top of page
Rakhee Mediratta
Osteopathy
Central & West London ~ Chalfont
Rakhee has helped over 5,000+ patients in 19 years
Registered Osteopath & Advanced Licensed Perrin Technique Practitioner in London & South East England
for Chronic Fatigue/ME & Fibromyalgia using The Perrin Technique
Nutrition, Lifestyle & Coaching into Whole-Person Osteopathic Care
Bringing Nutrition, Lifestyle and Coaching into Whole-Person Osteopathic Care
How Rakhee Mediratta's Harvard Medical School Executive Education complements her work as a registered osteopath and Advanced Perrin Technique practitioner.
Hands-on treatment matters, but so does helping patients understand the small, realistic choices they can make between appointments.
After more than 19 years in clinical practice and having supported over 5,000 patients, I have learnt that hands-on treatment is only one part of caring for the person in front of me.
Many of the people I see are managing complex and persistent health challenges, including ME/CFS, Long COVID, fibromyalgia, post-viral fatigue, headaches, migraines, persistent pain and musculoskeletal difficulties. Their experience is rarely influenced by one factor alone. Sleep, nutrition, stress, activity levels, emotional wellbeing, social support and daily routines can all affect how someone feels, how they manage their symptoms and how achievable a treatment or self-care plan feels.
Patients also frequently ask what they can do between appointments to support their general health and wellbeing. I therefore wanted to deepen my understanding of nutrition and lifestyle medicine while developing more effective ways of helping patients make realistic, sustainable changes.
In 2026, I completed the 15-week Nutrition and Wellness Coaching learning journey from Harvard Medical School Executive Education, receiving three certificates:
- Health and Wellness: Designing a Sustainable Nutrition Plan
- Lifestyle and Wellness Coaching
- Nutrition and Wellness Coaching
Developing a Broader Understanding of Nutrition and Health
The Health and Wellness: Designing a Sustainable Nutrition Plan programme strengthened my understanding of the relationship between nutrition, lifestyle and general health.
The programme examined the foundations of evidence-based lifestyle medicine and the importance of six interconnected areas: nutrition, physical activity, restorative sleep, stress management, positive social connection and the avoidance of risky substances.
It also explored:
- The roles of carbohydrates, proteins, fats, vitamins and minerals within the body.
- Evidence-based healthy-eating patterns and the Harvard Healthy Eating Plate.
- The relationship between diet, lifestyle and long-term health.
- How nutritional and physiological needs change across different ages and stages of life.
- The importance of considering a person's individual circumstances, preferences, environment and health needs.
- How to assess nutritional and lifestyle factors and bring them together within a realistic, sustainable wellbeing plan.
For my osteopathic work, this provides a wider context in which to understand each patient. It allows me to have more informed conversations about the lifestyle factors surrounding their presentation, while recognising when advice or assessment from a GP, registered dietitian or another specialist is required.
I do not see a diagnosis in isolation. I see the person living with it - their story, their limitations, their priorities and what is genuinely achievable for them.
Helping Patients Turn Advice into Achievable Action
Knowing what may support wellbeing is not necessarily the same as being able to put it into practice.
Patients may already know that they need to rest more, improve their sleep, eat regularly, manage stress or establish a self-care routine. However, fatigue, pain, brain fog, family responsibilities, work commitments and previous setbacks can make even apparently simple changes feel overwhelming.
The Lifestyle and Wellness Coaching programme developed my communication and coaching skills so that I can better understand these barriers rather than simply giving patients another list of things they 'should' be doing.
The programme covered:
- Careful listening and building a trusting therapeutic relationship.
- Understanding an individual's motivation and readiness for change.
- Using open questions to help patients identify what feels manageable and meaningful to them.
- Working collaboratively rather than imposing a predetermined plan. - Co-creating realistic and measurable SMART goals.
- Recognising personal strengths and building confidence.
