Fatigue

Fatigue is common after stroke, with 50 per cent of survivors in one study saying tiredness was their main problem twelve months on.

Fatigue can affect anyone who has had a transient ischaemic attack or a stroke. It does not matter how mild or severe the stroke.

Fatigue is a feeling of weariness, tiredness or a lack of energy that is not improved by rest. Symptoms of fatigue can include headache, dizziness, blurred vision, increased pain, aching muscles and reduced coordination and balance. Other symptoms include ‘brain fog’, impaired memory and decision-making, moodiness or irritability, anxiety and depression or low motivation.

The cause of fatigue after stroke remains unclear but one simple explanation is that cognitive, physical and sensory changes mean that everything takes more effort. There’s also the theory that the neuroplasticity involved in recovery is a physical process, which is actually fatiguing. For some stroke survivors fatigue improves over time, whilst for others it can be persistent and debilitating.

Despite fatigue being so prevalent after stroke, it isn’t always discussed until it becomes problematic. Fatigue can affect all areas of your life, including your ability to participate in rehabilitation.

If you are living with fatigue, it’s important to be realistic about how much you can do. Plan shorter periods of activity, and slot in rest periods when needed. Survivors often recommend focusing on what is most important and learning to say “I’m sorry, I can’t at the moment” when necessary. Eating a healthy diet, drinking plenty of water and getting exercise is also important.

There are lots of things that you can do to help better manage fatigue. Speak to your doctor or a health professional for advice on reducing the impact of fatigue on your life.