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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.

Combat the symptoms of Long Covid Fatigue Symptom Relief in London at our private clinics

  • Writer: Rakhee
    Rakhee
  • May 3, 2023
  • 2 min read


COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. While many people recover from the initial infection, some experience persistent or new symptoms that continue well beyond the acute phase. This ongoing presentation is often referred to as Long Covid. For those searching for a Private Long Covid Clinic London, Rakhee Osteopathy offers an osteopathic approach centred on The Perrin Technique, which is used clinically to support patients managing Long Covid symptoms where appropriate.

Long Covid symptoms can be wide-ranging and vary considerably between individuals. Commonly reported concerns include fatigue, breathlessness, chest tightness, aches and pains, headaches, palpitations, sleep disruption, dizziness, and changes in mood or wellbeing. The intensity and pattern of symptoms can fluctuate, and Long Covid may occur even after a mild initial illness.

Long Covid fatigue and why exercise-led advice may not be suitable for everyone

For many people, fatigue is the most limiting symptom, affecting daily tasks, work, and social life. Some patients also experience post-exertional symptom exacerbation (a flare in symptoms after physical or cognitive effort). Because of this, broad exercise-based recovery messaging is not appropriate for everyone with Long Covid. Instead, a more cautious approach that prioritises pacing, energy management, and clinician-guided decisions is often more suitable, particularly where symptoms worsen after exertion.

How The Perrin Technique relates to Long Covid

The Perrin Technique is a specialised osteopathic approach originally developed in the context of CFS/ME and used clinically for patients with overlapping symptom patterns. Within Dr Raymond Perrin’s model, persistent symptoms may be associated with:

  • Lymphatic congestion and reduced drainage

  • Autonomic nervous system dysregulation (including sustained sympathetic “fight or flight” activation)

  • Soft tissue and cranial restrictions that may influence drainage pathways and physiological regulation

In Long Covid, this framework is used to explain why symptoms such as fatigue, pain, headaches, dizziness, breathlessness, and cognitive difficulties may persist in some individuals, and why a hands-on osteopathic approach focused on drainage and regulation may be considered as part of a broader management plan.

What treatment may involve at a private clinic in London

At Rakhee Osteopathy, The Perrin Technique typically includes osteopathic assessment and hands-on treatment across areas such as the head, neck, upper back, spine, and chest, with the aim of supporting lymphatic drainage pathways and autonomic balance.

A key point in Dr Perrin’s protocol is that care is usually structured, often beginning with weekly sessions initially, then adjusting frequency according to response and clinical presentation. Patients should also be advised that temporary symptom flare-ups can occur early in care, and where improvement occurs it may be gradual rather than immediate. Outcomes vary, and treatment is not presented as a guaranteed cure.

Individualised assessment and patient-centred planning

A thorough case history is commonly used to understand:

  • health and activity levels before COVID-19

  • the timing and pattern of symptoms since infection

  • symptom triggers (including exertion, stress, and sleep disturbance)

  • how symptoms are affecting daily life

From this, a plan using The Perrin Technique may be tailored to the individual. Any self-care guidance should remain patient-specific and aligned with pacing principles. If movement is discussed, it should only be introduced when clinically appropriate and advised by the treating practitioner, rather than as generalised rehabilitation advice.

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