MEDICAL MATTERS
- Medical Matters features questions asked by Members of the ME Association on health-related topics.
- Dr Charles Shepherd and the ME Association's other advisers answer these questions by sharing their expert knowledge.
- Medical Matters is based on the popular ‘Ask the Doctor’ series in ME Essential magazine.
- It is a free resource that supplements the detailed information contained in the full range of literature that can be found in the website shop.
Search all questions
Choose a letter to see our categories
- Show all
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- Y
- c
- h
- 5
- ME Connect
- ME/CFS
- ME/CFS Biobank
- MMR
- MNA
- MRI
- MS
- MUST
- Macrocytosis
- Magnesium
- Magnetic Resonance Imaging
- Mainstream Media
- Malnutrition
- Malnutrition Universal Screening Tool
- Management
- Manchester Brain Bank
- Mast Cell Disease
- Mast Cells
- Media
- Medical Condition
- Medical Consent
- Medical Disclosure
- Medical Records
- Medical Research
- Medical assessment
- Medications
- Melatonin
- Memory
- Memory Problems
- Menieres’s Disease
- Meningitis
- Menopause
- Menstruation
- Mental Function Assessment
- Mental Health
- Mental Health Act 1983
- Mepivacaine
- Mestinon
- Metabolism
- Metabolites
- Metabolomics
- Methylprednisolone
- Metoclopramide
- Micro Clots
- Microbiome
- Microbiota
- Migraine
- Minerals
- Mini Nutritional Assessment
- Mirtazapine
- Mitochondria
- Mobility
- Modafinil
- Molnupiravir
- Mononeuropathy
- Mortality
- Motor Neuropathy
- Mouth Ulcers
- Multidisciplinary
- Multiple Sclerosis
- Muscle
- Muscle Cramps
- Muscle Pain
- Muscle Relaxants
- Muscle Spasm
- Muscle Wasting
- Muscle Weakness
- Myalgic Encephalomyelitis
- Myalgic Encephalopathy
- Myasthenia Gravis
- Myelin Sheath
- Myoclonic jerks
- Myoclonus
- Myopathy
- Myositis
Questions in the Category: Muscle Weakness
Decreasing muscle strength as we grow older – sarcopenia
I am in my mid sixties and have had moderate ME/CFS for about 20 years. Over the past year I've noticed a slow but steady decline in the muscle strength in my thigh muscles. This has reduced the distance I can comfortably walk and some difficulty in climbing stairs.
My GP was very good and in addition to doing a physical examination checked some blood tests – all of which were normal. He has told me that I probably have something called sarcopenia and that ME/CFS is exacerbating what can be a natural consequence of ageing.
My question is whether most people over the age of 60 who have ME/CFS are likely to experience a similar decline in muscle strength and whether there is anything that can be done to help.
10 KEY FACTS: THE THYROID GLAND AND THYROID FUNCTION TESTS IN RELATION TO ME/CFS
What is low thyroid function/hypothyroidism and how do the symptoms overlap with ME/CFS?
Does ME involve spinal cord inflammation?
Earlier this year, I suddenly developed severe back pain, loss of balance and was unable to walk in a straight line. I was sent to casualty where I had a CT and MRI scan. I was then diagnosed as having severe spinal inflammation.
The MEA purple book states that there is no evidence of brain or spinal inflammation (= encephalomyelitis) in ME/CFS.
But are we missing something here? Could symptoms such as back pain, poor coordination and abnormal sensations that are commonly reported in ME be caused by inflammation in the spinal nerves?
Hyperparathyroidism
Many symptoms of Hyperparathyroidism are similar to ME/CFS and Fibromyalgia. Would a GP be able to recognise hyperparathyroidism and what are the treatment options?
Low sodium levels – Hyponatraemia
I’ve been feeling generally unwell and more fatigued – mentally and physically, for the past few months.
My GP ordered some routine blood tests – all of which were normal apart from having a slightly lower than normal level of sodium in the blood. My GP isn’t too concerned and is going to repeat the blood test. Could a low sodium level be caused by having ME?
Post-Viral Fatigue Syndrome, Myalgic Encephalomyelitis or Encephalopathy, Chronic Fatigue Syndrome, and Long Covid
Please can you define what PVFS, ME/CFS, and Long Covid mean. I am having difficulty determining if they are the same disease or different. Thank you!
Treatment: Low Dose Steroids
I’m having joint problems at the moment and my consultant wants to inject a steroid into the joint to calm things down. I’m concerned that this could make my ME/CFS worse because I thought that people with ME/CFS should not take steroids. What do you suggest I do?
Sjögren’s Syndrome
I know that joint pains sometimes occur in ME/CFS and this is a symptom that I’ve occasionally had over many years – but without any swelling, redness or deformity occurring. But I’ve also developed more persistent joint pain, dry eyes and my fatigue levels are considerably worse. My GP is questioning whether I might now have a condition cause Sjögren’s Syndrome which he says can sometimes be misdiagnosed as ME/CFS. But can it co-exist with ME/CFS?
Addison's Disease
I was interested to see the item on Addison’s disease in the Winter issue of ME Essential as I have a close friend with this rare disease and it obviously has some interesting symptom overlaps with ME/CFS. So is there any evidence that adrenal gland failure, and steroid hormone production, could also be involved in ME/CFS? If so, would it be worth looking at steroids as a possible form of treatment for ME/CFS?
Treatment: Tryptophan
I’ve read that taking a tryptophan supplement is helpful for people with ME. Is this true? And are there any side-effects?
Dr Charles Shepherd
Dr Shepherd has been Trustee and Hon. Medical Adviser to the ME Association for more than 40 years. He is integral to the charity's activities and provides information and support based on his professional knowledge, personal experience as a doctor with ME/CFS, and the understanding gained from helping many thousands of people with the condition. He was a member of the comittee responsible for the 2021 NICE Clinical Guideline and is a recognised expert on ME/CFS in the UK. His knowledge extends to Post-Viral Fatigue Syndromes (PVFS), Myalgic Encephalopathy/Encephalomyelitis (ME), Chronic Fatigue Syndrome (CFS), and Post-Acute Sequelae of SARS-CoV-2 infection (PASC) or Long Covid.
If you have questions about ME/CFS or Long Covid, you can:
- Review the free information in the What is ME/CFS section of the website, and the free Covid-19 and Long Covid information in the website shop.
- Review the largest range of literature covering all aspects of living with ME/CFS. Download detailed information about symptoms, diagnosis, management, co-mordities, employment, education, related health conditions, The 2021 NICE Clinical Guideline, welfare benefits etc.
- Join the ME Association as a member and you'll receive the highly-rated ME Essential magazine, and you can ask questions of the charity’s expert advisers including Dr Shepherd.
- Contact us via the ME Connect Telephone Helpline (open 365 days a year) and speak to one of the national team of fully-trained volunteers who waiting to provide information and support.
- Contact us via email or social media:
Medical Matters is based on the popular ‘Ask the Doctor‘ series featured in the highly-regarded member’s magazine, ME Essential, and in the healthcare professional magazine, ME Medical. Both are produced by the ME Association and published as hard-copy magazines every 3 months and sent to members and healthcare professionals by post to home or business addresses.
If you are an HCP you can sign-up here to receive ME Medical magazine (people with ME/CFS can also nominate their HCP by completing the sign-up form).
