Treatment of chronic fatigue and stress

In our centre in Vilnius we apply a unique method of treatment of chronic fatigue and consequences of stress. Complex approach with kinesiotherapy, Bubnovsky method and functional recovery eliminates not symptoms but causes: pelvic misalignment, muscle imbalances, spasms and posture disorders. Individual programmes on Speedience machines with biofeedback. Get your energy and joy of life back!

Treatment of chronic fatigue and the effects of stress at the Paupio Kinesiotherapy Centre.¶

Why stress and fatigue can lead to serious health problems.¶

Chronic Fatigue: is a treatment-resistant condition characterised by excessive fatigue that does not go away after rest and is not related to physical activity. It may be accompanied by other symptoms such as muscle and joint pain, memory and concentration problems, headaches and sleep problems.

The main causes of chronic fatigue and stress:¶

The modern rhythm of life often leads people to ignore their body's signals, writing off fatigue and malaise as temporary difficulties.

However, constant tension and stress can lead to serious health problems such as pelvic misalignment, bowel cramps and cervical scoliosis.

Not only do these conditions reduce quality of life, but they can also cause chronic pain and migraines.

Those who lead sedentary lifestyles or work under constant stress are particularly at risk. Over time, the body can no longer cope with the strain, and even small physical efforts can cause severe fatigue and pain.

Another common cause is lack of physical activity and poor posture.

Sitting and lack of regular exercise leads to weakened muscles and poor posture, which in turn causes back and neck pain.

Age-related changes also play a role: without prevention and moderate exercise, tissues lose elasticity, and any awkwardness can provoke the disease. As a result, a mild discomfort develops into a chronic problem, and a simple treatment at an early stage is replaced by a long struggle with the consequences of stress.

Linking stress and physical well-being¶

Stress has a significant impact on a person's physical condition, causing muscle spasms and posture disorders.

The most significant are:

Pelvic misalignment - leads to poor balance and lower back pain.
Intestinal spasm - causes discomfort and digestive problems.
Cervical scoliosis - leads to headaches and migraines.

Chronic stress and fatigue causes:

reflexive muscle spasm,
disruption of blood supply and tissue trophism,
headaches and migraines.

This creates conditions for the development of chronic diseases and deterioration of general health. Chronic stress aggravates symptoms, forming a vicious circle: stress - fatigue - pain - deterioration of condition.

Timely diagnosis and treatment is mandatory for such symptoms of chronic fatigue. Treatment should include not only local therapy, but also lifestyle correction (kinesiotherapy, Bubnovsky method).

Stages of chronic fatigue and its symptoms:¶

Chronic fatigue is a condition that can lead to a number of symptoms affecting daily life.

At the beginning of the condition, there is most often a gradual deterioration in general well-being, which can manifest as constant fatigue and decreased performance.

Patients may notice that it becomes increasingly difficult to perform ordinary tasks. This is accompanied by a feeling of tension and fatigue in the muscles.

Over time, if treatment is not started, symptoms may worsen. One characteristic sign is the onset of headaches and migraines, which may be constant or occur under certain conditions.

The pain may be sharp or dull, sometimes radiating to the neck and shoulders. The pain may be worse at night, making it difficult to sleep peacefully.

In addition to pain and fatigue, patients may experience a feeling of inferiority, as if the body is ‘failing’. This is due to a worsening of the general condition due to stress and fatigue.

Over time, if the condition is left untreated, a chronic form of fatigue can develop.

In this case, the symptoms become constant, and performance decreases even more. Posture disorders may appear, leading to further deterioration of the condition. In such cases, patients may have significant difficulty performing everyday tasks such as work, household chores or recreation.

It is important to note that the progression of symptoms can vary depending on individual body characteristics and the extent of the disease. Starting treatment early can significantly improve the prognosis and prevent further deterioration of the condition.

The main mechanisms for the development of chronic fatigue are:¶

Hormonal imbalance - excess cortisol causes:
- Increased muscle tone
- Disturbance of microcirculation
- Decreased pain threshold
Neurological disorders:
- Hypertonus of neck muscles - cervical scoliosis
- Spasm of the diaphragm - respiratory disturbance
- Compression of cervical nerve roots - headaches.
Biomechanical changes:
- Pelvic misalignment (up to 3 cm difference)
- Functional shortening of the leg
- Disturbance of spinal statics

Save your health!

Do not tolerate discomfort and see a doctor at the first symptoms! In our centre ‘Paupio Kinezioteka Clinic’ our specialists will help you to eliminate the root causes of chronic fatigue.

Story of chronic fatigue treatment in our centre¶

A 45 year old woman came to us with chronic fatigue and the effects of stress for 4 years. We hope that this short story will help you to make the right choice and get hope for a positive result.

‘I was living like a fog...’¶

‘After my divorce and problems at work, I was literally falling apart. Constant migraines, intestines spasmed to the point where eating was impossible, and fatigue.... I woke up already broken. The slightest movement required incredible effort. My neck wouldn't turn, my back hurt all the time.

