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Living with Chronic Fatigue Syndrome: Is it good to exercise?

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Living with Chronic Fatigue Syndrome: Is it good to exercise?

Chronic Fatigue Syndrome makes you extremely tired and affects your sleep quality. So, can exercising help to manage the symptoms? Let’s find out on World Chronic Fatigue Syndrome Awareness Day.

Exercise is not just meant to manage a healthy weight, but also to reduce stress, as well as to keep bones and joints in top shape. Some moves may also be recommended to manage health conditions such as osteoporosis, diabetes and hypertension. But what if you feel too tired to do any kind of physical activity? Chronic Fatigue Syndrome is a condition that leads to extreme fatigue. Even after resting, you will feel too tired to do anything. It also has an impact on the quality of your sleep and your ability to concentrate. So, is exercising the solution? On the occasion of World Chronic Fatigue Syndrome Awareness Day on May 12, we tell you how exercising may help people with this long-term condition.

What is Chronic Fatigue Syndrome?

Chronic Fatigue Syndrome or Myalgic encephalomyelitis is a condition that can lead to extreme tiredness. It can affect anyone, including children. According to the UK’s National Health Service, this long-term condition can make you feel so tired that it can make daily activities like going to work or taking a shower difficult.

Chronic fatigue syndrome affects your sleep quality. Image courtesy: Adobe Stock

It can cause sleep problems, including insomnia. Sometimes, people with this condition sleep too much, and still feel like they have not slept properly. It can also lead to brain fog, and make it hard to think and concentrate properly. Due to disabling fatigue, which is unpredictable, it can disrupt personal, professional and social life of the person with this condition.

Can exercising help people with Chronic Fatigue Syndrome?

Physical activity may help to improve the Chronic Fatigue Syndrome symptoms along with muscle strength and cardiovascular endurance. But exercises should be done with supervision, according to The Royal Australian College of General Practitioners. Exercising with Chronic Fatigue Syndrome must be approached very carefully. “Gentle and well-paced physical activity can offer certain benefits if done correctly,” says physiotherapist Neha Gill.

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Here are some of the benefits:

  • Improves circulation: Gentle movement supports better blood and oxygen flow to tissues, which can help reduce brain fog.
  • Prevents muscle deconditioning: Long periods of rest can lead to muscle weakness and joint stiffness. “Light activity helps maintain basic strength and mobility without overexertion,” says the expert.
  • Supports better sleep: Calming movements like stretching, or even deep breathing may improve sleep quality, which is often poor in people with Chronic Fatigue Syndrome.
  • Eases pain: Gentle stretching and mobility exercises can reduce muscle aches and stiffness.
  • Boosts mood: Movement, even if it is light, can increase the production of endorphins and serotonin, the feel-good hormones. “Exercising can help manage anxiety and depression that often accompany chronic illness,” says the expert.

Exercises for Chronic Fatigue Syndrome

There are benefits of exercising, but it doesn’t mean you engage in high-intensity workouts or push through fatigue. Also, many people with Chronic Fatigue Syndrome are prone to dizziness, especially while standing, as per the US Centers for Disease Control and Prevention. So, exercises that involve standing, especially without any support, should be avoided. Instead, try these exercises for Chronic Fatigue Syndrome:

1. Diaphragmatic (Belly) breathing

  • To try this technique, sit or lie comfortably.
  • Place one hand on your chest, the other on your belly.
  • Inhale through your nose so that your belly rises followed by ribcage.
  • Exhale slowly through your mouth and feel your belly fall gradually.
  • Repeat the steps for 5 to 10 breaths.

2. Seated marching

  • Sit upright in a sturdy and comfortable chair with your feet flat.
  • Lift your right knee a few inches, then lower.
  • Alternate to your left knee.
  • Do 10 to 15 repetitions slowly on each leg.

3. Seated shoulder rolls

  • Sit tall with your arms relaxed.
  • Roll your shoulders forward in small circles 5 times.
  • Then roll them backward 5 times.

4. Wall push-ups

  • You can try standing with support. Stand facing a wall, your arms stretched out and hands on the wall.
  • Bend elbows to slowly bring your chest toward the wall.
  • Push back to the starting position of wall push-ups.
  • Do 5 to 10 reps, and rest as needed.