- Using growth-mindset and self-compassion principles.
- Helping people prepare for obstacles, setbacks and disruptions.
- Supporting resilience without placing pressure or blame on the patient.
- Reviewing and adapting goals as health, circumstances and priorities change.
These skills are particularly relevant when supporting people with fatigue-related or fluctuating conditions. A plan that may be appropriate for someone working full-time will not be suitable for someone who is largely housebound or experiencing post-exertional symptoms.
Recommendations must reflect the patient's current capacity, not where someone else believes they ought to be.
How This Complements My Osteopathic and Perrin Technique Work
My osteopathic assessment and hands-on treatment remain at the centre of my clinical role. This additional education does not replace osteopathic care; it strengthens the wider support I can offer around it.
It helps me to:
- Gain a fuller understanding of the patient's daily life, routines and individual challenges.
- Consider how sleep, stress, nutrition, movement and social circumstances may be interacting with overall wellbeing.
- Explain recommendations in a clearer and more compassionate way.
- Adapt self-care guidance to the patient's energy, symptoms and personal circumstances.
- Help patients introduce manageable changes without making them feel overwhelmed.
- Set small, patient-led goals that can be reviewed and adjusted over time.
- Support consistency with appropriate self-massage, pacing, relaxation and other agreed self-care strategies.
- Recognise when another healthcare professional should be involved.
- Work more effectively alongside doctors, neurologists, dietitians and other members of a patient's healthcare team.
The integrated programme included real-world case studies, practical assignments, weekly reflective work and three applied projects. These involved developing evidence-informed lifestyle plans, practising coaching techniques and co-creating and reviewing SMART goals with a practice individual.
This was important because it moved the learning beyond theory. It required me to consider how nutrition, lifestyle and coaching principles can be applied sensitively to a real person, with their own needs, preferences, health limitations and responsibilities.
A More Collaborative Approach to Patient Care
The most valuable aspect of this learning is not about telling patients how to live. It is about listening more deeply, asking better questions and helping each person identify changes that are realistic for them.
It is also not about suggesting that complex conditions are caused by lifestyle choices or that recovery is simply a matter of trying harder. Many of the conditions I work with are complex, multifactorial and can fluctuate considerably.
My role is to meet the patient where they are, understand what matters to them and provide care that is clinically responsible, compassionate and individually adapted.
By combining my osteopathic experience with further education in nutrition, lifestyle medicine and coaching, I can offer a more connected, whole-person approach - one that considers not only the treatment delivered during an appointment, but also how patients can feel informed, supported and involved in their care between appointments. Professional scope
These non-degree Certificates of Completion were issued by Harvard Medical School Executive Education. They do not carry academic credit or confer professional status as a dietitian, nutritionist or health and wellness coach. I apply relevant nutrition, lifestyle and coaching principles only within my professional competence and scope of practice as a registered osteopath. Any general guidance offered is intended to complement osteopathic care and is not a substitute for personalised medical or dietetic assessment or advice.
.jpg)
One of the UK's Most Experienced Perrin Technique Practitioners
Registered Osteopath (GOsC reg. 6576, registered 2007) · BSc (Hons) Osteopathic Medicine, British College of Osteopathic Medicine · Diploma in Naturopathic Medicine · Advanced Licensed Perrin Technique Practitioner (19 years)
​
Rakhee Mediratta is a Registered Osteopath with 19 years of clinical experience, specialising in the supporting people living with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), Fibromyalgia and post viral fatigue using the Perrin Technique.
She is an Advanced Licensed Perrin Technique Practitioner, personally trained by the technique's creator, Dr Raymond Perrin, and has worked alongside him for more than a decade delivering practitioner training across the UK.
​
Rakhee has treated over 5,000 patients, contributed to the second edition of Dr Perrin's book, and has twice received the Excellence in Practice Award from Dr Perrin in recognition of her contribution to the Perrin Technique.
bottom of page