
Muscle weakness can be caused by a variety of factors, ranging from temporary illnesses to chronic diseases and conditions. Temporary muscle weakness can be caused by viral infections such as the common cold, influenza, or COVID-19. Chronic conditions that can lead to muscle weakness include multiple sclerosis, amyotrophic lateral sclerosis, fibromyalgia, hypothyroidism, and chronic kidney disease. In some cases, muscle weakness can be a side effect of certain medications or recreational drug use. Aging is also a common factor, as individuals tend to lose muscle mass and strength with age, a condition known as sarcopenia. Experiencing sudden or severe muscle weakness may indicate a serious health issue, and it is recommended to consult a healthcare professional for proper diagnosis and treatment.
| Characteristics | Values |
|---|---|
| Ageing | Loss of muscle mass and strength |
| Muscle injury | Bleeding, swelling, inflammation |
| Muscle strain | Ripping or tearing of muscle |
| Chronic pain | True weakness |
| Sleep problems | Restless legs syndrome, insomnia |
| Viral infections | Glandular fever, flu, COVID-19 |
| Diseases | Multiple sclerosis, fibromyalgia, diabetes, hypothyroidism, chronic fatigue syndrome, polio |
| Neurological conditions | Guillain-Barré syndrome, cervical spondylosis |
| Nutritional deficiencies | Anaemia, electrolyte imbalances |
| Side effects of medication | Statins, antibiotics, anti-inflammatory painkillers, corticosteroids |
| Substance misuse | Cocaine |
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What You'll Learn

Muscle fatigue
Infections and illnesses are among the most common causes of temporary muscle fatigue. This is usually due to muscle inflammation caused by infections such as influenza or COVID-19. Certain viral infections, such as glandular fever and influenza, are also thought to trigger chronic fatigue syndrome (CFS), which is characterised by muscle fatigue and tiredness.
Medications can also cause muscle fatigue and weakness as a side effect. For example, cholesterol-lowering statins, some antibiotics, and anti-inflammatory painkillers have been linked to muscle fatigue. Additionally, recreational drugs, such as cocaine, can lead to marked muscle weakness.
Injury or trauma, such as sporting injuries, pulls, and sprains, can also result in muscle fatigue and weakness. Muscle strains or tears can cause a sudden or gradual onset of muscle weakness.
Chronic health conditions can also contribute to muscle fatigue and weakness. For example, chronic kidney disease can affect the whole body, leading to an imbalance of salts and a build-up of harmful substances in the blood, resulting in muscle weakness. Similarly, diabetes can cause nerve damage that may result in muscle weakness. Other conditions such as fibromyalgia, hypothyroidism, and sleep disorders have also been linked to muscle fatigue and weakness.
In some cases, muscle fatigue can be a sign of a more serious disorder, such as multiple sclerosis (MS), neuromuscular disorders, or thyroid conditions. If muscle fatigue is paired with other irregular symptoms or persists without improvement, it is important to consult a doctor for evaluation and treatment.
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Loss of muscle mass
Muscle weakness can be caused by a variety of factors, ranging from temporary illnesses to chronic diseases and certain medications. One common cause of muscle weakness is muscle atrophy, which refers to the wasting or thinning of muscle mass. This can occur due to disuse of the muscles or neurogenic conditions. Symptoms of muscle atrophy include a decrease in muscle mass, with one limb appearing smaller than the other, and numbness, weakness, and tingling in the limbs. It is important to note that disuse atrophy can often be reversed through exercise and a healthy diet.
Age-related muscle loss, known as sarcopenia, is a natural process that typically begins around the age of 60 or 70. It is characterized by a gradual loss of muscle mass and strength, leading to muscle weakness. However, sarcopenia can also be associated with health conditions that result in inactivity. In such cases, a doctor may recommend treatments or exercises to improve muscle strength and mobility.
Chronic diseases, such as peripheral arterial disease, chronic kidney disease, and diabetes, can also contribute to muscle weakness. These conditions can affect the blood and nutrient supply to muscles, leading to reduced muscle function and strength. Additionally, neurological disorders, such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), and Guillain-Barré syndrome, can interfere with nerve transmissions to muscles, resulting in muscle weakness.
Certain medications, such as statins, corticosteroids, and antibiotics, can also cause muscle weakness as a side effect. It is important to consult a doctor or pharmacist if you suspect that your medication may be contributing to muscle weakness. They can provide advice and guidance on managing any side effects.
In some cases, muscle weakness may be a result of muscle strain or injury, such as pulls, tears, or sprains. This can lead to bleeding within the muscle, followed by swelling and inflammation, causing pain and reducing muscle strength. Proper rest, icing the affected area, and following a treatment plan recommended by a healthcare provider can aid in recovery.
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Chronic conditions
Muscle weakness can be a symptom of many chronic conditions, ranging from nervous system issues to fatigue. It can also be caused by exercise, ageing, or injury. In some cases, muscle weakness may be a side effect of certain medications.
