Suffering with Long Covid Fatigue Symptom? Find support in London with The Perrin Technique
- Rakhee

- May 2, 2023
- 2 min read

Long Covid can leave some people with symptoms that persist well beyond the initial infection. These symptoms do not always reflect how severe the original illness was and may affect people of different ages and backgrounds. For those searching for a Chronic Fatigue Specialist London, it is often because the most disruptive feature is not a cough or fever, but ongoing fatigue, cognitive strain, disrupted sleep, dizziness, pain, and a general sense that the body is no longer regulating itself normally.
At Rakhee Osteopathy, Long Covid fatigue is approached through The Perrin Technique, a structured osteopathic method also used for CFS/ME presentations where clinically appropriate.
Long Covid, Nervous System Dysregulation, and Ongoing Fatigue
Long Covid can involve multiple body systems, and symptoms may fluctuate. Common experiences include:
Extreme fatigue and reduced capacity
Headaches and “brain fog”
Sleep disturbance
Muscle aches and joint pain
Chest tightness, breathlessness, or palpitations
Dizziness or balance issues
These symptoms can overlap with CFS/ME, including patterns consistent with autonomic nervous system dysregulation. Within The Perrin Technique framework, symptoms may also be associated with lymphatic congestion, which can place additional strain on the body’s ability to regulate inflammation and recovery processes.
What The Perrin Technique Is and Why It May Be Relevant
The Perrin Technique is a specialised osteopathic approach that combines:
Lymphatic drainage-focused osteopathic work to support fluid movement and drainage pathways
Gentle cranial techniques aimed at supporting the mechanics around the head, neck, and nervous system interfaces
A focus on supporting autonomic nervous system regulation, which may help reduce “over-alert” stress responses that can amplify fatigue, sleep disruption, and pain sensitivity
This approach is presented as symptom management support, not a guarantee of recovery. Responses vary between individuals, and improvement—where it occurs—can be gradual.
What to Expect at a Private Clinic Appointment in London
When a patient attends Rakhee Osteopathy, assessment typically includes a detailed history to understand symptom onset, daily impact, and pattern over time. A treatment plan is then tailored to the individual, using The Perrin Technique where appropriate.
The Perrin Technique protocol is commonly described as:
Weekly sessions initially, to create consistency and enable close monitoring of response
Recognition that some people may experience temporary symptom flare-ups before settling or improving
Where symptoms suggest the need for medical review, patients may be advised to liaise with their GP or relevant specialist alongside osteopathic care.
Activity Guidance: Pacing Over Exercise-Led Recovery
Generic exercise programmes can be unhelpful for some people with Long Covid fatigue, especially when symptoms worsen after overexertion. Management is more safely framed around:
Pacing and energy management
Avoiding “push-crash” patterns
Practitioner-guided self-care aligned with the Perrin Technique approach
If movement is discussed, it should be patient-specific and only recommended by the treating practitioner based on individual tolerance and presentation.




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