases in particular, heart failure can lead to rapid muscle fatigue due to reduced blood supply during physical activity. The heart is unable to provide what the muscles need amount of blood, resulting in weakness.

Chronic lung disease: Lung diseases such as chronic obstructive pulmonary disease (COPD) cause a decrease in the body's ability to absorb oxygen. Muscles require a fast supply of oxygen from the blood, especially during exercise. Decreased oxygen consumption leads to mild fatigue. Over time, chronic lung disease can lead to muscle atrophy, although this is more common in very severe cases when the level of oxygen in the blood starts to drop.

Chronic kidney disease affects the entire environment of the body through an imbalance of salts in the body and through changes in calcium and vitamin D levels. Kidney disease also causes a concentration of toxic substances (toxins) in the blood because the kidneys are unable to process these toxins in a timely manner. All this can lead to true muscle weakness as well as muscle fatigue.

Anemia(lack of red blood cells). It has many causes, including poor nutrition, blood loss, pregnancy, genetic, infectious, and cancerous diseases. Anemia also reduces the ability of the blood to carry oxygen to the muscles. Anemia develops rather slowly, and muscle fatigue and shortness of breath appear over time.

Conditions affecting the "commands" of the brain to the muscles

Anxiety

Anxiety can cause muscle weakness. This is due to the increased activity of adrenaline in the body.

Depression

Depression can also cause a feeling of general fatigue and a feeling of muscle weakness. Note: Anxiety and depression can cause a feeling of fatigue and "fatigue" of the muscles, but not true weakness.

chronic pain

The overall effect on energy levels may be the result of chronic pain. It stimulates the body to produce chemicals that respond to pain and injury. These chemical substances leads to feelings of tiredness or fatigue.

With chronic pain, a person may experience not only muscle weakness, but also not be able to fully use the muscles due to pain and discomfort.

Muscle damage due to injury

There are many situations in which your muscles can get damaged. The most obvious is trauma, dislocation, sprain (during physical exertion and sports activities).

A common cause of injury may be an attempt to start exercising without proper warm-up and “warm-up” of the muscles. During a muscle injury, bleeding occurs inside the damaged muscle tissue, and then swelling and inflammation occur. This makes the muscles weak and causes pain during their functioning. Localized pain is the main symptom of muscle injury, but weakness may also be present.

Medicines

Many medicines can cause muscle weakness and muscle damage as side effect or an allergic reaction. It usually starts as fatigue but can progress if medication is not stopped.

Some antibiotics, anti-inflammatory painkillers can cause a similar effect, and long-term use of oral steroids also causes muscle weakness and wasting. There are also a number of less commonly used medications that can cause muscle weakness and muscle damage. These include certain heart medicines, chemotherapy medicines, HIV medicines, interferon, and thyroid medicines.

Other substances

Long-term alcohol use can cause weakness in the shoulder and hip muscles. Smoking can indirectly weaken muscles. Smoking causes narrowing of the arteries, leading to peripheral vascular disease. Cocaine. Abuse of this drug causes marked muscle weakness, just like other psychoactive substances.

Related materials

With continuous fiber stimulation skeletal muscle the tension he develops weakens over time, despite the continued flow of stimuli (Fig. 30.27). Decrease muscle tension caused by previous contractile activity is called muscle fatigue.

Other signs of fatigue are a decrease in the rate of shortening and relaxation. The moment of onset of fatigue and the rate of its development depend on the type of muscle fibers, as well as on the intensity and duration of muscle work.

If, after the onset of fatigue, the muscle receives a rest, especially an active one, its ability to contract when stimuli are resumed can be restored (Fig. 30.27). This is due to the removal of lactic acid and the renewal of energy reserves in the muscle. The rate of recovery is determined by the duration and intensity of the previous activity. Some muscle fibers tire quickly with continuous stimulation, but recover just as quickly after a short rest. This type of fatigue (high-frequency fatigue) accompanies high-intensity exercise of short duration, such as lifting a heavy load. Conversely, the so-called low-frequency fatigue develops relatively slowly during prolonged, not too intense exercise with cyclic periods of contraction and relaxation (for example, when running on long distance); after that, a much longer rest period, often up to 24 hours, is required for full recovery of the muscle.

One could explain fatigue by the expenditure of an energy donor - ATP. However, it has been found that muscle ATP content after fatigue is not much lower than at rest, and such a decrease is not sufficient to disrupt the cross-bridge duty cycle. If the muscle continued to contract without fatigue, the ATP concentration could eventually drop to a critical level where the cross bridges remain stably attached (rigid configuration) and damage to the muscle fibers occurs. Therefore, muscle fatigue could appear as a protective mechanism that prevents the onset of stiffness.

Many factors play a role in the development of skeletal muscle fatigue. With high-intensity short-term exercise, fatigue occurs primarily due to the fact that the conduction of action potentials along the transverse T-tubules deep into the muscle fiber is disrupted and Ca2 + is no longer released from the sarcoplasmic reticulum. This violation of conductivity is due to the fact that in a small volume of T-tubules, after each next action potential, K + ions gradually accumulate; as a result, the T-tubule membrane is partially depolarized and, finally, ceases to conduct action potentials. During rest, membrane excitability is quickly restored due to the diffusion of accumulated K+ ions from T-tubules.

During low-intensity long-term exercise, a number of processes contribute to fatigue, and none of them can be recognized as the main cause of it. One of the very important factors- accumulation of lactic acid. Since the conformation (and, consequently, activity) of protein molecules significantly depends on the cytoplasmic concentration of H + ions, an increase in the acidity of the intracellular environment affects the structure of muscle proteins - actin, myosin, as well as proteins involved in the release of Ca2 +. In order for the state of the muscle fiber to be restored, the synthesis of new proteins is needed instead of those that have changed during fatigue. And finally, another factor is the expenditure of muscle glycogen; a decrease in the supply of this important energy source for contraction correlates with the onset of fatigue, although ATP depletion is not the ultimate cause of fatigue.

