{"id":16541,"date":"2018-05-11T09:47:47","date_gmt":"2018-05-11T09:47:47","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=16541"},"modified":"2018-05-11T09:47:47","modified_gmt":"2018-05-11T09:47:47","slug":"cfs-treatment-should-be-withdrawn","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/cfs-treatment-should-be-withdrawn\/","title":{"rendered":"CFS treatment &#8216;should be withdrawn&#8217;"},"content":{"rendered":"<h3><strong>BBC newsbeat<\/strong> report, 8 May 2019: <a href=\"http:\/\/www.bbc.co.uk\/news\/newsbeat-44004882\" target=\"_blank\" rel=\"noopener\">Chronic fatigue syndrome treatment &#8216;should be withdrawn&#8217;<\/a><\/h3>\n<p>A common treatment for chronic fatigue syndrome should be scrapped immediately, according to one of the UK&#8217;s leading experts in the illness.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"size-full wp-image-12567 alignleft lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2017\/04\/Dr-Charles-Shepherd.jpg?resize=243%2C313\" alt=\"\" width=\"243\" height=\"313\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2017\/04\/Dr-Charles-Shepherd.jpg?w=243&amp;ssl=1 243w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2017\/04\/Dr-Charles-Shepherd.jpg?resize=116%2C150&amp;ssl=1 116w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2017\/04\/Dr-Charles-Shepherd.jpg?resize=233%2C300&amp;ssl=1 233w\" data-sizes=\"(max-width: 243px) 100vw, 243px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 243px; --smush-placeholder-aspect-ratio: 243\/313;\" \/>Dr Charles Shepherd says graded exercise therapy (GET) can actually be harmful to some people.<\/p>\n<p>He argues the idea of getting patients to do increasing amounts of exercise can lead to serious relapses.<\/p>\n<p>The long-term illness affects around 250,000 people in the UK. It&#8217;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.<\/p>\n<p>The effects can be totally devastating, leaving people bedbound for years. Despite its severity, the illness is still not well understood.<\/p>\n<p>As well as fatigue, it can affect your brain and digestion as well as leading to extreme allergies.<\/p>\n<p><a href=\"http:\/\/www.bbc.co.uk\/news\/newsbeat-43824503\" target=\"_blank\" rel=\"noopener\">Chronic fatigue: &#8216;Held hostage by ME&#8217;<\/a><br \/>\n<a href=\"http:\/\/www.bbc.co.uk\/news\/health-43490335\" target=\"_blank\" rel=\"noopener\">Chronic fatigue trial results &#8216;not robust&#8217;, new study says<\/a><\/p>\n<p>At the moment, the health watchdog NICE is updating its guidelines for treatment in England.<\/p>\n<p>Wales, Northern Ireland and Scotland are all waiting to see what the recommendations are.<\/p>\n<p>Other health experts disagree and say GET is both proven and a safe method of treatment.<\/p>\n<p>Chronic fatigue syndrome (CFS) is also known as myalgic encephalomyelitis, or ME.<\/p>\n<p>But they won&#8217;t be published until 2020 and Dr Shepherd &#8211; who&#8217;s the medical advisor to the ME Association &#8211; believes that&#8217;s too long to wait before GET is withdrawn.<\/p>\n<p>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.<\/p>\n<p>But Dr Shepherd argues it can actually do serious harm.<\/p>\n<p style=\"padding-left: 30px;\">&#8220;Some people&#8217;s muscles are not capable of doing this type of exercise programme,&#8221; he tells Newsbeat.<\/p>\n<p style=\"padding-left: 30px;\">&#8220;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.&#8221;<\/p>\n<p>Those relapses can last for months.<\/p>\n<p>In March this year, fresh questions were raised about the effectiveness of GET &#8211; after new analysis of the study that suggested it back in 2007.<\/p>\n<p>Dr Shepherd says the problem with GET is that it&#8217;s too rigid and pushes patients too far.<\/p>\n<p style=\"padding-left: 30px;\">&#8220;You can&#8217;t just exercise your way back to health.<\/p>\n<p style=\"padding-left: 30px;\">&#8220;If graded exercise was a drug treatment doing this much harm, it would be withdrawn. But because it&#8217;s a physical activity intervention, it seems to have a different status with NICE.&#8221;<\/p>\n<p><a href=\"http:\/\/www.bbc.co.uk\/news\/newsbeat-44004882\" target=\"_blank\" rel=\"noopener\">Read the full article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>BBC newsbeat report, 8 May 2019: Chronic fatigue syndrome treatment &#8216;should be withdrawn&#8217; A common treatment for chronic fatigue syndrome should be scrapped immediately, according to one of the UK&#8217;s leading experts in the illness. Dr Charles Shepherd says graded &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/cfs-treatment-should-be-withdrawn\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[2396,239,10,481,303],"class_list":["post-16541","post","type-post","status-publish","format-standard","hentry","category-news","tag-bbc-newsbeat","tag-dr-charles-shepherd","tag-get","tag-graded-exercise-therapy","tag-nice-guidelines"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-4iN","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/16541","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=16541"}],"version-history":[{"count":1,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/16541\/revisions"}],"predecessor-version":[{"id":16542,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/16541\/revisions\/16542"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=16541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=16541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=16541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}