Finding an approach to managing ME/CFS symptoms can be difficult. Symptoms can vary considerably from one person to another, and what someone is able to manage one week may be very different from what they can manage the next. The Perrin Technique is a specialised osteopathic approach developed by Dr Raymond Perrin in 1989. It combines osteopathic assessment with gentle hands-on techniques and, where appropriate, self-massage and self-management techniques. I have been workin

Written and medically reviewed by Rakhee Mediratta 8th September 2026 Registered Osteopath (General Osteopathic Council reg. 6576) · BSc (Hons) Osteopathic Medicine, BCOM · Advanced Licensed Perrin Technique Practitioner, awarded twice for excellence by Dr Raymond Perrin · 19 years' experience, 5,000+ patients. About ME/CFS When I first started working with people with ME/CFS, I quickly realised that no two patients were really the same. That might sound obvious, but it becom

If you are searching for the Perrin Technique in London, you may have questions about how the treatment works, whether it is suitable for you, how severe CFS/ME affects treatment and what you can realistically expect from your first appointment. The Perrin Technique is a specialist osteopathic approach developed by Dr Raymond Perrin for people living with ME/CFS and related conditions. Rakhee Mediratta is an Advanced Licensed Perrin Technique Practitioner with more than 19 ye

Living with CFS/ME (Chronic Fatigue Syndrome / Myalgic Encephalomyelitis) can affect almost every part of daily life. Fatigue, unrefreshing sleep, brain fog and post-exertional malaise can make ordinary activities feel disproportionately difficult. For some people, even a shower, journey to an appointment or conversation can use a significant amount of their available energy. For others, they may continue working while having very little capacity left for anything else. This

This article provides an overview and summary of Dr Raymond Perrin’s research, clinical approach and theories behind the Perrin Technique, a specialised osteopathic method developed to support people experiencing symptoms associated with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Long COVID. The Perrin Technique was developed by Dr Raymond Perrin, an osteopath who has spent decades researching the relationship between the autonomic nervous system, lymphat

In July 2025, The Telegraph published a feature by journalist Boudicca Fox-Leonard exploring the work of registered osteopath and neuroscientist Dr Raymond Perrin and the development of the Perrin Technique. The article examined Dr Perrin’s theories concerning the autonomic nervous system, neuro-lymphatic drainage and the symptoms experienced by some people living with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). It also discussed the possible relevance of his

One of the most important and least commonly explained aspects of fibromyalgia is that it is not primarily a condition of damaged muscles or inflamed joints. Fibromyalgia treatment London at Rakhee Osteopathy starts from a different clinical foundation — one centred on central sensitisation, the neurological mechanism now widely understood to underlie fibromyalgia's most defining features. Understanding this mechanism is not merely academic; it fundamentally shapes what treat

For those in and around central London looking for experienced, patient-centred musculoskeletal care, Osteopath Marylebone at Rakhee Osteopathy offers a holistic approach to health that considers the whole person rather than an isolated complaint. Osteopathy is a recognised form of manual therapy that works with the body's structure and function, aiming to support natural recovery and reduce pain and discomfort. Outcomes vary between individuals, and treatment is tailored to

For those in London living with fibromyalgia, finding specialist care that genuinely understands the complexity of the condition can make a significant difference to symptom management and quality of life. Fibromyalgia treatment London at Rakhee Osteopathy takes a holistic, whole-body approach using The Perrin Technique treatment developed by Dr Raymond Perrin— recognising that fibromyalgia is not a single, isolated complaint but a multifaceted condition involving physical, n

Understanding Long Covid Through an Osteopathic Lens For patients continuing to experience the effects of post-viral illness, understanding the multi-system nature of Long Covid symptoms is essential to finding the right specialist support. Rakhee Osteopathy takes a whole-body approach to Long Covid care, centred on The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that directly addresses the physiological mechanisms thought to underlie p

Understanding the Fibromyalgia Journey Fibromyalgia Treatment London: Specialist Osteopathic Care at Rakhee Osteopathy For those in London navigating the challenges of fibromyalgia, finding care that genuinely reflects the condition's complexity is a critical first step. Fibromyalgia treatment London at Rakhee Osteopathy is built on a thorough, whole-body assessment of each individual — recognising that fibromyalgia is a multisystem condition that cannot be effectively manage

Most conversations about Long Covid focus on the immune system, the lungs, or the brain. The fatigue is attributed to inflammation; the breathlessness to residual respiratory damage; the brain fog to neurological involvement. These explanations are not wrong, but there may be other factors to consider — and for many patients, they point towards treatments that address the consequences of the condition without touching what may be sustaining it. For those seeking post viral fa

Understanding Energy Depletion There is an important distinction that is often missed in conversations about fatigue — one that has significant consequences for how the condition is treated. As a chronic fatigue specialist London, Rakhee Osteopathy works with patients who have frequently spent months or years trying approaches designed for general tiredness: better sleep hygiene, pacing strategies, lifestyle adjustments, wellness techniques. For those with genuine CFS/ME, the

Understanding the Complex Nature of Chronic Fatigue For those in London living with the debilitating effects of Chronic Fatigue, finding a Chronic Fatigue Specialist London who understands both the complexity of the condition and the appropriate treatment pathway is essential. At Rakhee Osteopathy, care for Chronic Fatigue and CFS/ME is centred on The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that directly addresses the physiological

Understanding the Lingering Effects of Long Covid For patients in London navigating the lasting effects of post-viral illness, post viral fatigue recovery London at Rakhee Osteopathy is centred on The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that aims to address the physiological mechanisms thought to sustain Long Covid symptoms rather than managing their surface presentation alone. The multisystem nature of this condition requires a

Understanding the Impact of Chronic Fatigue For those living with the persistent and wide-ranging effects of Chronic Fatigue, finding a chronic fatigue specialist who understands both the complexity of the condition and the appropriate treatment pathway is essential. At Rakhee Osteopathy in London, care for Chronic Fatigue and CFS/ME is built around The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that directly targets the physiological

Understanding the Complex Nature of Chronic Fatigue For those living with the relentless effects of CFS/ME, finding a chronic fatigue specialist London who understands the condition's underlying physiological complexity is an important step toward appropriate care. At Rakhee Osteopathy, treatment for Chronic Fatigue Syndrome is centred on The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that directly addresses the structural, circulatory

As a chronic fatigue specialist London, Rakhee Osteopathy takes a whole-body approach to CFS/ME that is built around The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that addresses the physiological mechanisms thought to drive chronic fatigue at a root level. The overwhelming exhaustion, cognitive fog, and persistent muscle pain that characterise the condition can make even routine daily tasks feel disproportionately demanding, and manag

For many patients, the instinct when dealing with persistent illness is to push through — to increase activity, build resilience, and work towards recovery through effort. For those seeking Post Viral Fatigue Recovery London, this instinct can be one of the most significant barriers to progress. Long Covid and post-viral fatigue are conditions in which the conventional logic of "doing more to get better" can actively set recovery back. At Rakhee Osteopathy, the approach is de

For those in London navigating the prolonged effects of viral illness, finding the right specialist support is a critical part of the recovery process. Post viral fatigue recovery London at Rakhee Osteopathy is centred on The Perrin Technique — a specialist osteopathic protocol developed by Dr Raymond Perrin that directly addresses the physiological mechanisms thought to underlie persistent post-viral fatigue, including autonomic nervous system dysregulation and impaired lymp