About two weeks ago, I had a bad fall and twisted my ankle almost 180 degrees. Luckily, I think my ankles are extremely flexible so the sprain could have been far worse. It's bruised pretty bad and I still have some swelling, but it seems like it's healing well. However, it seems like it triggered an ME/CFS crash from the fall and it could be the worst one I've had so far. I also got a terrible headache the day I fell down. I know I didn't hit my head, but maybe the fall was jarring on my spine/neck (I have severe scoliosis). The fatigue is almost unbearable and I've been fighting my body to keep going to work every day. Has anyone else experienced worsening of ME/CFS fatigue after a physical injury?