I went through all the doctors - gastroenterologist said I had IBS, neurologist said I had BPD, chiropractors temporarily levelled my pelvis, but after a week everything came back. Antidepressants, antispasmodics, massages - nothing had a sustainable effect.

When I came to Paupio Kinezioteka Clinic, I had:

4 cm difference in shoulder height
Pelvic misalignment 2.5 cm
50% limitation of head rotation
Spasmed bowel (soreness on palpation)
Chronic fatigue (FSS score 58 out of 63).

FSS Chronic Fatigue Scale

The Stanford University Fatigue Scale (FSS) is an instrument used to assess the level of fatigue in patients.

It consists of 9 questions, each of which is scored on a 7-point scale from 1 to 7, where 1 means ‘never’ and 7 means ‘always’.

9 questions

My motivation decreases due to fatigue.
Physical exertion makes me very tired.
I get tired easily even after small efforts.
Fatigue prevents me from performing work or home duties.
Fatigue makes it difficult for me to concentrate.
Fatigue interferes with my social life.
Even after resting, I feel exhausted(s).
My fatigue prevents me from doing sports or physical activity.
Fatigue is one of my biggest problems.

The total score is calculated by adding the scores for all questions and dividing by the number of questions (9).

The FSS scale is widely used in clinical trials to assess treatment efficacy and changes in patients' fatigue levels.

<36 points - normal or mild fatigue.
36-52 points - moderate chronic fatigue.
≥53 points - severe

Comprehensive diagnosis and explanation of the causes of chronic fatigue¶

When our patient first crossed the threshold of the centre, we saw a whole complex of interrelated problems. Her body was literally crying out for help - stiff neck, twisted pelvis, shallow breathing. A detailed examination revealed three key areas of disturbance:

Muscular imbalance was immediately apparent - an overstretched sternoclavicular muscle on the right was literally pulling her head to the side, while weakened gluteal muscles on the left could not hold her pelvis in the correct position. And the iliopsoas muscle, spasmed from constant stress, exacerbated this misalignment.

The respiratory system__ was working half-heartedly - the diaphragm, our main respiratory ‘pump,’ was moving with an amplitude of only 40% of normal. Instead of physiological diaphragmatic breathing, the patient was using superficial upper thoracic breathing, further increasing tension in the neck and shoulder girdle.

The Biomechanical abnormalities formed a clear picture: functional shortening of the right leg by 1.5 cm, block in the occipito-atlantar joint (C0-C1) and pronounced counterclockwise rotation of the pelvis. All this created a vicious circle of pain and tension.

Treatment strategy: three stages of recovery¶

Breaking the vicious cycle (first 6 weeks):¶

Relieve hypertonicity of the neck and lower back muscles with cryotherapy and myofascial release
Restore diaphragm mobility through breathing practices
Eliminate pain syndrome with decompression hangs on the Speedience simulator.
Begin pelvic alignment with gentle isometric exercises.

Rebuild the system (8 weeks of intensive work):¶

Form a new motor stereotype through kinesiotherapy complexes
Strengthen the muscular corset with emphasis on gluteal and deep abdominal muscles.
Introduce asymmetrical loads to correct pelvic misalignment
Connect neuromuscular stimulation of problem areas

Fix the result (6 weeks of stabilisation):¶

Switch to functional training with elements of everyday movements
We teach the patient techniques for self-correction and maintenance of results
Develop an individual home exercise programme
We conduct a final diagnosis and give recommendations for prevention.

Each stage was accompanied by FSS monitoring - we observed how fatigue scores gradually decreased, ease of movement and joy of life returned. The main thing is not just to eliminate symptoms, but to reboot the entire body system, giving it new, correct algorithms of work.

Main stages of the programme for the treatment of chronic fatigue and the effects of stress¶

Our centre uses a three-module recovery programme for comprehensive treatment. (Each module: 5-7 weeks, cycle ‘doctor's appointment - 6 sessions - control doctor's appointment - 6 sessions - final doctor's appointment’).

We adjusted the programme for our patient taking into account her individual peculiarities and made changes 2 more times at the end of the sessions in the centre. As a result, the patient followed the following programme:

Module 1: Decompression and relief of acute symptoms (6 weeks).¶

Goal

To eliminate muscle hypertonicity, restore breathing, relieve pain.

Example procedures:¶

Decompression on Speedience:
- Hangs with load control (30% of body weight).
- Cervical traction with biofeedback.
- Pelvic position correction on an inclined plane
Bubnovsky Method:
- Anti-gravity exercises to relieve spasm
- Breathing practices with emphasis on the diaphragm
- Local cryotherapy after exertion
Gut Rehabilitation:
- Visceral self-massage
- Vagus nerve activation exercises
- Special postures to relieve spasms

Clinical Reasoning

In case of pelvic tilt 2.5 cm and C0-C1 block:

First 3 weeks: gentle regime for adaptation.
4-6 weeks: gradual increase of the load
Obligatory monitoring of the breathing pattern

Follow-up with the doctor:¶

Pelvic tilt measurements
Assessment of cervical mobility
Diaphragmatic breathing test
FSS scale (goal is 30% reduction).

