The Perrin Technique

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The Perrin Technique

Trouble sleeping? Exhausted after doing anything? Struggling to think straight? Feeling generally unwell? Estimates suggest around one in 250 people in the UK are dealing with Chronic Fatigue Syndrome (CFS/ME). Our team of trained Perrin Technique Leeds-based osteopaths can provide diagnosis, help and reassurance.

The Perrin Technique incorporates many osteopathic treatment methods. These are all directed at improving the function of the lymphatic system. Treatment is gentle. You’ll experience specific types of massage, spinal mobilisations and cranial techniques.

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Click on the links below to learn more about how The Perrin Technique can help you!

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What is it?

This specialist osteopathic technique is unique in that practitioners can use it to diagnose as well as treat Chronic Fatigue Syndrome (CFS/ME). It has since been successfully used to help people suffering from fibromyalgia and Long Covid (or ‘Post-Covid Syndrome’).

CFS/ME is thought to originate from stress in the body that affects the function of the sympathetic nervous system (SNS) and the lymphatic system. This stress is often a viral infection, a physical or emotional trauma, or a combination of these.

The body’s lymphatic system is a drainage network that flushes toxins out of body tissues. If it’s not working properly, these toxins can build up, notably around the brain and spinal cord.
The toxins cause irritation and inflammation around the brain and spinal cord. This irritation to the body’s control centre explains why the symptoms of CFS/ME are so varied and far-reaching.

This disruption to the body’s normal function leaves tell-tale physical signs. A practitioner qualified in the Perrin Technique is able to detect these signs and offer a clear diagnosis.
The Perrin Technique results from the work of Dr Raymond Perrin, an osteopath and neuroscientist, after he ‘accidentally cured’ a patient with CFS/ME. Ongoing scientific research now backs up his extensive study and development of the technique, such as in this NHS trial.

Treatment with the Perrin Technique

Your osteopath will carry out a detailed evaluation and will be able to provide the clarity of a diagnosis during your first consultation. We determine how the condition is affecting you specifically to formulate an individualised treatment plan.

The Perrin Technique incorporates many osteopathic treatment methods. These are all directed at improving the function of the lymphatic system. Treatment is gentle. You’ll experience specific types of massage, spinal mobilisations and cranial techniques.

Improving lymphatic drainage clears the toxins that are triggering symptoms, relieving stress on your nervous system and allowing the body to heal itself naturally.

The treatment course varies, depending on your personal situation and life factors. Our guide is the change in your symptoms, and we will reduce your treatment frequency in accordance with your improvement.

Your osteopath will guide and support you on your treatment journey, with the aim of returning you to full health and restoring your quality of life.

What can the Perrin Technique treat?

The Perrin Technique was originally developed to diagnose and treat people suffering with CFS/ME. However, there are other related conditions that can benefit from the same approach. Many of these exhibit a similar constellation of symptoms to CFS/ME, such as those experienced by people with fibromyalgia. The Perrin Technique is effective in these cases too.

Long Covid (Post-Covid Syndrome)

The upsurge in cases of chronic Covid symptoms, termed ‘Long Covid’, has seen many sufferers seeking treatment for their illness.

Figures indicate that 1.3 million people in the UK are experiencing Long Covid (ONS, Feb 2022), and 32% of Covid patients still have significant fatigue 12 weeks after infection. Other long-term symptoms include poor sleep, shortness of breath, depression, brain fog and exhaustion following activity.

We don’t yet fully understand Long Covid, but the similarity to CFS/ME and to other post-viral syndromes, such as post-SARS (Severe Acute Respiratory Syndrome) suggests a similar underlying pathway. Research links these conditions with a build-up of inflammatory chemicals.

The Perrin Technique, with its focus on lymphatic function, can deal with the array of Long Covid symptoms in the same way as with CFS/ME. The indications are that people experience significant improvements in their symptoms following a course of treatment.

At Good Health Centre, we have osteopaths trained in the Perrin Technique.  If you’d like to know more about Long Covid treatment in Leeds, we’re happy to talk to you about what we can offer. If you’d like an assessment and treatment, book an appointment. If you would like specifically Perrin Technique from our licensed Perrin practitioner, Ami Sevi, please contact reception 0113 2371173.

Expert Perrin Technique:

You can book an appointment quickly and easily online by clicking below, if you have any questions prior to booking please get in touch with us on 0113 237 1173 or Email Us and one of the team will be in touch asap!