There is a completely different type of fatigue: it develops not in the muscle, but in certain areas of the cerebral cortex, which, in this case, cease to send excitatory signals to motor neurons. The process is called

Fatigue, weakness, constant fatigue, lethargy, constant lack of energy.
Typical chronic fatigue.

chronic fatigue syndrome (CFS), which began to be talked about in the 80s of the twentieth century, is one of the least studied diseases. Many experts doubted that this disease really exists, and is not a manifestation of depression or a fantasy of suspicious people. Chronic fatigue syndrome affects, regardless of gender, in the most productive and working age from 20 to 50 years.Many open and accessible studies confirm: "a decrease in the activity of certain genes leads to a deterioration in the ability of the human body to withstand stress, including aging and disease."

A variety of reasons lead to the most important thing - the slowing down of metabolic processes in cells and the accumulation of waste products in tissues. Fatigue causes a huge consumption of oxygen and glycogen, excess lactic acid, accumulation of amino acids, hormones and other protein substances in the blood.Currently, chronic fatigue syndrome in Russia is mostly recorded in environmentally unfavorable regions, in cities with big amount transport, in industrial areas where there is a high level of environmental pollution with chemically harmful substances or an increased level of radiation. These factors negatively affect the health of the immune system, weaken it (clinically this stage is defined as fatigue cider), which contributes to the activation of latent viruses.

What are the clinical manifestations of chronic fatigue syndrome?Firstly, it is a constant feeling of lethargy and weakness that does not go away after a night's sleep and proper rest. These manifestations, in fact, are not associated with the intensity of physical or emotional stress. Patients constantly feel overwhelmed, they want to sit or lie down. Any load that previously went unnoticed - for example, homework or socializing with friends at a party - quickly exhausts, causes irritation and a desire to retire. Due to constant asthenia, unwillingness to do anything and complaints of weakness, such patients can give the impression of being lazy, "loafers" or "simulators" on others, since it would seem that there are no objective reasons for their behavior. Especially if a young and physically strong person complains of lethargy and fatigue during insignificant work.

The second important manifestation of chronic fatigue syndrome is muscle and joint pain. These pains can be non-intense, aching, sometimes intensifying, sometimes passing for no apparent reason. Their presence leads many physicians to attribute chronic fatigue syndrome to the group of fibromyalgia - immune or hereditary diseases of the muscles and fascia. In this case, the body temperature is usually normal; muscles are neither hot nor tense. Along with muscle, often the appearance of headaches, as well as discomfort In eyes.One of the most common complaints that people go to the doctor with is fatigue, which is called differently: weakness, fatigue, lethargy, lack of energy. When ordinary activities exhaust you, you suffer from fatigue, the causes of which can be very diverse.

It has previously been suggested that the cause of the disease may be a virus, in particular the Epstein-Barr virus; in addition, it was assumed that the disease is based on impaired immunity, but both these theories have recently been refuted.Chronic fatigue syndrome is a fairly common disease.The nervous, hypothalamic-pituitary-adrenal and immune systems, the flexible interaction of which and their stable functioning as a whole determine the body's resistance to psycho-emotional overload and the action of various environmental factors. Apparently, it is the violation of the interaction between the nervous, immune and endocrine systems that plays essential role in the development and progression of chronic fatigue syndrome.

Another difference between typical chronic fatigue syndrome and chronic fatigue syndrome is that chronic fatigue syndrome does not feel like normal fatigue. The feeling of fatigue in CFS is much stronger than even the extreme degree of fatigue after a severe hangover. Patients with CFS suffer from chronic stress of the nervous system, and not just from physical or nervous exhaustion, which all of us experience from time to time. Fatigue is a mandatory, but far from the only sign of this disease. Start clinical manifestations chronic fatigue syndrome is associated, as a rule, with the transferred “cold disease” - influenza, tonsillitis, adenovirus infection, and less often - with emotional stress. Milder cases of CFS at the stage of fatigue syndrome usually remain unrecognized, and in more severe cases of the disease, after numerous consultations of various specialists, the patient is often diagnosed with a febrile state of unclear etiology.

Clinically, persistent symptoms of CFS are: severe fatigue and muscle weakness that does not improve after a night's sleep, superficial sleep with nightmares, difficulty falling asleep. Mood variability during the day under the influence of the most insignificant psychogenic factors and a recurring state of depression are characteristic, in which patients feel the need for solitude, they have a feeling of depression, and sometimes hopelessness. Thus, one part of the symptoms of CFS is inherent in infectious diseases (fever, generalized lymphadenopathy, splenomegaly, myalgia, etc.), and the other part is associated with borderline neuropsychiatric conditions (unreasonable fatigue, sleep disturbance, depression, memory loss, muscle weakness, frequent mood swings). and etc.).

Other symptoms of chronic fatigue syndrome include diffuse pain in the muscles of the trunk and limbs. This pain is not intense. Most often, it is dull, aching or pulling, and most importantly - constant, which creates a certain discomfort. Almost all patients report chilling, less often pronounced chills and subfebrile condition (37.5-37.8 ° C), which persists for months. Along with myalgia in CFS, arthralgia is also often noted: this is usually pain in large joints, which is of a constant aching character. For patients with CFS, especially individuals young age, the presence of frequent respiratory viral infections, repeated tonsillitis is characteristic, and upon detailed examination by an otolaryngologist, they often reveal chronic tonsillitis. However, the sanitation of the palatine tonsils does not improve the condition of patients, low-grade fever and weakness persist.