Module 2. Correction of Imbalances (8 weeks)¶

Goal

Eliminate pelvic misalignment, restore muscle balance, normalise posture.

Example procedures:¶

Pelvic Correction:
- Asymmetrical Speedience loads
- Stabilisation through gluteal muscles
- Kinesiotaping with the ‘lymphatic drainage+support’ method.
Cervical Rehabilitation:
- Postisometric relaxation C0-C1
- Neuromuscular activation
- Exercises with head position control
Breathing Correction:
- Breathing Diamond Trainer
- Diaphragmatic-Rib Mobilisation
- Parasympathetic stimulation

Important nuances

At functional shortening of the leg 1.5 cm:
- Corrective gymnastics with postisometric exercises
- Special traction exercises
For hypertonicity of the GCS muscle:
- Acupressure myofascial release
- Isometric relaxation

Monitoring with a doctor:¶

X-ray monitoring of pelvic position
EMG of muscle balance
Assessment of respiratory excursion
FSS scale (goal is to reduce to 30 points).

Module 3. Stabilisation and Prevention (6 weeks)¶

Goal

To consolidate results, build a stable muscle corset, teach self-control.

Key Methods:¶

Functional Training:
- Unstable platform exercises
- Multi-joint movements with posture control
- Proprioceptive training
Stress Adaptation:
- Breathing-movement complexes
- Training of heart rate variability
- Methods of psychophysical regulation
Home programme:
- Daily 20-minute complex
- Self-correction of pelvic position
- Breathing exercises

Expected results

Elimination of pelvic misalignment (confirmed by X-ray)
Restoration of diaphragmatic breathing
Reduction of FSS to 18 points
Results maintained after 6 months

Unique features of the programme¶

Combined Approach:
- Integration of kinesiotherapy and the Bubnovsky Method
- Simultaneous work with the pelvis, diaphragm and neck.
- Gradual increase of load
Control Technologies:
- Electronic monitoring on Speedience
- 3D posture analysis
- Dynamic EMG
Physiological adaptation:
- Taking into account the timing of regeneration (6-8 weeks)
- Individual adjustments
- Cyclicality of sessions

Important

The programme requires strict adherence to the steps! Skipping modules reduces effectiveness by 40%.

Chronic fatigue: why does rest not work?¶

Functional recovery as a solution to stress, pelvic misalignment and muscle imbalances¶

Many patients with chronic fatigue make the key mistake of viewing their condition as a temporary ailment that can be ‘tolerated’ or ‘cured’ with pills. They struggle for years with symptoms (insomnia, headaches, apathy), completely ignoring the root cause - deep functional disorders in the body. This approach is like trying to scoop water out of a boat without fixing the breach - fatigue returns again and again, forming a vicious circle of powerlessness and frustration.

Particularly dangerous is the common misconception that ‘stress just needs a break.’ In fact, chronic stress causes specific physiological changes - pelvic misalignment, spasm of the diaphragm, blocks in the cervical region - that cannot be eliminated by passive rest. Without targeted functional recovery, the body continues to work in ‘emergency operation’ mode, gradually depleting resources. At the same time, 80% of patients do not even realise that their fatigue has a clear biomechanical cause.

The fundamental difference in our approach is that we don't just relieve symptoms, we reboot the entire body system through conscious bodywork. When the patient begins to feel how the exercises align the pelvis, how the breathing practices release the diaphragm, how muscle blocks disappear - a powerful transformation of perception takes place. Treatment becomes a fascinating process of self-discovery, where each result motivates further achievements.

It is extremely important that this recovery takes place in a specially created positive environment - among similar people overcoming similar life situations. Group sessions, support from specialists, visible progress according to objective measurements (from a decrease in FSS scores to numbers on Speedience simulators) create a ‘positive reinforcement’ effect.

A person doesn't just get rid of fatigue - he/she learns a new, conscious way of life, where taking care of health becomes a natural and pleasant habit.

Get your energy and health back! Chronic Fatigue Treatment at Paupio Kinezioteka Clinic¶

Tired of being tired all the time?
Can't cope with headaches?
Have you tried everything, but the results are temporary?

At our centre we specialise in complex cases of chronic fatigue, especially:

When fatigue lasts for years.
When combined with neck problems.
When previous treatments have failed.

Why do over 90% of our patients improve?¶

Unique 3-step system (not just to relieve fatigue, but to treat the cause).
We work with advanced cases (even with 4-6 years of disease).
Monitoring at every stage (video analysis, EMG, computer diagnostics)
Self-help training (to maintain results forever)

Our Benefits:¶

Individualised programme for each case
A team of experts (neurologist, kinesiotherapist, rehabilitation therapist)
Modern equipment (Speedience electronic weight machines, biofeedback)
Honest predictions - we tell you at once what you can achieve

Don't delay - every day without treatment increases fatigue!

Your health deserves professional help!