Community Thoughts: Managing Fatigue
One potential symptom of migraine that sometimes goes unrecognized, and also happens to be quite a challenging one to deal with, is fatigue. So, we asked our Facebook community for ideas on dealing with it. See how the community responded to the question: Does anyone have tips for managing fatigue?Please feel free to add your own ideas in the comments below!
I find specific strategies helpful...
- Take naps. Naps are awesome.
- Give your body the rest it is begging for. I sleep, I let my body recover. And the next morning, the fatigue and other migraine cycle symptoms are so much better.
- It's not so much about managing fatigue as managing your schedule. I am tired almost all the time but there's another level of exhaustion, and when I get there I know I have to cut back quickly or I'll have another migraine. It takes a lot of energy to be this special!
- I just force myself to do martial arts. I know it sounds weird but an hour of it 5 days a week is my sanity.
- In my case, the fatigue from a migraine storm can trigger a CFS relapse. I have to be cognitive of increased fatigue and slam on the brakes.
- I learned about ART - Aggressive Rest Therapy - years ago and practice it when the fatigue starts to take over.
- Balance. So hard keeping the balance.
- Light exercise in the early morning sun - making sure to expose your face and arms to the sunlight for at least ten minutes - everyday. Even if it isn't sunny - walk.
- Give yourself permission to rest. The vestibular system needs time to reset. If it takes longer than a few days, though, call your neuro, or your trusted doc. Last time, I was going on three weeks (got scolded) and went on ten days of Ativan - it got me out of the post-migraine weeds, so to speak. Was back on my feet in no time.
- Exercise. It sounds counter-intuitive. But the worse I feel physically (in terms of fatigue, not migraine), the more I need to hit the gym.
- When I am exhausted but still need to get some things done, the 20 minute nap is my friend. I try to get something done, then take a 20 minute rest. Then I try to tackle another task. Work a little rest a little. This way I don't push myself, pushing through usually leads me to another migraine.
- Retirement... LOL!
- Yoga helps... even a very gentle and restorative class if that is all you can manage.
- It just depends on the day. Sometimes it's rest. Others it is push through.
- Just keep breathing. It's all you can do.
I focus on giving my body the rest it needs...
- Sleep if you can - fighting fatigue makes it worse.
- If I'm fatigued, I do whatever my body tells/allows!
- Know your limits and don't push yourself too hard. Don't beat yourself up about not being able to do it all.
- Embrace it. It is not our fault we need to rest and feel terrible when fatigued. I sit or lay down because my motor skills slow down. Don't drive.
- The only thing I can do is to honor the exhaustion and allow myself to sleep.
I use particular supplements, foods, or medications...
- I take Black Cohosh for menopause and have found my fatigue, although still there, is not as bone crushing as it was before I started taking it!
- Royal jelly supplements really help.
- Pumpkin seeds (unsalted), coconut water, watermelon, green leafy veg, avocados, etc.
- Good proteins... eggs, pastured chicken, beef.
- Green tea
- I swear by vitamin B12 for fatigue. I get the Sublingual Tables from a vitamin store so I know the dose is regulated. I still have fatigue but B12, D3, and a multivitamin helps me.
- My only go to that even helps my brain function is coffee.
- B-12 shots
- Vitamin D
- I suffered daily unbearable fatigue for years. I would constantly be in a fog and could barely keep my eyes open. Five years ago, my doctor started prescribing to me 30mg of adderall to be taken each morning. For me, this has made a huge difference!
- I have to take 1/2 doses of ritalin throughout the day
- I take 250 mg of standardized rhodiola rosea every morning.
- Hydrate. Usually I up my consumption of natural electrolytes and foods with magnesium.
I've looked into other conditions...
- Maybe try a sleep study. Even mild sleep apnea can cause extreme fatigue and migraines. I have very mild SA, but a very stressful life. The CPAP machine is helping me feel less congested, more alert, and the migraines are more manageable.
- Has anyone considered narcolepsy along with their migraines? I have had migraines since I was 10 years old, and I'm in the process of being diagnosed with narcolepsy.
How about you? Please share your tips for managing fatigue in the comments!
How much has your migraine disease changed or evolved over time?