10. Fatigue: The Overwhelming Weight of RRMS
Perhaps one of the most debilitating and common symptoms of RRMS is fatigue. It’s not just about feeling a little tired after a busy day; it’s an overwhelming, pervasive exhaustion that doesn’t necessarily improve with rest.
Fatigue in RRMS can be so profound that it often disrupts daily activities. Simple tasks like preparing a meal or even holding a conversation can seem like insurmountable challenges. Unlike general tiredness, this fatigue can strike suddenly, often described as “hitting a wall.”
The underlying causes of this fatigue are multifactorial. On one level, the body’s continuous battle against inflammation and the repair processes can be taxing. Additionally, other symptoms of RRMS, like disrupted sleep due to spasticity or bladder issues, can further compound fatigue.
Managing fatigue in RRMS is nuanced. It’s not just about getting more sleep, but understanding and listening to one’s body.
Scheduled rest periods, energy-conserving techniques, and even certain medications can play a role in managing this pervasive symptom. Moreover, psychological interventions, like cognitive-behavioral therapy, can provide coping strategies, helping individuals adapt to their new energy levels. (10)
