What can cause severe muscle fatigue and even pain at wake-up?

  • When I wake-up (i.e. hear the alarm clock and open my eyes) I experience severe muscle fatigue, that I am hardly able to force myself to move my arms and legs to get-up. I feel like my muscles were extremely weak at that moment, and I also feel pain in them. It feels so bad and weak, that half of the time I am not getting out of bed, and sleep another few hours, although I already had enough sleep, and it doesn't feel any better after the extra sleep - in fact it feels worse.

    When I do finally manage to get out of bed, the muscle fatigue and pain magically goes away after 15-30 minutes, and during the day I feel completely normal, full of energy and fine.

    It doesn't matter if its after a 2-hour nap or a long 8-hour sleep, its the same fatigue. And I am not feeling sleepy, drowsy or anything like that, I just feel my muscles are extremely weak. I am skinny, 60 kg, but slowly gaining weight, in fact I am tracking my food intake and making sure I get at least 2850 kcal each day, so I have enough energy source. And during the day I am not feeling the fatigue or energy-less, its just right after wake-up.

    What might be the cause of this?

    EDIT: more info:

    I measured my blood pressure immediately after wake-up. It was 77/37 mmHg. And that is an average of 10 measurements taken in the 10 minutes after wake-up. That's somehow low, isn't it?

    Not that my blood pressure normally during the day is too good, it is on average something around: 95/62 mmHg. After riding on bicycle for an hour it is about 103/64 mmHg.

    Can that have something to do with my wake-up fatigue? What can I do to get my blood pressure to some normal levels?

    Not an answer - but is it possible you could arrange to sleep somewhere else for a night or two (hotel, parent's house, friend's house, etc) to see if the symptoms persist? This ought to tell you if the problem is environmental or not.

    Well, first of all the symptoms are not equal each day - they vary in strength and some days I don't have them at all, so a single wake-up with no symptoms sleeping elsewhere won't prove anything. And I did observe the symptoms in other sleeping places too. It seems more related to weather then sleeping place - nice sunny weather - feels more OK, rainy feels bad. There was one day a few days ago when it rained heavily and the weather was terrible, and when I woke up I couldn't stand for the first minutes without holding the wall.

    Go to see a doctor about this

    I have similar symptoms. I am active, I play sport, I eat well, I take in lots of fluids and I'm otherwise healthy but every morning I wake up with such pain in my back, neck and shoulders. It is unbearable sometimes and makes me grouchy. The difference with me though is that the pain stays with me throughout the day, varying in intensity from dull to unbearable. Diet and exercise and baths are not the answer for me as I have tried all of them. I think you need to see a doctor.

    The blood pressure may or may not be low FOR YOU. It's "low" according to the universally brush applied broad BP scales, but it may be normal for you. For everyone that has complained of this, have any of you gone to a sleep clinic to see if there is something in your sleep that is causing it? Or changed mattresses, anything like that?

    Since it varies I would look for common factors for when you do have issues. Cold be types of exercise or food you are eating.

    The question seems a little medical in nature. Do you think it could be something related to exercise (if you are doing any at all)? I'm not sure if this question belongs here or not.

    Miernick, I have the same problem. Extremem muscle fatigue in the morning or after sleeping, and after I'm awake with coffee it's no problem. I to have the blood pressure problem. Normally it is relatively low (about 90/60), but when I wake up in the morning feeling like that, it can go as low as 60/40 in the morning time. Also very active and otherwise healthy. I don't have a cause for you, but it sounds like we have exactly the same thing. If I figure it out, I'll come and repost.

    Agreed with @MattChan, this is off-topic for us.

  • Sarah

    Sarah Correct answer

    10 years ago

    *Thank you for posting this. I struggled with the SAME symptoms as you for years.

    I recommend that you detox your body of toxins that have accumulated over time. Your body flushes out those toxins through your urine so drink as much water as you can handle. As you cleanse your body you may experience increased fatigue, moodiness, and in extreme cases, flu symptoms. This should only last a few days. One trick I use is to take Epsom Baths. I ALWAYS keep Epson Salt on hand.

    Ensuring that those deep body aches will not return requires drinking plenty of water each day, detox friendly foods, stretching out your muscles, and excersize. All of these will also prevent pressure points or those knots in your muscles. Good Luck

    • Increase Water Consumption
    • Increase Physical Activity
    • Stretch Muscles
    • Epsom Baths
    • Detox-Friendly Diet

    visit www.livestrong.com/article/72677-full-body-detox-diet/

    Are you bulimic?

    Welcome to the site @Sarah, thanks for the nice answer :-)

    not not bulimic. Before I was eating too little (probably about 1500 kcal) and too much canned food, etc. Since two weeks I changed my diet completely, I now eat mostly full grains, nuts, seeds and legumes, and I keep a dairy of all food intake so I make sure I get about 3000 kcal each day so I gain weight a bit (I am 60 kg at 175 cm). Did you also have such extremely low blood pressure? I guess I did drink too little fluid, so now I'll start to drink 3 liters each day. Do you think a niacin flush (for example a single 200mg dose of Vitamin B3) might be good?

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