Understanding Chronic Fatigue

The cognitive dysfunction and depleted energy levels common to Chronic Fatigue Syndrome make it difficult to function effectively, never mind pursue a VA disability claim appeal.

Summary

• Chronic Fatigue Syndrome (CFS), or Myalgic Encephalomyelitis (ME), severely impacts veterans, affecting their cognitive abilities and physical endurance, often making daily tasks challenging.
• Symptoms of CFS in veterans include non-restorative sleep, chronic pain, cognitive impairments, and orthostatic intolerance, limiting their quality of life.
• CFS may be caused by genetic factors, physical or mental trauma, or viral or bacterial infections. It is notably prevalent among Gulf War veterans.
• Veterans may face difficulties getting a formal CFS diagnosis and establishing an accurate VA disability rating.
• Legal support from firms like VetLaw can help veterans navigate a VA disability appeal and accommodate their Chronic Fatigue Syndrome.

With Chronic Fatigue Syndrome, veterans who were once active physically and mentally often find themselves incapable of maintaining the same lifestyle after the condition emerges.

The symptoms of CFS can leave veterans impaired to the point where they can’t hold a steady job, let alone stand long enough to shower or focus closely enough to hold a conversation.

With a complex and poorly understood condition like Chronic Fatigue Syndrome, it is particularly important to present the strongest claim possible to the VA. VetLaw can help you appeal your VA Chronic Fatigue Syndrome disability claim to increase your rating or to prove entitlement.

Call us at (855) 573-1503 or submit a contact form to schedule a free consultation.

Characteristics of Chronic Fatigue in Veterans

Fatigue is a symptom of various illnesses, but it can also be a medical condition itself. Chronic Fatigue Syndrome (CFS) is more than occasional drowsiness, and it cannot be cured with a good night’s rest. It is also referred to as Myalgic Encephalomyelitis (ME).

Myalgic means “pain in the muscles”, and encephalomyelitis is used to describe inflammation of the brain and spinal cord. The notable traits of Chronic Fatigue Syndrome include diminished cognitive capabilities and physical exhaustion, triggered by mild mental or physical exertion.

Typically, the onset of symptoms occurs within 12 to 48 hours after that. With CFS, symptoms persist for at least six months, but many veterans struggle with the condition for years, or even the rest of their lives. 

More specifically, veterans seeking a Chronic Fatigue Syndrome VA rating may experience symptoms including:

Cognitive Symptoms of Chronic Fatigue Syndrome

• Short-term memory and recall issues
• Difficulty concentrating
• Trouble processing information
• Slower reaction times
• Struggling to multitask
• Speech difficulties

Physical Symptoms of Chronic Fatigue Syndrome

• Non-restorative sleep; can be accompanied by insomnia or other sleep disorders
• Chronic pain in the muscles or joints
• Sore throat
• Irritable bowels
• Headaches and/or migraines
• Hypersensitivity to painful stimuli, as well as certain foods, sounds, smells, and light
• Pain or discomfort in the lymph nodes
• Feeling stiff after waking up
• Inability to stand for extended periods without lightheadedness, decreased cognitive abilities, elevated heart rate, decreased blood pressure, queasiness, or other symptoms; also known as orthostatic intolerance

Chronic Fatigue Syndrome VA ratings range from 10% to 100%. The more often and intensely a veteran’s CFS symptoms interfere with their daily lives, the higher their VA disability rating will likely be. Note that your Chronic Fatigue Syndrome VA rating may change as your symptoms fluctuate over time.

What Causes Service-Related Chronic Fatigue Syndrome?

Unfortunately, it is unclear exactly what causes Chronic Fatigue Syndrome. However, there are some patterns in the health backgrounds of individuals with CFS that indicate that the source may be psychological, physical, or both. The typical CFS patient demographic skews heavily female, and most are young to middle-aged adults. 

Having conditions like Postural Orthostatic Tachycardia Syndrome (POTS) and fibromyalgia, which are also more common in women, may increase a veteran’s risk of developing CFS. All three conditions share physical trauma and infection as potential causes.

Researchers currently believe that the following traits and experiences may contribute to or cause Chronic Fatigue Syndrome:

• Genetic predisposition based on family history of CFS
• Sustaining a serious physical injury
• Experiencing mental trauma
• Viral or bacterial infection
• Inability to adequately process sugars and fats for energy

Although there is no definitive answer to why some veterans develop Chronic Fatigue Syndrome, the VA has recognized that a number of Gulf War veterans have developed the condition after serving in Southwest Asia. This correlation may be attributable to Gulf War vet’s increased risk of physical and psychological injuries or infections.

The Challenges of VA Disability Claims for Vets With CFS

One of the chief obstacles vets seeking a Chronic Fatigue Syndrome VA rating face is getting a formal medical diagnosis, which is necessary to qualify for VA disability benefits. Healthcare providers often view fatigue as a symptom rather than the condition itself, so they may be hesitant to confirm a CFS diagnosis. 

CFS symptoms also vary widely and may appear similar to other conditions, which can complicate the process further. There is also a risk of veterans writing off their symptoms.

Many are unfamiliar with CFS and potentially unaware that their various ailments could be connected.  Unfortunately, a delayed diagnosis keeps vets with CFS from accessing VA disability benefits.

CFS Symptoms Can Interfere With Getting a Fair VA Disability Rating

Another issue can be securing an accurate VA disability rating, especially for vets seeking high Chronic Fatigue Syndrome VA ratings. For a vet with Chronic Fatigue Syndrome, persistent brain fog and memory issues can present a significant challenge when it comes to keeping detailed records of symptoms and medical appointments. 

These records are essential proof of disability and symptom severity. Without sufficient documentation, the VA may issue a lower Chronic Fatigue Syndrome VA rating than a veteran’s symptoms really warrant. Given the extent of impairment CFS can cause, it is in veterans’ best interest to hire a VA benefits lawyer.

Find the Legal Support You Need for Your VA Chronic Fatigue Claim With VetLaw

Having the support of a veterans disability claims attorney in a VA Chronic Fatigue Syndrome claim can make the process considerably more manageable. At Vet Law, we know that Chronic Fatigue Syndrome is incredibly draining for veterans and their families. Let us take the stress of filing a VA disability claim appeal off of your shoulders.

Our experience, dedication, and expert-level knowledge of the VA disability claims process make us the clear choice. Whether you are appealing a Gulf War presumptive claim denial, trying to increase your Chronic Fatigue Syndrome VA rating, or appealing a VA decision on a different basis, our team is here for you.

Call us at (855) 573-1503 or submit a contact form to schedule a free consultation. 

Frequently Asked Questions

Does the VA consider chronic fatigue a presumptive condition?

Yes, Chronic Fatigue Syndrome is a presumptive service-related condition for veterans who served in the Southwest Asia theater operation on or after August 2, 1990. Gulf War vets who have a CFS diagnosis and documentation that they meet this service requirement don’t need further proof that their military service is responsible for causing their CFS.

Is there a cure for Chronic Fatigue Syndrome?

There is not a cure for Chronic Fatigue Syndrome, in large part because we don’t know what causes it. Instead, healthcare providers typically try to address the mental and physical symptoms of CFS. 

Are veterans with Chronic Fatigue Syndrome VA ratings eligible for Special Monthly Compensation benefits?

Some veterans with Chronic Fatigue Syndrome become effectively housebound by the condition or require support from a caregiver to attend to their basic needs. Vets with this level of impairment may qualify for Special Monthly Compensation, in addition to standard VA disability benefits.