Fatigue Management & Living Well

Fatigue Management


Ann, at Unity Physiotherapy & Wellbeing, has a special interest in fatigue management and helping people learn to live well with fatigue, alongside her specialisms in neurology and persistent pain.  Ann has years of experiencing of helping people change and manage fatigue & pain, within living well with these things.  Those she has worked with most often are people with persistent pain, fibromyalgia, chronic fatigue syndrome/multiple encephalitis (CFS/ME) and people post stroke.  


There are many similarities, as well as some differences, in fatigue management for people with different conditions.  Although there are similarities with fatigue in different conditions each individual is different, this is why tailored care is so important.  


Long covid is something that Ann’s specialisms transfer across to treat, the principles of treating people with persistent pain and CFS/ME are especially relevant.  There are a lot of similarities with CFS/ME and there are also differences.


Like with persistent pain things like self-criticism, frustration, shame and anger are all common and normal human reactions to suffering with something.  These things commonly exacerbate symptoms & increase the suffering, we can change this.  There are many things that can help with this, including compassionate mind training.  Learning to live well with fatigue is possible. Ann lives with pain & fatigue herself and has learnt to live well with both.

What Happens in Fatigue Management:


Fatigue management at Unity Physiotherapy & Wellbeing includes specialist physiotherapy, yoga & wellness coaching to help you change & live well with fatigue.  More information on wellness coaching can be found here https://www.unityphysio.co.uk/services/wellness-coaching/


The first appointment is a holistic assessment of how fatigue is affecting you and your quality of life.  This involves understanding you and you life, including what activities are meaningful for you that you can’t currently do and would like to be able to do.


Treatment commonly includes:

  • Understanding fatigue including low & high energy physical & cognitive activities
  • Strategies to improve sleep
  • Breath practices & breath retraining
  • Autonomic nervous system training (this may include heart rate variability retraining)
  • Exploring what movements and exercise/physical activities can be done
  • Compassionate mind training 


We offer online (virtual)  appointments, as well as face to face (the latter have to be risk assessed based on Public Health England and the Chartered Society of Physiotherapy guidelines present).  Virtual appointments mean that you can have appointments with Ann from anywhere in the UK by phone and/or video.  If you would like to know more and find out if Ann could help you please get in touch to book your free phone call of up to 15 mins.