BBC newsbeat report, 8 May 2019: Chronic fatigue syndrome treatment ‘should be withdrawn’
A common treatment for chronic fatigue syndrome should be scrapped immediately, according to one of the UK’s leading experts in the illness.
Dr Charles Shepherd says graded exercise therapy (GET) can actually be harmful to some people.
He argues the idea of getting patients to do increasing amounts of exercise can lead to serious relapses.
The long-term illness affects around 250,000 people in the UK. It’s more common in women and the NHS says it tends to develop between your mid-20s and mid-40s. It can develop in your teens.
The effects can be totally devastating, leaving people bedbound for years. Despite its severity, the illness is still not well understood.
As well as fatigue, it can affect your brain and digestion as well as leading to extreme allergies.
Chronic fatigue: ‘Held hostage by ME’
Chronic fatigue trial results ‘not robust’, new study says
At the moment, the health watchdog NICE is updating its guidelines for treatment in England.
Wales, Northern Ireland and Scotland are all waiting to see what the recommendations are.
Other health experts disagree and say GET is both proven and a safe method of treatment.
Chronic fatigue syndrome (CFS) is also known as myalgic encephalomyelitis, or ME.
But they won’t be published until 2020 and Dr Shepherd – who’s the medical advisor to the ME Association – believes that’s too long to wait before GET is withdrawn.
GET is a treatment that encourages patients to do increasing amounts of physical activity day by day, month by month. The idea is to get the person used to being active again.
But Dr Shepherd argues it can actually do serious harm.
“Some people’s muscles are not capable of doing this type of exercise programme,” he tells Newsbeat.
“If they try and do too much physically, they make themselves more weak, more fatigued and can plunge themselves back into a relapse of all their symptoms.”
Those relapses can last for months.
In March this year, fresh questions were raised about the effectiveness of GET – after new analysis of the study that suggested it back in 2007.
Dr Shepherd says the problem with GET is that it’s too rigid and pushes patients too far.
“You can’t just exercise your way back to health.
“If graded exercise was a drug treatment doing this much harm, it would be withdrawn. But because it’s a physical activity intervention, it seems to have a different status with NICE.”
