#ChronicFatigue

A recent Danish study published in Neurology reveals that silent mini-strokes, or transient ischemic attacks (TIAs), may be a hidden driver of persistent fatigue for months after the event. This challenges the long-held belief that TIA symptoms fade within 24 hours and prompts Thai health professionals to rethink long-term care for stroke survivors.

TIAs are often undetected; current estimates suggest only about one in 30 people realize they have had a TIA. Brief interruptions of blood flow to the brain can cause subtle symptoms such as weakness, headaches, or vision changes, but they rarely trigger urgent medical visits. The new research shows that fatigue can linger for up to a year, especially among those with pre-existing anxiety or depression, underscoring a more complex aftermath than previously understood.

A recent study published in Neurology, the medical journal of the American Academy of Neurology, suggests that silent “mini-strokes,” technically known as transient ischemic attacks (TIAs), may be a hidden cause behind constant fatigue experienced by many individuals—even those who never recognized the original neurological event. Danish researchers have revealed that lingering exhaustion following such mini-strokes can persist for up to a year, significantly challenging previous assumptions that symptoms of a TIA resolve within 24 hours and leaving global and Thai health professionals rethinking long-term care for stroke survivors.

A new randomized controlled trial suggests that self-paced, low-to-moderate aquatic exercise can meaningfully improve physical function and mental well-being for people with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The six-month study, led by a senior researcher from a regional university in Australia, enrolled 32 adults around age 55 and compared a water-based program to usual activities. The findings offer a cautious path forward for exercise recommendations in ME/CFS, a condition long approached with rest due to concerns about post-exertional malaise (PEM).

A recent breakthrough study suggests that low- to moderate-intensity aquatic exercise can significantly improve both physical and psychosocial well-being in people living with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), bringing new hope for a condition often marked by persistent fatigue and limited treatment options. Published on April 17, 2025, and led by Dr. Suzanne Broadbent, Associate Professor of Clinical Exercise Physiology at the University of the Sunshine Coast, this randomized controlled trial (RCT) challenges the longstanding caution against physical activity for ME/CFS patients—a group that also includes a high proportion of those battling fibromyalgia symptoms.