Physiotherapy for ME/CFS: Questions and Answers

Purpose To provide expert advice on the role of physiotherapy in managing Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and strategies to improve patient outcomes.

Key Points

1. Role of Physiotherapy in ME/CFS
   • Physiotherapy can help manage symptoms such as muscle weakness, joint stiffness, and reduced mobility.
   • Tailored exercise programs and gentle movements are recommended, with a focus on pacing to avoid overexertion.
2. Graded Approach
   • A graded, patient-centered approach ensures activities are adapted to individual energy levels.
   • Avoidance of post-exertional malaise (PEM) is a key consideration in therapy planning.
3. Specialized Support
   • Physiotherapists trained in ME/CFS management can work with patients to maintain functional ability while respecting physical limitations.
4. Home-Based Strategies
   • For those unable to travel, physiotherapy advice can include stretches, light strengthening exercises, and positioning tips for comfort.

Target Audience Individuals with ME/CFS, carers, healthcare professionals, and physiotherapists interested in supporting chronic illness management.

Overall Outcome Physiotherapy for ME/CFS focuses on maintaining function and quality of life through tailored, paced interventions that align with the patient’s capabilities and priorities. It emphasizes the importance of specialist knowledge and patient collaboration for effective care.