Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 51 year old female
• Known case of knee replacement
with Donner bone
• Complaints of: Chronic fatigue
Chronic fatigue syndrome
(CFS) is one of the difficult diagnosis to make as it is a diagnosis of exclusion. The fatigue should not be due to:
-Medical conditions like chronic illness, thyroid imbalance, anemia etc
-Psychological conditions like anxiety, depression
Many people do not fully recover from CFS even with treatment. Usual treatment response is 20-50%.
Following steps will help you in treatment:
-Examination of general physician to rule out medical causes or medicine side effects for fatigue.
-Cognitive behavioural therapy (CBT): from nearby psychologist
-Graded exercise therapy
(GET): Start with daily morning walk.
-Activity scheduling: Fix time meals, sleep and wake up.. assign time for some leisure activities.
-Treatment with antidepressants like fluoxetine
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.