FAQs about Chronic Fatigue relief answered by our team

CFS/ME (Chronic Fatigue Syndrome / Myalgic Encephalomyelitis) can be difficult to understand, particularly when symptoms fluctuate and impact day-to-day function. Many patients also experience delays in recognition or diagnosis, partly because fatigue can have multiple causes and CFS/ME does not have a single definitive test.

For anyone searching for a Chronic Fatigue Specialist London, Rakhee Osteopathy supports patients with CFS/ME using The Perrin Technique—a structured osteopathic approach that focuses on lymphatic drainage support, gentle cranial techniques, and autonomic nervous system regulation, following Dr Raymond Perrin’s protocol.

FAQ 1: What are the main symptoms of CFS/ME?

CFS/ME can present differently from person to person. However, commonly reported features include:

• Persistent fatigue that does not reliably improve with rest

• Post-exertional malaise (PEM): symptom worsening after physical or cognitive exertion

• Sleep disturbance and unrefreshing sleep

• Cognitive dysfunction (“brain fog”), including reduced concentration and memory strain

• Headaches, dizziness, nausea, and reduced tolerance to being upright

• Muscle aches and joint pain, sometimes alongside flu-like symptoms

Because symptoms vary and fluctuate, management plans usually need to be individualised rather than standardised.

FAQ 2: What causes CFS/ME?

There is no single confirmed cause. Many people report symptom onset after a triggering event such as a viral illness. CFS/ME can also share symptom patterns with Long Covid in some patients. Current understanding includes the possibility of multiple interacting factors rather than one universal mechanism.

FAQ 3: How is CFS/ME diagnosed?

Diagnosis is typically clinical and involves a detailed history, symptom pattern recognition, and appropriate medical assessment to exclude other causes of prolonged fatigue.

Within Rakhee Osteopathy, assessment can include consideration of CFS/ME presentation using the Perrin Technique clinical framework. Where symptoms suggest another condition, or where additional investigation is required, patients may be advised to liaise with their GP or specialist.

FAQ 4: Can CFS/ME be treated?

There is no universally confirmed cure. Support generally focuses on improving quality of life and managing symptoms carefully over time.

At Rakhee Osteopathy, CFS/ME support is centred on The Perrin Technique, which aims to address common CFS/ME patterns through:

• Lymphatic drainage support (to encourage improved fluid movement and reduce congestion)

• Gentle cranial techniques (to address strain patterns and support relevant interfaces)

• Autonomic nervous system regulation (supporting balance where dysregulation is suspected)

Importantly, generalised exercise-based approaches are not routinely appropriate for many CFS/ME patients, particularly when PEM is present. Instead, management is usually framed around pacing and energy management, with any movement guidance being patient-specific and only recommended by the treating practitioner.

FAQ 5: What does Perrin Technique treatment typically involve?

Perrin Technique care is commonly structured, particularly early on, and may include:

• Weekly sessions initially

• Acknowledgement that some patients may experience temporary symptom flare-ups before settling or improving

Treatment plans are tailored to the individual, guided by symptom severity, tolerance, and response over time.

FAQ 6: Is research continuing?

Research into CFS/ME is ongoing internationally, including studies exploring immune function, neuro-inflammation, and other potential contributing mechanisms. While research develops, many patients still need practical support that prioritises safety, pacing, and symptom stability.