New Guideline from NICE on Chronic Pain

Russell Fleming, Content Manager, ME Association

Some people with ME/CFS have expressed concern about the new chronic pain guideline from NICE. But the recommendations contained in this guideline e.g., use of exercise and therapy instead of analgesic medications, are not aimed at people with ME/CFS. 

The new draft of the NICE guideline for ME/CFS (due for final publication 18 August 2021) refers to pain and pain management as follows:

Managing pain

1.11.27 Refer to the following for advice on treating pain:

NICE guideline on neuropathic pain in adults

NICE guideline on headaches in over 12s

Pain as a symptom of ME/CFS and its importance is also recognised throughout the ME/CFS draft guideline.

The chronic pain guideline will be reviewed by the ME/CFS guideline committee and while we can’t know what the final version of the ME/CFS guideline will contain, given the existing recommendations not to exercise or employ GET, it would be worrying if these weren’t taken into account in any decisions relating to pain management in the final version.

Links to related information:

Draft NICE guideline for ME/CFS
Latest information on new ME/CFS guideline
MEA leaflet on pain management in ME/CFS
MEA leaflet on headaches and migraines in ME/CFS

Chronic Pain

The new NICE Guideline on Chronic Pain
Media article on the NICE Chronic Pain Guideline announcement

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