Fatigue and Post Exertional Malaise
During your recovery from any illness, including coronavirus (COVID-19), you may experience fatigue. Fatigue is more than tiredness, it can be debilitating and affects what you are able and want to do. Please see resources for more detail on Fatigue.
Sometimes the smallest amount of physical, mental, emotional, or social activity can trigger post-exertional malaise (PEM), also known as Post Exertional Symptom Exacerbation (PESE), resulting in a worsening of symptoms, and leading to a decrease in day-to-day activity. The worsening of symptoms is often delayed by hours or days and relative improvement can take much longer to achieve. It is not always apparent when PEM might occur which makes it one of the more difficult symptoms to recognise and manage.
Despite exercise and activity being essential for health and wellbeing, if PEM is suspected a different approach is required. Please see Post-Exertional Symptom Exacerbation — Long COVID Physio
Graded exercise therapy should not be recommended for patient with post-exertional symptom exacerbation.
For more information, please follow the links below,
Long COVID: Fatigue | Long-term effects of COVID-19 (nhsinform.scot)
Recovering from COVID-19: Post viral-fatigue and conserving energy - RCOT
NHS Inform has information on dealing with crashes linked to Post Exertional Malaise this is a useful guide.
Fatigue and Brain Fog - NHS Lothian
Published: 19/04/2024 10:13