We recommend Symptom Contingent pacing: 
pacing within energy limits

We do not recommend Quota Contingent pacing (gradual increases in activity)

heart rate monitoring

Use of a Heart Rate Monitor to keep within threshold and avoid triggering Post Exertional Malaise

what about exercise?

We do not recommend Graded Exercise Therapy

what else can i do?

ME is a complex
multi-system disease.

Physiotherapy will not "treat" the underlying disease mechanisms.

Physiotherapy techniques can help alleviate symptoms and improve quality of life.

Goals should be around management, not treatment

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