does anyone else suffer from terrible fatigue as a result of physical or mental activity? any tips on overcoming this?

Learn to moderate your activity and be sure you are getting good restorative sleep. Take frequent breaks, especially when doing mental work.

If you don't learn how to moderate your efforts, further improvements will likely be difficult.

Yes! No matter how much I want to do....fatigue always wins.....
Tried amantadine...it was good for me but caused a bit of insomnia. Started concerta two days ago for fatigue....no change yet!
This is a good resource:
http://www.brainline.org/content/201...r_pageall.html

Injured,

I still haven't been able to ascertain if I am physically tired or mentally....I have to take breaks to keep going now.

Bud

I forgot to mention in my earlier post. Anybody struggling with extreme fatigue, especially if it manifests as sleepiness should consider whether they are sleeping soundly and breathing properly during sleep. Interrupted sleep and sleep apnea can cause fatigue and also can seriously delay recovery.

Mark,

How do you know if you have it? I am tired of sleep problems, I slept 1 hr in 2 separate 1/2 hour segments last night!

Bud

I do. If I push through it eventually my brain and body quite literally shut down on me. I feel like I need to lay down and then it's lights out for 11-12 hours. Other days I still have difficulty falling asleep and my sleep is often broken.

I know others on here take regular brain breaks too and although I've read about it, I am very inconsistent at doing it myself. I just saw a neuropsych last Friday and he advised me to try to "head things off at the pass". Regardless of whether I feel I need it or not, I'm to take a 10-15 min. break every hour and a half of a physical or mental activity. Just walk away from what I'm doing and close my eyes for a bit.

I haven't put it into practice yet but I hope it will help. I can usually feel when my filters are breaking down and sometimes I take a break and other times, my stupid stubborn nature pushes me to keep going and my filters shatter. My family ends up seeing me at my worst and I feel like crap mentally for my behavior or what comes out of my mouth. I know...stupid to push through!

I think I'll start heeding the doctor's advice!

There is an old axiom.

It is better to remain silent and be thought a fool than to speak up and remove all doubt.

I have a PCS version.

Better to take a break and be though of as weak and injured than to push through and remove all doubt.

Ugh...the fatigue. Find your level of activity that you can do without causing symptoms to flare and make sure you schedule breaks. Make sure you are eating enough, and I can't agree more about getting good sleep.

I learned that I was not breathing well during my sleep from my wife. My changes in breathing disturbed her so much that one night she stayed up and observed. I stopped breathing 16 times in one hour.

I had already experienced times when I stop breathing or hold my breath while awake. This happened during an EEG test when i was supposed to sleep. Every time I relaxed enough to start to drift off, I would start gasping for air. I realized I was breathing consciously/voluntarily rather than subconsciously/involuntarily. It appears my problem was do to upper neck inflammation that was causing autonomic nervous system dysfunctions.

You can buy or some places rent pulse-ox alarms you connect to your finger tip. Of your Ox level drops, an alarm will wake you. The rental systems usually require a doctors script but they also have better recording features. You can download a night's sleep and pulse-ox recordings to your computer by USB.