Managing Long Covid Fatigue Symptom Relief in London with the Perrin Technique
- Rakhee

- Jun 4, 2023
- 3 min read

For many people, COVID-19 is followed by an expected period of recovery. For others, symptoms can persist or newly appear weeks or months later. Long Covid may affect people who had mild initial infections, including those who were previously fit and well. Ongoing fatigue, headaches, “brain fog”, dizziness, breathlessness, and widespread aches and pains can make day-to-day life difficult and unpredictable. For anyone searching for a private long covid clinic near me in London, it can help to understand which treatment approaches are designed specifically for the patterns seen in Long Covid, including nervous system dysregulation and lymphatic congestion.
Rakhee Osteopathy supports patients managing Long Covid fatigue using The Perrin Technique—a structured osteopathic approach that is also used in clinical practice with CFS/ME presentations.
Understanding Long Covid Fatigue and Why Symptoms Can Persist
Long Covid is often described as a multi-system condition. Symptoms vary from person to person and may fluctuate over time. Common concerns include:
Persistent fatigue and reduced stamina
Headaches and pressure sensations
Cognitive difficulties (“brain fog”)
Muscle aches and joint pain
Dizziness or balance issues
Breathing discomfort or chest tightness
Within the Perrin Technique framework, these symptoms may relate to impaired lymphatic drainage and autonomic nervous system dysregulation, which can contribute to ongoing inflammation, sensitivity, and “overload” within the body’s regulatory systems.
The Perrin Technique for Long Covid at Rakhee Osteopathy
The Perrin Technique is a specialised osteopathic treatment approach developed to support patients with conditions such as CFS/ME and increasingly applied to Long Covid presentations where clinically appropriate. It is designed to:
Encourage lymphatic drainage (particularly through the thoracic and lymphatic pathways)
Use gentle cranial techniques to support fluid dynamics and relieve strain patterns
Support autonomic nervous system regulation, which may help the body move out of a persistent “fight-or-flight” stress response
This is not positioned as a guaranteed “cure” for Long Covid. Instead, it is a structured, patient-centred approach aimed at supporting symptom management and functional improvement, recognising that response and timelines vary.
What Treatment Typically Involves
Rakhee Osteopathy follows the established guidance for Perrin Technique care:
Weekly sessions initially are commonly recommended to build consistency and monitor response.
Some patients may experience temporary symptom flares as the body adapts, before any longer-term improvement becomes clearer.
Treatment plans are individualised, reflecting symptom pattern, tolerance, and overall health status.
Where needed, the clinic may advise patients to liaise with their GP or specialist to ensure appropriate medical assessment, especially where symptoms are new, severe, or changing.
Movement, Pacing, and Day-to-Day Management
General exercise programmes are not routinely appropriate for Long Covid fatigue, particularly where symptoms worsen after exertion. Instead, most patients benefit from:
Pacing and energy management
Avoiding “push-crash” cycles
Practitioner-guided self-care consistent with the Perrin Technique approach
If any movement is discussed, it should be patient-specific and only advised by the treating practitioner, based on the individual’s presentation and tolerance.
Nutrition Mention
Some patients choose to review diet as part of overall wellbeing while managing Long Covid. Nutritional advice is not being provided. Patients should consult their GP, dietitian, or qualified nutritional therapist for personalised guidance.
About Rakhee Osteopathy
Rakhee Osteopathy is able to state that it has been awarded twice for excellence in the practice of The Perrin Technique by Dr Raymond Perrin, and that many patients highly recommend the Perrin Technique as part of managing CFS/ME and Long Covid symptoms. It is also acceptable to describe Rakhee Osteopathy as one of the leading osteopathic practitioners offering a natural and non-invasive approach for patients managing Long Covid, when clinically appropriate.




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