fatigue-coffee.jpgThere is an endless list of things to do it seems. Where should you start? The more you think about it, all you want to do is go back to bed. You don’t have the energy needed to just dig in. Why are you feeling this way? It’s as if there is an enemy within battling you…and the enemy is FATIGUE.

Dealing With Fatigue

Fatigue is a primary symptom of most forms of inflammatory arthritis. Fatigue may be especially debilitating when the disease is active and it greatly impacts daily living.

The extra effort needed to carry out basic tasks for people with chronic arthritis, involving mobility and movement, tires them to a greater extent than it does healthy people. Movement can be particularly difficult in the morning when stiffness is the worst. There exists a wide range of functional difficulties experienced by people with arthritis and related diseases.

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323038245_2dac33aa8b.jpg13. Consider complementary treatments

Discuss with your doctor whether a trial of NADH, carnitine, co-enzyme Q10 or one of the other complementary treatments is worthwhile. Some of these are beyond the normal range of treatments that a GP will use or have experience of, so it won’t always be possible for the doctor to express an informed opinion about them. Hopefully, most doctors have no objections to agreeing to safe treatments, even if the chance of success is low.

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2943132410093696407s600x600q85.jpg10. Sort out pain control

Painkillers may help muscle pains; it’s best to start with the simple ones such as paracetamol (eg Panadol), using them at the correct dose and sufficiently often. Taking painkillers after a pain has come on is fine for occasional symptoms. However, if the pain is regular and you wait until you can’t tolerate it before taking the medicine, you won’t get full relief.

Mixtures of paracetamol and codeine are slightly more effective, but can cause constipation or nausea. Anti-inflammatory medicines of the ibuprofen (eg Nurofen) family (called NSAIDs or non-steroidal anti-inflammatory drugs) are also worth trying, but may cause indigestion and, rarely, allergic reactions. Aspirin (eg Disprin) has been noted to be more effective than some other analgesics, but may cause stomach upset.

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