The remains of the mental muck I was lamely trudging through on Friday night were still clinging to me when I left for work this morning. Even though I wrestled my weekend into some order with my trusty list. Even though I slept late (a rare event) and woke to the smell of fresh cinnamon buns my daughter had made for breakfast. Even though I made a real point of taking it easy on Sunday and actually went to bed at a decent hour.

Sometimes I just lose momentum.

If you haven’t experienced it, it’s hard to explain the kind of fatigue that comes with certain forms of chronic illness. In my case, it comes in a package with rheumatoid arthritis. But fatigue is a feature of all sorts of chronic conditions–other forms of arthritis, fibromyalgia, MS, depression.

Everyone gets tired, right? But fatigue is different from tired. Tired is an event. Tired is “I didn’t sleep well last night so I’d better have a nap.”  Tired is “Wow that was quite a workout; I’ll sleep well tonight. “Tired is “I’ve been on my feet too long and I’ve got to sit down for a few minutes.”

Fatigue doesn’t go away if you sit down for a few minutes. Fatigue is waking up from the nap without much more energy than you had before. Fatigue is looking at the dishes on the kitchen counter, knowing that it would take 5 minutes tops to wash them, and not having the energy to do it. Fatigue is staring blankly into a fridge full of fresh ingredients and opting to microwave a frozen dinner to eat on the sofa. Fatigue is staring blankly at the screen and realizing that even stringing together a few coherent sentences is Just Too Much Effort.

Sometimes fatigue is a corollary of chronic pain. Because let me tell you there is nothing quite so exhausting as chronic pain. But even when my joints are not flaring and I am not experiencing significant pain, the fatigue can still wash over me and rob me of my momentum.

It has taken me most of my life to realize that, ironically, the more exercise I get, the less likely I am to be overcome with fatigue. In the weeks following my hip replacement surgery, when I was exercising religiously and walking every day, I had all kinds of energy. I’m still walking when I can, but the reality is that my work involves a lot of sitting. After being back for just two months, I can already feel the reduction in physical activity taking its toll. In spite of my best intentions to the contrary, it’s hard to maintain the momentum of healthy living when there are so many other priorities crowding in and demanding attention.

After my sluggish weekend, I was relieved to find that at some point mid-morning I got my stride back. By mid afternoon I was on a productive roll, and things that looked like huge and daunting tasks on Friday and throughout the weekend were finally getting knocked off my to-do list with ease.

When the fatigue subsides, it’s easy to forget about it. Easy to assume that the momentum will last. Easy to fall into the bad habits that leave me dragging like a old clock that hasn’t been wound. My calendar at work this week is a marathon. I know better, but I let it happen all the same.

5 thoughts on “Momentum

  1. This. All of this.

    I don’t have RA, I have Multiple Hereditary Exostoses. It’s similar but very different (I know, that’s contradicting). I get the chronic fatigue VERY well.

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