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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.

The Perrin Technique treatment at our private clinics in London for Long Covid

  • Writer: Rakhee
    Rakhee
  • Jun 7, 2023
  • 2 min read


Although COVID-19 is no longer classified as a global health emergency, many people continue to experience ongoing or new symptoms after infection, often described as Long Covid. The World Health Organization (WHO) has described Long Covid as symptoms that begin or continue around three months after the initial infection and last for at least two months, with no alternative explanation. For patients seeking a Private Long Covid Clinic London, Rakhee Osteopathy offers an approach centred on The Perrin Technique, which is used clinically to support people managing persistent post-viral symptoms when appropriate.

Long Covid can affect daily life in different ways. Commonly reported symptoms include fatigue, breathlessness, cough, pain, headaches, dizziness, sleep disruption, palpitations, and cognitive difficulties. Symptoms often fluctuate, and some patients find that physical or mental exertion can worsen how they feel afterwards. Because experiences vary significantly, care should be individualised and clinically cautious.

Why The Perrin Technique may be relevant to Long Covid

The Perrin Technique is a specialised osteopathic approach originally developed for patients with CFS/ME, where symptom patterns can overlap with Long Covid. Dr Raymond Perrin’s model links persistent symptoms to:

  • lymphatic congestion and impaired drainage

  • autonomic nervous system dysregulation, including prolonged sympathetic (“fight or flight”) activation

  • soft tissue and cranial restrictions that may contribute to reduced fluid movement and physiological regulation

Within this framework, Long Covid symptoms such as fatigue, “brain fog,” dizziness, headaches, pain, and breathlessness may be discussed in relation to how the body is regulating itself after infection, and how drainage pathways may be functioning.

What treatment may involve at a private clinic in London

At Rakhee Osteopathy, The Perrin Technique typically involves hands-on osteopathic assessment and treatment focused on the head, neck, upper back, spine, and chest, using techniques intended to support lymphatic drainage and autonomic balance.

Dr Perrin’s protocol is commonly delivered in a structured way, often beginning with weekly sessions initially, then adjusting over time depending on response and clinical presentation. Patients should also be informed that temporary symptom flare-ups can occur early in treatment before any improvement is noticed, and that progress—where it occurs—may be gradual and varies between individuals.

This approach is intended to support symptom management and does not replace medical assessment or ongoing care from a GP or specialist where needed.

Individually tailored assessment and safe onward referral

A detailed case history and medical questionnaire are typically used to understand:

  • health status prior to COVID-19

  • the timing and progression of symptoms after infection

  • symptom triggers, including exertion and sleep disruption

  • how symptoms are affecting daily function

If symptoms suggest another medical explanation, appropriate onward referral to a GP is important.

Self-care, pacing, and nutrition mentions

Long Covid fatigue and symptom fluctuations often mean that pacing and energy management are prioritised. If movement is discussed, it should be patient-specific and only advised by the treating practitioner, particularly if symptoms worsen after exertion.

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