5. Ankle pumps

  • Sit or lie down with your legs extended.
  • Flex your toes toward you then point them away.
  • Flex your ankle towards you then move it away.
  • Repeat the steps 15 to 20 times slowly.

6. Cat-cow yoga pose

  • Get on your hands and knees. You can use a cushion if you feel the need.
  • Inhale then arch back and look up.
  • Exhale, round your spine and tuck your chin.
  • Repeat about 5 to 8 times.
Chronic fatigue syndrome
Yoga may be beneficial. Image courtesy: Adobe Stock

7. Seated side bends

  • Sit in a chair with your hands by your sides.
  • Raise your right arm over your head and lean to the left.
  • Hold for 5 to 10 seconds, return, and switch sides.
  • Repeat 3 to 5 times per side.

Tips for exercising with Chronic Fatigue Syndrome

You need to be extremely careful while engaging in physical activity if you have Chronic Fatigue Syndrome. Here are a few tips:

  • Start with just 1 to 2 exercises per session if needed.
  • Rest between these exercises.
  • No pain no gain doesn’t work, so never push through your pain or fatigue.
  • Practice exercise in good posture, as doing any exercise correctly is far more important than repetitions.
  • Use support props like pillows, chairs or walls.
  • Understand your limits, and stay within your energy boundaries.
  • Drink water before and after doing exercises for Chronic Fatigue Syndrome. “Also, eat a small, energy-supportive pre-workout snack like a banana if needed before light movement,” suggests Gill.

You need to be cautious while exercising with Chronic Fatigue Syndrome. The goal is to gently support your health without worsening the symptoms. High-impact exercises or strenuous workouts can trigger crashes in people with Chronic Fatigue Syndrome. So, choose gentle moves and breathing instead. Talk to a doctor or physiotherapist before working out.

Related FAQs

How to resolve chronic fatigue syndrome?

There is no cure for chronic fatigue syndrome. But lifestyle changes, medication, and cognitive behavioral therapy and physical therapy may help to manage the symptoms.

Can you live a normal life with chronic fatigue syndrome?

Mildly impaired people with chronic fatigue syndrome may be able to go to work. However, careful planning and management of activities are needed.

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Strategic Exercise Techniques to Maximize Mood Elevation – The Boca Raton Tribune

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Strategic Exercise Techniques to Maximize Mood Elevation – The Boca Raton Tribune
A Shift in Scientific Understanding Reveals That the ‘Runner’s High’ Stems from a Complex Cocktail of Chemicals, Including Endocannabinoids, Which Can Be Triggered by Adjusting Duration and Social Context. The widely reported phenomenon of exercise-induced euphoria—often known as the “runner’s high”—is rooted in specific alterations to neurochemistry that generate feelings of hope, calmness, and social […]
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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

Hip soreness is a terribly common issue—it’s something that I certainly suffer with—so I’m always trying to get to the bottom of where this soreness originates from and what you can do about it.

According to Dr Shady Hassan, MD, an interventional pain and sports medicine physician and the founder of NefraHealth, immobility is the root cause of this discomfort.

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

Modern exercise culture has spent years glorifying exhaustion. The harder a workout feels, the more effective people assume it must be. Sore muscles became badges of honor, while gentle movements were often dismissed as ‘not real exercise.’ 

A man lifting a dumbbell. Image credits: Andres Ayrton/Pexels

However, according to a new study, some of the most efficient ways to build muscle strength may happen during the slow, controlled moments people usually ignore—walking downstairs, lowering weights, or carefully sitting into a chair. 

Study author Kazunori Nosaka, who is the director of exercise and sports science at Edith Cowan University, argues that eccentric exercise—a type of muscle action that occurs while muscles lengthen under tension, may offer a more practical alternative. Its opposite, concentric exercise, is the shortening (lifting) phase where muscles produce force to overcome resistance.

Instead of demanding maximum effort, these movements appear to train muscles while placing less stress on the body.  

“The idea that exercise must be exhausting or painful is holding people back. Instead, we should be focusing on eccentric exercises which can deliver stronger results with far less effort than traditional exercise – and you don’t even need a gym,” Nosaka said.

