Chronic Fatigue relief with The Perrin Technique

Chronic Fatigue Syndrome, also known as Myalgic Encephalomyelitis (CFS/ME), is a complex long-term condition that can have a significant impact on daily life. It is commonly associated with persistent, unexplained fatigue that reduces a person’s ability to carry out activities that were previously manageable.

A key feature of CFS/ME is post-exertional malaise (PEM), where symptoms can worsen after physical or mental exertion. This symptom flare is often delayed and may not improve with rest or sleep. Many patients also experience sleep disturbance, which can further contribute to fatigue and reduced resilience.

CFS/ME symptoms vary between individuals and can fluctuate over time. Alongside fatigue and PEM, some patients report headaches, widespread aches and pains, dizziness, sensitivity to light or noise, cognitive difficulties (“brain fog”), and reduced mobility. In more severe cases, people may become housebound and require additional support.

While research into CFS/ME continues, there is no single approach that works for everyone. Support is often focused on symptom management, careful pacing, and individualised clinical care.

What is The Perrin Technique?

The Perrin Technique is an osteopathic approach developed by Dr Raymond Perrin, a neuroscientist and osteopath, and is used by some practitioners to support patients with CFS/ME.

Within this framework, CFS/ME symptoms are discussed in relation to:

• Lymphatic congestion and reduced drainage efficiency

• Autonomic nervous system dysregulation (the body remaining in a heightened “stress response” state)

• The way ongoing physiological strain may contribute to symptom persistence in some people

The Perrin Technique typically includes a combination of:

1. Gentle lymphatic drainage-focused osteopathic techniques (often involving the chest, back, and along key drainage pathways)

2. Gentle cranial techniques, used to support upper drainage mechanisms

3. Approaches aimed at supporting autonomic regulation, helping the nervous system settle where appropriate

This is a non-invasive, hands-on approach and is used as part of a broader symptom-management plan. Individual responses vary, and it may not be appropriate for every patient.

What to expect from a structured Perrin Technique plan

A Perrin Technique programme is usually structured and consistent, rather than occasional or sporadic. Many patients begin with weekly sessions initially, with frequency reviewed over time depending on symptom severity, response, and tolerance.

It is also important for patients to understand that temporary symptom flare-ups can occur, particularly early in care. This does not happen for everyone, but it can be part of the pattern for some patients before more stable improvement is noticed.

Treatment planning should be individualised and paced carefully, especially where post-exertional malaise is present. Support typically prioritises:

• symptom monitoring and pacing strategies

• practitioner-guided self-care consistent with The Perrin Technique

• avoiding “push–crash” cycles that can worsen symptoms

Accessing support in London, including for housebound patients

Rakhee Osteopathy offers Perrin Technique-informed osteopathic care for patients looking for Chronic Fatigue relief London, with assessment and treatment tailored to the individual. Where clinically appropriate, support may also be arranged for patients who are housebound or unable to travel using home visits.

Patients considering this approach are encouraged to seek an assessment to discuss symptoms, suitability, and what a structured plan may involve. As with all fatigue-related conditions, it is important that patients also remain appropriately supported by their GP and relevant medical services, particularly if symptoms change or new symptoms develop.

It is acceptable to note that Rakhee Osteopathy has twice been awarded for excellence in the practice of The Perrin Technique by Dr Raymond Perrin, and that many patients report valuing the Perrin Technique as part of their symptom management.