ME/CFS
Myalgic Encephalomyelitis
Chronic Fatigue Syndrome

Holistic ME/CFS Management and Support

Do you feel exhausted, unable to recover from exertion, or struggle with persistent brain fog? Managing Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) requires a structured, symptom-sensitive approach.

At Evolving Pain, we understand the unique challenges of ME/CFS and provide compassionate, evidence-based care to help you navigate daily life. Our physiotherapists and occupational therapists work with you to develop individualised management strategies that respect your energy limits and support your long-term well-being.

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What is ME/CFS?

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex, multisystem illness that significantly impacts daily function. The key hallmark of ME/CFS is post-exertional malaise (PEM)—a worsening of symptoms after minimal physical or mental exertion.

Common symptoms of ME/CFS include:

Severe fatigue that is not relieved by rest.
Post-exertional malaise (PEM)—a delayed worsening of symptoms after activity.
Cognitive dysfunction, often referred to as “brain fog.”
Unrefreshing sleep and disrupted sleep patterns.
Dizziness, pain, immune dysfunction, and hypersensitivities (light, sound, chemicals, food).

ME/CFS symptoms vary in severity, with some individuals housebound or bedbound. While there is no cure, careful management can improve symptoms, stability, and quality of life.

How We Support ME/CFS Management

At Evolving Pain, we provide structured, research-based care to help you understand and manage your condition.

Our individualised approach focuses on symptom relief, pacing, and practical strategies for daily life.

Monitoring and Symptom Tracking

Learn how to track PEM triggers and symptom fluctuations.
Develop a daily symptom log to guide treatment and pacing.

Pacing and Energy Envelope Management

Implement activity pacing techniques to prevent energy crashes.
Use heart rate monitoring and structured movement strategies to balance activity and rest.

Post-Exertional Malaise (PEM) Prevention

Identify triggers that cause PEM and develop strategies to avoid overexertion.
Learn how to modify daily tasks to reduce symptom flare-ups.

Sleep and Rest Optimization

Address unrefreshing sleep and sleep disturbances with personalised strategies.
Learn about planned rest periods to improve energy stability.

Pain and Sensory Management

Manage widespread pain, headaches, and hypersensitivities with non-invasive strategies.
Use heat therapy, gentle movement, and relaxation techniques to ease symptoms.

Cognitive Support and Brain Fog Management

Implement cognitive pacing techniques to reduce mental fatigue.
Use organisational tools and memory strategies to improve focus and clarity.

Autonomic and Orthostatic Intolerance Strategies

Learn how to manage dizziness, POTS, and blood pressure fluctuations.
Explore hydration, compression garments, and positional adjustments to improve circulation.

Nutrition and ME/CFS-Specific Dietary Support

Identify food sensitivities that may contribute to symptom flare-ups.
Develop a personalized dietary plan with small, frequent meals to stabilize energy levels.

Mental Health, Stress Reduction, and Coping Strategies

Implement stress management techniques like mindfulness and breathing exercises.
Access support for ME/CFS-related anxiety, depression, and emotional well-being.

Community and Practical Support