Tag Archives: Post-exertional malaise
Fear & avoidance or a desire for participation? a look at PEM
Livets bilder blog post, by Swedish blogger, 29 October 2016: Fear and avoidance or a desire for participation? A cardinal symptom of ME/CFS is Post-Exertional Malaise (PEM): “There is an inappropriate loss of physical and mental stamina, rapid muscular and … Continue reading
Post-exertional malaise: an exploratory factor analysis
Research abstract: Post-exertional malaise is a cardinal symptom of myalgic encephalomyelitis and chronic fatigue syndrome. There are two differing focuses when defining post-exertional malaise: a generalized, full-body fatigue and a muscle-specific fatigue. This study aimed to discern whether post-exertional malaise … Continue reading
Post Activity Relapse (PAR) or PEM?
Another contribution to the discussion of the key characteristic of ME, Post Exertional Malaise (PEM), comes from Kasper Ezelius of the Sweish patient group ME-föreningen: Suggestion to replace PEM by PAR Deterioration after mental or physical exertion is often referred as … Continue reading
DOPE: Delayed Onset Post Exertional fatigue
Dr John L Whiting explains why he thinks the term DOPE is better than PEM or PENE: One of the biggest nuisances that ME/CFS sufferers have to contend with is the post exertional fatigue component. This issue was an aspect … Continue reading
Fatigue in MS and ME: similarities and differences
Cort Johnson in his blog Health rising asks if the fatigue found in MS and ME is similar or different: Simply looking at the symptoms indicated that MS is primarily a fatiguing disorder, and that MS patients may, in fact, … Continue reading
Problems in defining Post exertional malaise
Research abstract: Post-exertional malaise (PEM) is a cardinal symptom of the illnesses referred to as Myalgic Encephalomyelitis (ME), Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS), and chronic fatigue syndrome (CFS). PEM is reported to occur in many of these patients, and with … Continue reading



