Managing fatigue with a neurological condition
Neurological fatigue is one of the most common and frustrating symptoms for people living with neurological conditions such as Multiple Sclerosis (MS), Parkinson’s Disease (PD), stroke (CVA), traumatic brain injury (TBI), and chronic migraines. Unlike everyday tiredness, neurological fatigue is not always relieved by rest and can affect your cognitive processing, mobility, and mood. Neurological, or “central”, fatigue is not simply tired muscles – it’s a complex, multifactorial symptom involving the brain, body, and emotional state.
Understanding the causes of this fatigue and developing strategies to manage it can help improve your daily life and overall well-being.
What does neurological fatigue feel like?
Neurological fatigue has been described as:
- An overwhelming sense of exhaustion, even after completing small, simple tasks
- A sudden “energy crash” during the day
- Difficulty concentrating or staying alert (“cognitive fatigue”)
- Weakness or slowed movement as the day progresses
Why does it happen?
Neurological fatigue can occur for several reasons:
- Changes in brain function: damaged nerve pathways require more effort to send signals which consumes more energy
- Sleep disturbances: pain, spasticity, mood, or medication side effects can disrupt rest
- Mood and mental health: anxiety and depression can amplify the feeling of fatigue
- Medication effects: some drugs used to manage neurological symptoms can cause drowsiness
- Deconditioning: reduced activity levels can weaken muscles and stamina
How can I better manage my neurological fatigue?
- Pace and prioritise
Learn to plan your day around your energy levels. Prioritise essential tasks and spread them throughout the week and take short rest breaks before exhaustion sets in.
- Energy conservation techniques
Use adaptive equipment (e.g., shower chair, mobility aids) to reduce effort. Sit whenever possible to conserve energy. Organise frequently used items within easy reach.
- Exercise and Movement
Though it may sound counterintuitive, gentle, regular exercise can improve energy and stamina over time. When you become fitter, your body uses oxygen more efficiently. This means that it is less effort to perform daily activities. The heart and lungs work more effectively, reducing the “energy cost” of movement. Weak or deconditioned muscles fatigue quickly so strength and endurance training will improve muscle efficiency and reduce the need for compensatory movements that waste energy.
If you are new to exercise, choose low-impact options like yoga, swimming, or walking.
At Neurological Physiotherapy we can work with you to develop a safe exercise plan.
- Sleep Hygiene
Quality sleep is essential to ensure that your body and mind is fully rested and restored:
- Maintain a consistent bedtime and wake time
- Avoid caffeine and screens before bed
- Create a calm, dark, and cool sleeping environment
- Seek specialist help if you are suffering for severely disrupted sleep
- Nutrition and Hydration
Eating balanced meals with complex carbohydrates and protein for sustained energy, can keep your energy levels up throughout the day. Staying hydrated is important as dehydration can worsen fatigue so try to limit alcohol, caffeine, and highly processed foods.
- Cognition
Cognitive fatigue can be managed by taking mental breaks, minimising multitasking, and using reminders.
- Medication Review
Speak to your healthcare provider about your medications. Adjustments or alternatives may reduce your fatigue without compromising other symptom control.
Final Thoughts
Neurological fatigue is a complex and invisible symptom, but it can be managed. With the right combination of lifestyle adjustments, pacing strategies, and professional support, individuals living with neurological conditions can regain control of their energy levels and improve their quality of life.
At Neurological Physiotherapy we use a holistic approach to manage the symptoms of neurological fatigue. Contact the clinic for more information about how we can support you.
