The Chronic Fatigue and Burnout Recovery Podcast
Apr 30, 2026 · 33 min · 18 segments
Not all post-exertional malaise (PEM) is driven by the same physiology — and understanding the difference can completely change how you approach pacing and recovery. In this episode, Anna breaks down…
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I'm sure if you've been listening to this podcast or following me online for a while, you already know that post-exertional malaise was one of the things that I really, really struggled with in my journey due to my love of exercise.
And I know I work with a lot of clients who also have this similar passion for exercise.
Movement and exercise is often the way that we have in the past regulated our nervous systems, managed stress, and also how we've socialized, and it can be a really big part of our lives.
And then if you experience something like chronic fatigue syndrome or long COVID or post-viral fatigue, or you have some sort of autoimmune condition which has an energy-limiting component to it, it can be really, really devastating to let go of exercise.
But in other cases, it's about changing our relationship with exercise, understanding post-exertional malaise, what's causing it, how we manage it, so that we can gradually start to build up our exercise capacity again.
I'm sure if you've been listening to this podcast or following me online for a while, you already know that post-exertional malaise was one of the things that I really, really struggled with in my journey due to my love of exercise.
And I know I work with a lot of clients who also have this similar passion for exercise.
Movement and exercise is often the way that we have in the past regulated our nervous systems, managed stress, and also how we've socialized, and it can be a really big part of our lives.
And then if you experience something like chronic fatigue syndrome or long COVID or post-viral fatigue, or you have some sort of autoimmune condition which has an energy-limiting component to it, it can be really, really devastating to let go of exercise.
But in other cases, it's about changing our relationship with exercise, understanding post-exertional malaise, what's causing it, how we manage it, so that we can gradually start to build up our exercise capacity again.
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