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These articles discuss how The Perrin Technique®️ may help support the management of symptoms commonly experienced in Chronic Fatigue Syndrome (CFS/ME), Fibromyalgia, and Long Covid—particularly fatigue and autonomic dysfunction. The Perrin Technique®️ is a specialised osteopathic approach aimed at improving neuro-lymphatic drainage and easing associated symptoms. Individual experiences may vary.

The Perrin Technique for ME/CFS in London: How Rakhee Mediratta Supports People Living with Chronic Fatigue Syndrome

Writer: Rakhee Mediratta
Rakhee Mediratta
Oct 10, 2021
5 min read

Updated: Jul 27


Perrin Technique in London

Living with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) can be physically, emotionally and mentally exhausting. Many people spend years searching for answers, often seeing multiple healthcare professionals before receiving a diagnosis or finding a treatment approach that feels right for them.


At Rakhee Osteopathy London, Registered Osteopath and Advanced Perrin Technique Practitioner Rakhee Mediratta has dedicated a significant part of her practice to supporting people living with ME/CFS, Fibromyalgia and Long Covid. Through comprehensive assessment and personalised treatment using The Perrin Technique in London, Rakhee aims to help patients manage their symptoms and improve their quality of life while working alongside their existing medical care.


Whether you have recently been diagnosed with ME/CFS or have been living with chronic fatigue for many years, understanding your condition and the treatment options available is an important first step.


Why Trust This Information?


This article has been reviewed by Rakhee Mediratta, Registered Osteopath and Advanced Perrin Technique Practitioner in London.


Rakhee has extensive experience assessing and treating patients living with:

  • ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome)

  • Fibromyalgia

  • Long Covid

  • Persistent fatigue

  • Chronic pain conditions


She trained in the Perrin Technique and bases her treatment approach on the published research surrounding Dr Raymond Perrin's work, together with her own clinical experience treating patients in London.


Recommended reading:


What is ME/CFS?

ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) is a complex, long-term condition that affects multiple systems within the body. Although the exact cause remains unknown, the condition can have a profound impact on everyday life.

People living with ME/CFS often experience far more than simply feeling tired.


Symptoms commonly include:

  • Persistent, overwhelming fatigue

  • Post-exertional malaise (symptoms worsening after physical or mental activity)

  • Brain fog and reduced concentration

  • Memory difficulties

  • Sleep disturbances

  • Muscle and joint pain

  • Headaches

  • Dizziness

  • Sensitivity to light, sound or touch

  • Exercise intolerance


Symptoms vary considerably between individuals and can fluctuate over time. While some people are able to continue working with adjustments, others experience significant limitations that affect their independence and quality of life.


Research suggests that hundreds of thousands of people across the UK are living with ME/CFS, although many remain undiagnosed or are initially misdiagnosed because symptoms overlap with other medical conditions.


Understanding the Perrin Technique


The Perrin Technique is a specialist osteopathic treatment approach developed by Dr Raymond Perrin, an osteopath and neuroscientist who has spent decades researching ME/CFS.


His work led to the development of the Perrin Theory, which proposes that dysfunction within the body's lymphatic drainage system may contribute to the symptoms experienced by people living with ME/CFS.


The theory suggests that when lymphatic drainage around the brain and spinal cord is impaired, waste products may not be removed as efficiently as they should be. This may contribute to ongoing neurological and systemic symptoms experienced by some patients.


The Perrin Technique uses carefully applied manual therapy designed to encourage lymphatic drainage and improve movement throughout the body's tissues.


While research into the Perrin Technique continues to evolve, published studies have shown encouraging findings, and further research is ongoing to better understand its role in supporting people living with ME/CFS and Long Covid.


For a detailed overview of the science behind the treatment, read:


The Perrin Technique: Its Theory, Current Research and Potential Role in Supporting People Living With ME/CFS and Long Covid



Why Choose Rakhee Mediratta for the Perrin Technique in London?


Choosing an experienced practitioner is one of the most important decisions when considering the Perrin Technique.


Rakhee Mediratta is a Registered Osteopath and Advanced Perrin Technique Practitioner who has undertaken specialist training in this unique treatment approach.

Patients travel to Rakhee's London clinic seeking assessment and treatment for:

  • ME/CFS

  • Long Covid

  • Fibromyalgia

  • Persistent fatigue

  • Related musculoskeletal symptoms


Rather than applying a standard treatment programme, Rakhee carries out a detailed assessment to determine whether the characteristic physical findings described within the Perrin Technique are present. Every treatment plan is tailored to the individual, taking into account their symptoms, medical history and overall health.

This personalised approach reflects Rakhee's commitment to delivering evidence-informed care while recognising that every patient's journey is different.

Learn more about Rakhee's background and experience:



What Happens During Your First Appointment?


Your initial consultation is designed to provide a thorough understanding of your health and symptoms.

During your appointment, Rakhee will typically:

  • Discuss your medical history and previous diagnoses.

  • Explore your current symptoms and how they affect your daily life.

  • Carry out a detailed osteopathic assessment.

  • Assess for the physical signs associated with the Perrin Technique.

  • Explain whether the treatment may be appropriate for you.

  • Create a personalised treatment plan.


Patients also receive advice on lifestyle factors and home management techniques that may complement their treatment programme.


The Importance of Self-Care Between Treatments


Treatment does not stop when you leave the clinic.

Many patients are taught specific self-massage techniques and gentle exercises that may help support their treatment programme between appointments.


Rakhee has created a series of demonstration videos showing the Perrin self-massage techniques that patients can practise safely at home after appropriate instruction.


Watch Rakhee's Perrin Technique Self Massage Videos:


These videos help reinforce the techniques used during treatment and empower patients to play an active role in managing their condition.


What Does the Research Say?


Research into the Perrin Technique is continuing to develop.

Published studies have investigated:

  • The theory behind the Perrin Technique.

  • Clinical observations in people with ME/CFS.

  • Manual therapy approaches.

  • Potential applications for Long Covid.

  • Ongoing research into lymphatic drainage and neurological function.


Although the current evidence is encouraging, further large-scale clinical studies are still needed to better understand the full effectiveness of the technique.


Rakhee remains committed to practising in line with the available evidence while continuing to follow developments in Perrin Technique research.

For a detailed summary of the published evidence, visit:



Frequently Asked Questions

Can the Perrin Technique cure ME/CFS?

The Perrin Technique is not presented as a cure for ME/CFS. It is a specialist manual therapy approach that aims to support people living with the condition. Individual responses vary, and treatment should complement, not replace, appropriate medical care.


Is the Perrin Technique suitable for Long Covid?

Some people experiencing persistent symptoms following Covid-19 may benefit from assessment. Research into the role of the Perrin Technique for Long Covid is ongoing.


Will I need multiple appointments?

Treatment plans vary depending on your symptoms, overall health and individual assessment findings. Rakhee will discuss realistic expectations during your consultation.


Can I continue seeing my GP or consultant?

Yes. The Perrin Technique is designed to complement your existing healthcare rather than replace it.


Begin Your Perrin Technique Journey with Rakhee Mediratta


If you are living with ME/CFS, persistent fatigue, Fibromyalgia or Long Covid and are looking for an experienced Advanced Perrin Technique Practitioner in London, Rakhee Mediratta offers comprehensive assessments and personalised treatment programmes tailored to your individual needs.


Her aim is to provide compassionate, evidence-informed care that supports your health while helping you better understand your condition and manage your symptoms.

To find out whether the Perrin Technique may be suitable for you, book an assessment with Rakhee today.


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