When a patient has a damaged or broken aerobic energy system, they're unable to produce enough energy for that activity/task. Their body goes into the lactic acid system, and they start to have neurologic and other PEM/PESE related symptoms. https://www.youtube.com/watch?v=ioSe6LPVLDM
I just started this video and the first claim—that delayed onset muscle soreness (DOMS) after a workout is caused (primarily) by lactic acid—seems to have been debunked a while back.
Agree. It was debunked by Mark VanNess at Workwell with a very a detailed explanation. Lactic acid is actully good for us.
'new' series of 7 videos on Post-Exertional Malaise PEM/PESE Post-Exertional Malaise: Defining PEM/PESE, Part 1 of 7 https://www.youtube.com/watch?v=wwgwHzgAz7s
Bateman Horne Center "Post-exertional malaise (PEM) isn’t due to laziness or deconditioning." - Clayton Powers, DPT Do your symptoms worsen when you push yourself beyond your energy threshold? Clayton Powers, doctor of physical therapy, explains what PEM is in this short video: https://www.youtube.com/watch?v=UkS6L3Klc00 (link in bio and stories) This video is part of BASICS: a series that simplifies and explains aspects of ME/CFS and related comorbid conditions. ***** Bateman Horne Center’s involvement in this program is made possible with the additional support of Open Medicine Foundation (@openmedf), the Whittemore Peterson Institute, and donors like you.
https://www.youtube.com/watch?v=Gh4vpKsLbr8 The Basics: Orthostatic Intolerance (OI) 17 Apr 2024 BHC Education Clayton Powers, DPT, discusses the basics of orthostatic intolerance (OI). - What is orthostatic intolerance? - Symptoms of orthostatic intolerance - Pacing upright activity Note to community members: We advise viewers to always speak with their medical care team prior to making any adjustments or changes to their current regimen. Bateman Horne Center’s involvement in this program is made possible with the additional support of the Open Medicine Foundation. van Campen CLM, Rowe PC, Visser FC. Two-Day Cardiopulmonary Exercise Testing in Females with a Severe Grade of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Comparison with Patients with Mild and Moderate Disease. Healthcare (Basel). 2020;8(3):192. Published 2020 Jun 30. doi:10.3390/healthcare8030192 Cerebral blood flow remains reduced after tilt testing in myalgic encephalomyelitis/chronic fatigue syndrome patients. van CampenCLMC, Rowe PC, Visser FC. Clin NeurophysiolPract. 2021 Sep 23;6:245-255. doi: 10.1016/j.cnp.2021.09.001. PMID: 34667909
"Recognize M.E." (May 2024) (158 seconds) https://www.youtube.com/watch?v=6fJb7VYlzB0 Bateman Horne Center 11 May 2024 BHC Education This powerful piece, delivered by Doctor of Physical Therapy Clayton Powers, recognizes myalgic encephalomyelitis (ME/CFS), a condition often misunderstood and overlooked despite its profound impact on millions worldwide. The video delves into the daily struggles faced by individuals battling ME/CFS or post-COVID related ME/CFS, emphasizing the immense challenges posed by extreme and all consuming fatigue, metabolic, neurologic, and immune impairments, to name a few. ME/CFS ranks lower in terms of quality of life compared to major diseases like cancer, stroke, and debilitating autoimmune conditions. Yet, it's a condition that's unrecognized by many and often misdiagnosed or dismissed. We want you to know that you are not alone in this fight. Your experiences are valid, and your voices matter. Falk Hvidberg M, Brinth LS, Olesen AV, Petersen KD, Ehlers L. The Health-Related Quality of Life for Patients with Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS). PLoS One. 2015 Jul 6;10(7):e0132421. doi: 10.1371/journal.pone.0132421. PMID: 26147503; PMCID: PMC4492975.
