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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.

What is Chronic Fatigue relief? A guide from our team

  • Writer: Rakhee
    Rakhee
  • Feb 10
  • 2 min read


CFS/ME (Chronic Fatigue Syndrome / Myalgic Encephalomyelitis) can have a profound effect on daily life, often involving persistent exhaustion, reduced stamina, cognitive strain, and a fluctuating pattern of symptoms. For anyone seeking Chronic Fatigue Relief London, it is important that information is accurate, cautious, and centred on an approach designed specifically for CFS/ME presentations.

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 clinical protocol.

Understanding Chronic Fatigue in a CFS/ME Context

“Chronic Fatigue” is sometimes used as a general phrase, but CFS/ME refers to a specific clinical pattern that may include:

  • Persistent fatigue that does not reliably improve with rest

  • Post-exertional malaise (PEM), where symptoms worsen after physical or cognitive effort

  • Sleep disturbance and unrefreshing sleep

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

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

  • Widespread aches and pains

Because fatigue can have many causes, patients are often advised to involve their GP for appropriate investigation and to rule out other medical explanations.

How The Perrin Technique Is Used to Support CFS/ME

The Perrin Technique is a specialist osteopathic approach developed by Dr Raymond Perrin and used to support people with CFS/ME by addressing three key areas:

1) Lymphatic drainage support

Within the Perrin Technique model, CFS/ME is associated with lymphatic congestion and impaired drainage. Treatment uses osteopathic techniques intended to encourage lymphatic flow and support the body’s drainage pathways.

2) Gentle cranial techniques

Cranial techniques are used as part of the Perrin Technique to support strain patterns and the head–neck–spine interfaces, which are considered relevant within this clinical framework.

3) Autonomic nervous system regulation

Many CFS/ME symptoms are understood to involve autonomic nervous system dysregulation. The Perrin Technique approach aims to support autonomic balance, which may be relevant for sleep disturbance, pain sensitivity, and “over-alert” stress-response patterns.

This approach is not presented as a guaranteed cure. The aim is symptom management and functional support, recognising that response varies between individuals.

What to Expect at Rakhee Osteopathy

A Perrin Technique-centred initial appointment typically includes a detailed history of symptom pattern, daily impact, and relevant medical context. Care is then structured around Dr Perrin’s protocol, which commonly involves:

  • Weekly sessions initially, particularly early in care

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

Where symptoms suggest another condition, or where additional investigation is needed, patients may be advised to coordinate with their GP or specialist.

Stress, Sleep, and Nervous System Support (Cautious Framing)

Many people with CFS/ME report that stress and poor sleep can worsen symptoms. Within the Perrin Technique approach, supporting autonomic regulation and reducing strain patterns may help some patients feel more stable over time. Any benefit is individual and should be monitored carefully, particularly where PEM is present.

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