Heat or cold can help with pain. Try an electric heat pad, wheat pack such as a ‘Hot Bot’ (which can be used hot or cold), hot water bottle, cold flannel or ice pack. If you get attacks of chest pain, look for possible triggers such as exposure to chemicals. Some people find a bath soothing and a foot spa may relieve aching feet. Try cold (or hot) drinks for nausea or sore throats. Pressure relieving measures can be beneficial for painful muscles or joints and for general comfort as well as for prevention of pressure sores. Alternate different types of activities to give different parts of your body time to recover. For example if sitting up causes pain, do it for short periods at a time, interspersed with rests or activities you can do lying down. If, after an activity, the pain is bad or you feel more ill, try doing it for a shorter period next time. You may well find that you can sit up for longer altogether, if you do it in short bursts, than if you sit up for long enough to cause a flare up of symptoms. Sleep disturbance can exacerbate pain, and vice versa, so strategies and treatments aimed at minimising sleep problems may indirectly help with pain. Pain clinics have helped some people (they need a GP referral). T.E.N.S. machines give a small electrical stimulation which masks some types of pain. Much of this booklet is relevant to M.E. pain management, especially the sections listed below in italics.

Bed : Chemical Sensitivities : Clothes : Doctors : Headaches : Light Sensitivity : Noise Sensitivity : Over-Stimulation : Pressure Sores : Resting : Sleep : Temperature Control

Free your mind, by Dido Dunlop; AfME Pain Control £1.00; InterAction 32; 2000; pages 6-7 Pain relief