Muscles work differently on the way down

The study examines decades of earlier research on eccentric exercise rather than presenting a single laboratory experiment. It focuses on a simple but often overlooked detail of human movement, which is how muscles behave differently depending on whether they are shortening or lengthening.

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When someone lifts a dumbbell, climbs stairs, or rises from a chair, muscles shorten as they generate force. Scientists call this a concentric contraction. Eccentric contractions happen during the opposite phase—when the muscle stays active while stretching. 

Examples include lowering the dumbbell back down, descending stairs, or slowly lowering the body into a seated position. According to the review, muscles can tolerate and produce greater force during eccentric actions while using comparatively less energy and oxygen. 

“Eccentric contractions are distinguished by their ability to generate greater force than concentric or isometric contractions, while requiring less metabolic cost,” Nosaka notes.

Researchers believe this happens because muscles act more like controlled braking systems during lengthening movements, resisting gravity rather than directly overpowering it. As a result, people may gain strength without putting the same level of demand on the cardiovascular system. 

This difference could make eccentric exercise especially useful for individuals who find traditional workouts physically overwhelming.

“Eccentric exercise training provides numerous benefits for physical fitness and overall health, making it suitable for a wide range of individuals from children to older adults, clinical populations to athletes, and sedentary to highly active people,” Nosaka added.

Gravity may be doing more training than we realized

To support this argument, the study brings together findings from several earlier research works. For instance, one study from 2017 tracked elderly women with obesity who repeatedly walked either upstairs or downstairs over a 12-week period. 

While climbing stairs is normally considered the tougher workout, the women assigned to walk downstairs showed stronger improvements in measures including blood pressure, heart rate, and physical fitness. The results suggested that resisting gravity during downward movement may provide a surprisingly powerful training effect.

YouTube videoYouTube video

The review also discusses eccentric cycling, where participants resist pedals driven backward by a motor instead of pushing them forward in the usual way. 

Although the movement feels unusual and requires concentration, earlier studies found it improved muscle power, balance, and cardiovascular health while feeling less exhausting than standard cycling workouts.

Another important part of the review addresses muscle soreness, one of the main reasons eccentric exercise never became widely popular outside rehabilitation settings. People often experience delayed onset muscle soreness, or DOMS, after unfamiliar eccentric workouts. 

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“Unaccustomed eccentric exercise is often associated with muscle damage characterized by delayed onset muscle soreness (DOMS) and a reduction in muscle force-generating capacity lasting more than a day. However, this effect diminishes or at least is attenuated when the same eccentric exercise is repeated (known as the repeated bout effect),” Nosaka explained

Many eccentric exercises require little or no equipment. Slow squats into a chair, heel-lowering movements, controlled wall push-ups, or even maintaining posture against gravity can activate eccentric muscle work. 

Moreover, some studies referenced in Nosaka’s review suggest that just a few minutes of these exercises each day can still produce measurable improvements in health and strength.

The future of fitness may feel less punishing

The findings challenge the mindset surrounding fitness itself. Many people abandon exercise routines because they associate physical activity with pain, fatigue, or lack of time. Eccentric exercise suggests that effective movement does not always need to feel extreme. 

If future research continues to support these findings, eccentric exercise could influence far more than gym routines. It may reshape physical rehabilitation, elderly care, injury recovery programs, and public-health recommendations aimed at increasing physical activity among sedentary populations. 

These exercises also place lower demands on the heart and lungs while still strengthening muscles. They could help people who are unable or unwilling to follow intense training programs.

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Nosaka suggests that “we should establish eccentric exercise as standard practice, and make it common, accessible, and widely accepted as the ‘new normal’ of exercise to improve life performance and high (athletic) performance.”

However, this does not mean eccentric exercise is a universal replacement for all forms of physical activity. The current paper is a review of previous studies, and its findings still need to be validated through experiments and large-scale clinical trials.

Nosaka also notes that “Future studies should investigate mechanisms underpinning the effects of eccentric exercises in comparison to other types of exercises (e.g., isometric exercises, concentric exercises, aerobic exercises),”  

This could help scientists design safer and more personalized exercise programs for different age groups and health conditions.

The study is published in the Journal of Sport and Health Science.

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