Pain Pathway and CFS/ME Service

Our multi-professional pain management team have brought together a list of online accessible links and further reading to support people living with persistent pain and CFS/ME, their families and carers.

These resources do not replace a medical diagnosis for symptoms of on-going pain or persistent fatigue and should not be used for this purpose. They are useful sources of information before your first appointment with a Pain Pathway clinician, and can be used to support on-going self-learning and long-term condition management.

Useful Resources


Explaining pain – why things hurt, pain management advice and support – click on resources tab, booklets and open the Tazzy Persistent Pain Booklet

Explaining CFS/ME – causes, diagnosis, management and support for those living with the CFS/ME

FMA UK – FMA UK – UK’s National charity for fibromyalgia

Mental Health Support

Medication Support

Mindfulness – A range of information and mindful practices to try

Guided videos to help stay active or increase activity levels  –  a range of movement options to explore


Footsteps Pain Festival 2020/21

Click on this link, scroll down and fill in your details to be informed of festival events.

Festival – My Live Well With Pain


Life After Opioids

Life After Opioids from Live Well with Pain on Vimeo.

After more than a decade and half of trying – unsuccessfully – to deal with her fibromyalgia through opioids, Louise finally decided that one way or another, she was going to have to manage her pain another way …

In Louise’s words: “I got my life back – I’m living proof that there really is life after opioids!”

Live Well with Pain production

Sean’s Story

Sean’s shares his story of how self management techniques and group sessions improved his quality of life rather than using medication or hospital procedures. 

Adam’s Story

Adam’s story: This cartoon from an external source offers an example of someone dealing with a new pain condition who found ways to cope and improve their quality of life.

Provided for people registered to GP practices within, Nottingham West, Nottingham North and East, Rushcliffe, Newark and Sherwood, and Mansfield and Ashfield Clinical Commissioning Groups.

An innovative community pathway where a multidisciplinary team of specialist clinicians help patients with spinal and other persistent pain conditions, as well as patients with chronic fatigue syndrome (CFS), to get the right diagnosis and treatment, manage their symptoms better and improve their quality of life.

The service provides holistic patient centred care within a biopsychosocial framework, with individual treatment or group work, depending on the needs of the patient. A highly skilled cognitive behavioural therapist (CBT) provides supervision for all staff working with local substance misuse services and IAPT providers to ensure the mental wellbeing of our patients is looked after. Regular medication reviews take place to optimise analgesia. There is access to a complex opioid clinic that provides a link to substance misuse services.

It is the first chronic pain service in the UK to employ a wellbeing practitioner to facilitate the self care part of the pathway. The wellbeing practitioner promotes self-management, forged partnerships with local voluntary groups, undertaken goal setting, exercise referral schemes and weight loss programmes.

The pain pathway is underpinned by an experienced administration team, which network with other healthcare colleagues, including the GP practices, pharmacists and physiotherapists. The team arrange the numerous clinics (see below) helping ensure cases are seen as soon as possible and closer to home.

The service has resulted in:-

  • More chronic pain management cases provided in the local community, with referrals to hospital greatly reduced.
  • Increased use of physiotherapy, exercise and psychological therapies in the care of pain management
  • 50% reduction in the use of injections and reduced prescriptions of drugs
  • Waiting times have been reduced by a third during 2018.

Chronic Fatigue Syndrome/ME Service

The services can be accessed via your local GP. To know more about the pain service please contact 03000 830 000 option 1 or option 5 for more information about the Chronic Fatigue Syndrome (CFS) service. 

The pain service is currently provided from a wide range of venues across Nottinghamshire.

The venues are listed below.

Pain Clinics

Eastwood Primary Care Centre, Eastwood

Newthorpe Medical Centre, Newthorpe

Oaks Medical Centre, Beeston

Hickings Lane Medical Centre, Stapleford

Castle Healthcare Practice, Wilford Lane, West Bridgford

Bay Therapy Centre, Lady Bay, West Bridgford

Highcroft Surgery, Arnold town centre

Magnolia Therapy Centre, Mansfield Road, Carrington

Bulwell Riverside Health Centre, Bulwell

Hucknall Orthopaedics – Hucknall

Balderton Primary Care Centre, Balderton

Abbey Medical Group, Blidworth

Kirkby Primary Care Centre, Kirkby in Ashfield

Forest Medical, Rosemary Health Centre, Mansfield

Southwell Physiotherapy & Sports Injury Clinic , Southwell

Crown Medical Centre, Forest Town

Brierley Park Medical Centre, Huthwaite

Nottingham Road Clinic, Mansfield

Rushcliffe Arena – Wellbeing Practitioner  only

Leisure Centre Groups

Tennis Centre, University Boulevard, Nottingham

Kimberley Leisure Centre

Redhill Leisure Centre

Pain Management Groups

Carnegie Civic & Community Centre, Stapleford

Arnold Methodist Church

Fiveways Community Centre, Edwards Lane, Nottingham

Middle Street Resource Centre Beeston

West Park Pavilion, West Bridgford

Chronic Fatigue Syndrome (CFS) Group

Sherwood Methodist Church