PRECAUTIONS TO BE TAKEN BEFORE EXERCISE/REHABILITATION CONSIDERED

• Medical management must be optimized.

• Total illness burden must be assessed.

• Risk factors and pain generators must be determined and addressed.

• The reality of biological dysfunctions and limitations must be acknowledged.

• Activity boundaries and fluctuations must be recognized and accommodated.

• The treating doctor knows the patient best and should direct and coordinate all rehabilitative efforts, once the doctor      determines the patient is in the recovery phase of ME/CFS.

• All rehabilitation personnel must be knowledgeable about ME/CFS.