The Perrin Technique for CFS/ME and Chronic Fatigue relief

CFS/ME (Chronic Fatigue Syndrome / Myalgic Encephalomyelitis) is a complex, multi-system condition that can affect people of different ages, genders, and backgrounds. For some patients it is profoundly disabling, with daily activities becoming difficult or, in more severe cases, not possible without significant support. When symptoms are misunderstood or attributed to other causes, patients may face further delays in accessing appropriate care.

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 centres on lymphatic drainage support, gentle cranial techniques, and autonomic nervous system regulation.

Causes and Symptoms of CFS/ME

There is no single confirmed cause of CFS/ME. Symptoms often begin after a triggering event such as a viral illness, and the condition can overlap with patterns also seen in Long Covid. The symptom profile varies between individuals and may fluctuate over time.

Commonly reported features include:

• Persistent, severe fatigue that does not reliably improve with rest

• Post-exertional malaise (PEM): a worsening of symptoms after physical or cognitive exertion

• Cognitive dysfunction (“brain fog”), including difficulty concentrating and memory strain

• Sleep disturbance and unrefreshing sleep

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

• Widespread aches and pains, and flu-like symptoms

• Gastrointestinal disturbance and coordination or mobility changes

Because these symptoms can overlap with other medical problems, it is often important for patients to involve their GP for appropriate investigation and to rule out other causes.

The Perrin Technique for CFS/ME at Rakhee Osteopathy

The Perrin Technique is a specialist osteopathic approach developed by Dr Raymond Perrin. It is used in clinical practice to support patients with CFS/ME by focusing on:

1. Lymphatic drainage support Osteopathic techniques are used to encourage lymphatic flow and reduce congestion within drainage pathways.

2. Gentle cranial techniques These approaches aim to address strain patterns and support the head–neck–spine interfaces as understood within the Perrin Technique model.

3. Autonomic nervous system regulation Treatment places emphasis on supporting autonomic balance, which is relevant where symptoms suggest persistent dysregulation of the body’s stress-response systems.

This approach is not presented as a guaranteed cure. The aim is careful, structured symptom management and functional support, recognising that response varies and improvement, where it occurs, may be gradual.

Diagnosis, Safety, and Coordinated Care

Rakhee Osteopathy can assess whether a patient’s presentation appears consistent with CFS/ME within the Perrin Technique clinical framework. Where symptoms suggest another condition—or where additional medical investigation is required—patients may be advised to liaise with their GP or relevant specialist.

What to Expect from a Treatment Plan

At Rakhee Osteopathy, care is typically structured and tailored to the individual. Dr Perrin’s protocol is reflected through:

• Weekly sessions initially, particularly at the start of treatment

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

Treatment planning is guided by symptom severity, tolerance, and how the patient responds over time.

Activity Guidance: Pacing Rather Than Exercise Programmes

Because post-exertional malaise is a core feature for many people with CFS/ME, general exercise or rehabilitation programmes are not routinely appropriate. Support is more safely framed around:

• Pacing and energy management

• Avoiding “push-crash” cycles

• Practitioner-guided self-care consistent with The Perrin Technique approach

If movement is discussed, it should be patient-specific and only advised by the treating practitioner.

Approved Recognition Statement

It is acceptable to state that Rakhee Osteopathy has been awarded twice for excellence in the practice of The Perrin Technique by Dr Raymond Perrin, and that patients highly recommend the Perrin Technique in the management of CFS/ME and Long Covid.