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Alternative Names

Weakness is usually defined as a lack of or decrease in muscle strength. It is different from fatigue, which is a loss of energy.

What is going on in the body?
Weakness can be used to describe a mental and physical state in which someone doesn't have the muscle strength, for example, to walk. It is common and sometimes difficult to evaluate. Weakness has many causes.

What are the signs and symptoms of the condition?
Weakness itself may be a symptom. So when someone complains of weakness, the doctor will need to know more details such as:
  • when the weakness started
  • if the weakness is in one area or affects the whole body
  • if the weakness is constant or only happens sometimes
  • if the weakness is more physical or mental
  • if the weakness came on slowly or happened suddenly
  • whether weakness runs in the family
  • whether the person has been or is currently sick
  • how severe the weakness is
  • are there sensory changes
Other symptoms may also be important, such as weight loss, fever, depression, or pain.

What are the causes and risks of the condition?
Weakness has many causes that are best grouped into these categories: Other causes are also possible. Sometimes, no cause is found.

What can be done to prevent the condition?
Prevention depends on the cause. For example, weakness due to lack of exercise can be prevented with regular exercise. Weakness due to alcohol or diabetic neuropathy can be prevented by not drinking alcohol or controlling diabetes with a proper diet and medications. Many cases of weakness cannot be prevented.

How is the condition diagnosed?
Figuring out the cause of weakness starts with a history and physical examination. In some cases, this may be all that the doctor needs to make a diagnosis. In other cases, further testing is needed.

Which tests are done depends on the suspected cause. For example, blood tests can be used to diagnose disorders of muscles or metabolic problems. Chest x-rays may show pneumonia, and cranial CT scans can help detect a stroke. Special nerve and muscle tests, such as an electromyogram or nerve conduction velocity test, may help diagnose myasthenia gravis or diabetic neuropathy. Other tests may be needed as well.

What are the long-term effects of the condition?
Weakness, when severe, may prevent people from doing normal activities. Most of the serious long-term effects are due to the cause. For example, people who have had a stroke may become paralysed for life. People who are weak from an infection may have no long-term effects after treatment. People with cancer may die if treatment fails.

What are the risks to others?
Weakness is not contagious and poses no risk to others. But if the cause of weakness is an infection, the infection may be contagious.

What are the treatments for the condition?
Treatment depends on the cause. For example, an infection may be treated with antibiotics. An autoimmune disorder may be treated with drugs to suppress the immune system, such as corticosteroids. People with cancer may need surgery, chemotherapy, or radiation therapy. People with a muscle injury may need to apply ice to the muscle, take analgesics and rest.

What are the side effects of the treatments?
Side effects depend on the treatments used. All medications have possible side effects. For example, antibiotics may cause allergic reactions and stomach upset. Corticosteroids can cause weight gain, a puffy-looking face, and weak bones. Surgery carries a risk of bleeding and infection.

What happens after treatment for the condition?
If the weakness goes away or the cause is "fixed," people can usually resume normal activities fairly soon. In other cases, treatment may not end. For example, those with severe heart, liver, or kidney disease usually need treatment for life.

How is the condition monitored?
People can monitor their weakness and how it responds to treatment at home. Further monitoring depends on the cause. For example, those with diabetes need regular check-ups and blood tests.

Author: Adam Brochert, MD
Reviewer: HealthAnswers Australia Medical Review Panel
Editor: Dr David Taylor, Chief Medical Officer HealthAnswers Australia
Last Updated: 1/10/2001
Potential conflict of interest information for reviewers available on request

This website and article is not a substitute for independent professional advice. Nothing contained in this website is intended to be used as medical advice and it is not intended to be used to diagnose, treat, cure or prevent any disease, nor should it be used for therapeutic purposes or as a substitute for your own health professional's advice.  All Health and any associated parties do not accept any liability for any injury, loss or damage incurred by use of or reliance on the information.


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