Chronic Fatigue Syndrome
An In-Depth Overview and Treatment Options in the UK
Introduction
Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a complex and debilitating condition that affects physical and mental well-being. It is characterised by extreme fatigue that persists for six months or longer, not improved by rest and worsened by physical or mental activity. In the UK, Chronic Fatigue Syndrome impacts an estimated 250,000 people, affecting their ability to work, socialise, and engage in daily activities.
At PhysioElm, we are dedicated to improving the lives of individuals with CFS through tailored physiotherapy programmes that focus on symptom management, improving mobility, and restoring quality of life.
Symptoms and Diagnosis of Chronic Fatigue Syndrome
CFS presents a range of symptoms that vary in severity and duration, including:
- Persistent fatigue: Fatigue that doesn’t improve with sleep or rest.
- Cognitive difficulties: Issues with memory, concentration, and decision-making, often referred to as “brain fog.”
- Muscle and joint pain: Unexplained pain not attributed to an injury or condition.
- Sleep disturbances: Difficulty falling or staying asleep, coupled with unrefreshing sleep.
- Post-exertional malaise (PEM): A worsening of symptoms after physical or mental exertion.
- Other symptoms: Sore throat, swollen lymph nodes, headaches, and digestive issues.
Diagnosis often involves ruling out other conditions through comprehensive medical assessments and symptom history.
Causes of Chronic Fatigue Syndrome
The exact cause of CFS remains unclear, but research points to a combination of factors, such as:
- Viral infections (e.g., Epstein-Barr virus).
- Immune system dysfunction.
- Hormonal imbalances.
- Physical or emotional trauma.

Understanding these underlying causes is essential in developing personalised treatment plans.
PhysioElm’s Approach to Chronic Fatigue Syndrome
At PhysioElm, we specialise in evidence-based physiotherapy techniques designed to address the unique challenges of CFS. Our approach includes:
- Graded Exercise Therapy (GET)
We introduce light, structured physical activity tailored to individual tolerance levels to gradually improve strength and endurance. - Pacing Strategies
Pacing helps manage energy levels, preventing overexertion and reducing the risk of post-exertional malaise. - Manual Therapy
Our physiotherapists use gentle techniques to alleviate muscle stiffness, enhance mobility, and promote relaxation. - Breathing Exercises
Focused breathing techniques aid in reducing anxiety, improving oxygen flow, and enhancing overall energy levels. - Education and Self-Management
We empower our clients with the knowledge to recognise triggers, manage symptoms, and make lifestyle changes to improve their condition.
Key Benefits of Choosing PhysioElm
- Personalised Care: Every treatment plan is customised to meet your specific needs and symptoms.
- Convenient Access: Online and in-clinic consultations provide flexibility and accessibility.
- Expert Guidance: Work with certified physiotherapists who specialise in CFS treatment.
- Holistic Approach: We focus on both physical and emotional well-being to ensure comprehensive care.
Living with Chronic Fatigue Syndrome in the UK
Managing CFS involves a combination of medical, physical, and emotional support. At PhysioElm, our team collaborates with healthcare providers to ensure an integrated care approach. We also recommend joining support groups in the UK, such as Action for ME or the ME Association, for community and additional resources.
Treatment and Support for Chronic Fatigue Syndrome
Chronic Fatigue Syndrome can feel overwhelming, but with the right treatment and support, managing symptoms and improving quality of life is achievable. At PhysioElm, we are committed to helping individuals regain control through expert physiotherapy and holistic care. For personalised treatment plans or to learn more about our services today, book an appointment. Let us support you on your journey to better health.
- Chronic fatigue syndrome/ myalgic encephalomyelitis (CFS/ME) – PDF

- Chronic Fatigue Syndrome (Research Paper) – PDF

- Chronic fatigue syndrome and relaxation
