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Chronic Pain

Pacing Activity: Common Questions Answered

Pacing Activity: straight answers to the questions people actually ask, with the figures behind them.

Ben Halvorsen, MSc, CSCS Strength and conditioning coach 3 min read 1 views
Pacing Activity: Common Questions Answered

Spreading activity evenly rather than alternating between overdoing it and crashing.

Key takeaways

  • Boom and bust: the commonest pattern in chronic pain and fatigue
  • Baseline: what you can do on a bad day without a flare
  • Most useful single change: Set the baseline from a bad day, not a good one.
  • Commonest mistake: Doing everything on a good day.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

What is Pacing Activity?

Spreading activity evenly rather than alternating between overdoing it and crashing.

Why does it matter?

The boom-and-bust pattern reduces overall activity over time, and pacing raises the baseline you can sustain.

Boom and bust for Pacing Activity?

The commonest pattern in chronic pain and fatigue.

What is the single most useful thing to do?

Set the baseline from a bad day, not a good one.

What is the most common mistake?

Doing everything on a good day.

When should I see a doctor?

See a GP for new pain, a change in the pattern of existing pain, pain that wakes you at night, or pain with fever, weight loss or new weakness. Pacing is for established chronic pain that has been assessed, not for new symptoms that have not.

Where to go next

When to speak to a doctor

See a GP for new pain, a change in the pattern of existing pain, pain that wakes you at night, or pain with fever, weight loss or new weakness. Pacing is for established chronic pain that has been assessed, not for new symptoms that have not.

Where this comes from

  • NICE — Chronic pain in over 16s
  • NHS — Ways to manage chronic pain

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Frequently asked questions

Spreading activity evenly rather than alternating between overdoing it and crashing.
The boom-and-bust pattern reduces overall activity over time, and pacing raises the baseline you can sustain.
The commonest pattern in chronic pain and fatigue.
Set the baseline from a bad day, not a good one.
Doing everything on a good day.
See a GP for new pain, a change in the pattern of existing pain, pain that wakes you at night, or pain with fever, weight loss or new weakness. Pacing is for established chronic pain that has been assessed, not for new symptoms that have not.

Ben Halvorsen

Strength and conditioning coach, and our resident sceptic on anything sold with a before-and-after photo. Writes the programmes he has actually run with beginners, not the ones that look impressive on paper.

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