Sunday, 18 January 2015

Dr William Weir rejects "exercise phobia" in ME!

Dr. William Weir has also slammed media coverage of "exercise phobia" in ME.

Below is a copy of his statement as sent to Joan McParland of Newry & Mourne ME Fibromyalgia Support Group.

This adds to the already powerful letter of support from Prof. VanNess.

Rational understanding of the symptoms of ME/CFS.

The paradigm which states that the symptoms of ME have a psychological basis continues to be promoted. Most recently “exercise phobia” has been proposed as part of the problem although a study of which I was a co-author in 2005 explicitly disproved this proposition. This paradigm has no plausible scientific basis and can only be described as a doctrine whose adherents continue to ignore the biomedical evidence which amply confirms the organic basis of the condition. As someone with nearly 30 years’ experience of seeing patients with this severely disabling condition I continue to be dismayed by an irrational adherence by the psychological lobby to a doctrine that is not supported, even by their own studies, and which has been undermined by the published biomedical evidence.

The term “phobia” implies an irrational fear of exercise. The reason that ME sufferers avoid exercise is because they know from (sometimes bitter) experience that it makes them feel worse (often much worse) and results in post exertional malaise (PEM). This is one of the cardinal features of the condition and can last for days, often for weeks and not uncommonly, for months. PEM is not imagined and causes a rational apprehension of exertion which should no longer be labelled as “phobia”. ME sufferers therefore avoid exercise for reasons which are entirely rational, and Prof. Mark VanNess’ recent work (now replicated elsewhere) has put much flesh on the bones of this argument.

As a simple analogy, a newly broken leg causes pain and most people so affected have an entirely rational fear of walking or even bearing weight on the affected limb. The pathophysiological basis of pain caused by a fracture is well understood, and now Prof. VanNess’ work has provided considerable insight into the pathophysiology of PEM. Not only do his findings give a clearer understanding of this devastating symptom of ME but they also effectively dispose of the argument that ME patients have “exercise phobia” or indeed that the disease is caused by patients wrongly believing they are physically ill.

Unfortunately, promotion of the doctrine that ME/CFS has a psychological basis continues to be disseminated by the inappropriately named “Science” Media Centre. They are not, in respect of ME, disseminating science at all, and continue to promote scientifically unsustainable and disproven theory, simultaneously ignoring proper scientific evidence. Sadly this is not an abstruse controversy, and patients whose genuine incapacity continues to be attributed to the psychological paradigm suffer enormously. I regard this as morally indefensible.


Dr W.Weir FRCP is an NHS Consultant Physician with long experience in M.E. He was a member of the Chief Medical Officer's Working Group in M.E. in 2002 and is the Medical Advisor to Newry & Mourne ME Fibromyalgia Support Group.

This issue has raised a global outcry, so watch this space as more letters will follow from other professionals in the field.

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