- Chronic pain: Pain and discomfort can lead to muscles not being used, resulting in weakness.
- Chronic fatigue syndrome: This is often associated with muscle weakness and can cause a sense of exhaustion when using the muscles.
- Sleep disorders: Conditions such as narcolepsy and insomnia can result in daytime muscle weakness and fatigue.
- Chronic stress and anxiety: Overstimulation of the nervous system from anxiety can cause chronic fatigue, which may lead to muscle weakness.
- Chronic heart disease: Conditions such as heart failure can cause muscle weakness by reducing the blood supply to the muscles during high-demand activities.
- Chronic lung disease: Lung conditions like chronic obstructive pulmonary disease (COPD) impair the body's ability to take in oxygen, leading to muscle weakness.
- Chronic kidney disease: Kidney dysfunction can cause metabolic waste products, such as creatinine, to build up in the muscles, leading to muscle weakness.
- Chronic inflammatory conditions: Disorders like rheumatoid arthritis and dermatomyositis can cause joint pain and muscle weakness.
- Chronic infections: Certain infections, such as Lyme disease, HIV, and polio, can lead to progressive muscle weakness, especially if left untreated.
- Chronic neurological conditions: Issues like multiple sclerosis (MS) and post-polio syndrome can cause muscle weakness by disrupting nerve signalling to the muscles.
- Chronic autoimmune conditions: Diseases such as diabetes, fibromyalgia, and hypothyroidism can cause muscle weakness through nerve damage, altered salt levels, and hormonal imbalances.
If you are experiencing muscle weakness, it is important to consult a healthcare professional for a proper diagnosis and treatment plan.
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Neurological issues
Muscle weakness can be a symptom of neurological issues. Neurological conditions often get worse over time and can cause mild to severe muscle weakness.
Voluntary muscle contractions occur when the brain sends signals through the spinal cord and nerves to a muscle. If the brain, nervous system, muscles, or the connections between them are injured or affected by disease, the muscles may not contract normally, leading to muscle weakness.
Some neurological conditions that can cause muscle weakness include cervical spondylosis, Guillain-Barré syndrome, multiple sclerosis, amyotrophic lateral sclerosis, and myasthenia gravis. Cervical spondylosis is caused by age-related changes to the spinal disks in the neck, which puts extra pressure on the nerves. Guillain-Barré syndrome is a rare neurological disorder. Multiple sclerosis (MS) is caused by damage to nerves in the brain and spinal cord, which can lead to sudden paralysis of a muscle.
In addition to neurological conditions, muscle weakness can be caused by certain medications, ageing, muscle strain or tear, infections, and chronic illnesses. It is important to see a doctor if you are experiencing muscle weakness to determine the underlying cause and receive appropriate treatment.
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Medication side effects
Muscle weakness can be a side effect of certain medications. This is known as drug-induced myopathy, a muscle disease that interferes with muscle structures and functions. Drug-induced myopathy can be caused by cholesterol-lowering drugs, such as statins (e.g. simvastatin and atorvastatin) and fibrates (e.g. fenofibrate and gemfibrozil). It is also linked to antiarrhythmic medicines used to treat heart rhythm problems, such as amiodarone and procainamide, and corticosteroids like prednisone, especially when taken in high doses or for prolonged periods.
Beta-blockers, a type of blood pressure medication, can also lead to muscle weakness and fatigue, although this is not a common side effect. Muscle pain has been observed in some people taking labetalol, a type of beta-blocker. Other commonly used medications that may cause muscle weakness include some antibiotics (e.g. ciprofloxacin and penicillin) and anti-inflammatory painkillers (e.g. naproxen and diclofenac). Long-term use of oral steroids or high doses of injected steroids can also cause muscle weakness and wasting. This is an expected side effect and one of the reasons doctors try to avoid prescribing steroids long-term or in high doses.
Less commonly, muscle weakness can be a side effect of heart medicines (e.g. amiodarone), chemotherapy medicines, anti-HIV medications, interferon (used in some cancers and multiple sclerosis treatments), medicines for an overactive thyroid gland, and prolonged alcohol use.
It is important to note that not everyone who takes these medications will develop myopathy or muscle weakness. If you are concerned about potential side effects, it is recommended that you discuss the risks and benefits with your doctor. Do not stop taking any medication without first consulting a medical professional, as disruption to your treatment can lead to serious health problems.
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Frequently asked questions
Infections and illnesses are among the most common causes of temporary muscle fatigue. This is usually due to muscle inflammation. Even though recovery is typical, severe inflammation can cause weakness for several weeks.
Muscle weakness can be a sign of a serious health condition like multiple sclerosis (MS) or a stroke. If you experience a sudden, severe onset of muscle weakness, talk to a doctor.
Many things can cause your muscles to get weaker, from ageing to illness. Muscle weakness can be caused by injury, disease, or certain medications. If you feel weak and don't know why, consult a doctor or pharmacist.










































