Important Alerts
Updates

As of May 5, 2025, Podiatry in West New York has relocated to 201 State Rt 17 in Rutherford.

As of April 28, 2025, Primary Care in Haddon Heights has relocated to 2 South Black Horse Pike in Mt. Ephraim.

As of April 28, 2025, Cardiology in Haddon Heights has relocated to 322 Route 38, Cherry Hill.

As of  April 21, 2025 Pediatrics – Wall at 1560 State Route 138 has relocated to 3350 State Route 138.

As of April 14, 2025 Primary Care – Voorhees has relocated to 165 S Black Horse Pike, Runnemede.

As of April 14, 2025  Pediatrics – Manasquan has relocated to  3350 State Route 138 Wall.

Recording/Photography Not Permitted on Premises

Office and Urgent Care Closures

Extended Hours in Lake Success  will be closed on Sunday, May 11, Sunday, May 25, Monday, May 26 and Tuesday, May 27..

The Croton-on-Hudson lab is temporarily closed until further notice.

COVID-19 Information and Updates
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Lifestyle factors

Taking an honest inventory of things that might be responsible for your fatigue is often the first step toward relief. Fatigue may be related to one of the factors below. If none of these pertain, consult with a healthcare provider.

  • Use of alcohol or drugs
  • Excess physical activity
  • Jet lag disorder
  • Lack of physical activity
  • Lack of sleep
  • Medications, such as antihistamines, cough medicines
  • Unhealthy eating habits

CFS Symptoms

Symptoms often mimic the flu. Below are the most common symptoms.

  • Sensitivity to light
  • Headache
  • Tender lymph nodes
  • Fatigue and weakness
  • Muscle and joint pain
  • Inability to concentrate
  • Insomnia
  • Forgetfulness
  • Mood swings
  • Confusion
  • Low-grade fever
  • Depression

Diagnosis

Chronic fatigue syndrome diagnosis requires ruling out other possible conditions. According to the Institute of Medicine, a CFS diagnosis requires all 3 of the following symptoms:

  • Having to cut back significantly on activities you did before the illness
  • Severe tiredness after physical activity
  • Sleep that doesn’t refresh you

In addition, one of the following symptoms must be present:

  • Difficulty thinking 
  • Orthostatic intolerance: This means standing upright makes symptoms worse. Lying back down or elevating your feet may ease the symptoms but does not fully get rid of them.

Treatment

There is no cure for CFS. Treatment is aimed at reducing symptoms and may include medications, light aerobic exercise, dietary supplements and/or psychotherapy.

When to see your Doctor

If your fatigue has persisted for two or more weeks despite making an effort to rest, reduce stress, choose a healthy diet and drink plenty of fluids, it’s time to see a doctor. Dealing with severe fatigue can be very challenging. It’s important to work with your healthcare provider to find treatments that help you.