What our customers say about us…

We score 97% from 1100 + reviews.

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Need a same day appointment? Call us on 0113 237 1173.

Back Pain

If you have back pain, whether new or long-term, you know how it can interfere with your daily life.

Knee Pain

If you have knee pain, you’re not alone. Frequent knee pain affects around one in four adults.

Neck Pain

From a wry neck to arthritis, muscle spasm to a ‘dowager’s hump’, necks are a common source of pain.

Shoulder Pain

Under normal circumstances, the shoulder has the greatest mobility of any of the body’s joints. But when something goes wrong, it can mean pain, limitation and frustration.


Sciatica refers to pain that runs from the low back into the buttock and down the back of the thigh. It may go below the knee and into the foot.

Heel Pain

There are many causes of heel pain. These include plantar fasciitis, Achilles tendinosis, heel spurs, and stress fractures. 

What our patients say

Helen Fitton
Helen Fitton
I have used the Good Health centre over many years. Seb, one of the osteopaths, helps me maintain a quality of life that I wouldn't otherwise enjoy. He is always patient and kind, and treats me with respect. The receptionists are always cheerful, and make one feel welcome. I would highly recommend.
Sarah Jayne
Sarah Jayne
My baby was born with shoulder dystocia, lot if tension from ventouse delivery. Saw Simon Baron, really great, creating a calm enviroment. Gave exercises to complete at home. Couldnt imagine what she would be like had she not seen him. Couldnt recommend more!
Allan Luxton
Allan Luxton
After first visit: knowledgeable, thorough, informative. Clear plan of treatment/process.
Massimiliano Federici
Massimiliano Federici
I've been struggling with persistent pain in top of the hamstring/glute, for nearly one year. I tried the standard physio, rest, DYI solutions and strengthening exercises and none of them helped me completely. Eventually I went to the clinic and discussed the problem with the osteopath and in 3 sessions my leg is nearly 100% healthy again. Really impressive outcome and great service
Jas Soor
Jas Soor
I've been coming to the Good Health Centre on and off for my back issues for years. They offer so many different treatments. For me, I am currently going for a sciatica issue and Yanis is a magician! I travel from London to see him as he always gets to the root of the problem and does his upmost to assist and sort out the issue as well as updating me on everything he is doing and why. For me, he is fantastic and one of the reasons I come back time and time again when I need to. He is a savior to me!
Julie Spalding
Julie Spalding
Amazing at putting my back right, just doing regular maintenance now
Brenda Simpson
Brenda Simpson
I’ve been a client at The Good Health Clinic for a year since Josh McCollum.moved there from a local clinic to where I live. I had no hesitation at all in following him there which involves me undertaking a 30 mile round journey. I first met Josh in August 2021 following a major break in my ankle. He has been an absolutely vital to me as I built up a trustworthy group of therapists to enable my safe rehabilitation. I can’t recommend Josh enough for his kindness, understanding, care and expertise in aiding my recovery and now helping to maintain my recovery. Josh, I can never ever thank you enough 🤩
Naomi Berry
Naomi Berry
Good Health Centre has had a huge impact on my career as a dancer. I visit Josh regularly for osteopathy treatment to support my physical training and to improve my overall awareness of my body. It has really helped me to overcome and keep on top of injuries and any pains which come with the demands of a physically challenging job. I couldn’t recommend Josh and the Good Health Centre enough!

The Perrin Technique FAQS & Further Reading

What is an Osteopath?

An osteopath is someone who assesses, diagnoses and treats people with conditions and injuries, primarily using their hands. 

Legally, to use the title ‘osteopath’, they must hold a recognised qualification (usually a three- or four-year degree) and be registered with the General Osteopathic Council (GOsC), which ensures the high standards of the profession.

Osteopaths are primary care practitioners. That means patients don’t need a referral from a GP or other doctor to see an osteopath. Please note, though, that some private health insurance companies will require a medical referral before they cover the costs – do check with your provider if you are planning to use health insurance.

They are part of the group recognised by the NHS as Allied Health Professionals (AHPs), along with physiotherapists, radiographers and paramedics, among others.

Osteopathy is based on three main concepts. Firstly, all parts of the body are interrelated. Secondly, the way a body functions adapts to its structure, and vice versa. And thirdly, the body has an inherent capacity for healing.

These principles mean that osteopaths evaluate and treat holistically. They consider all the physical, social and psychological factors that might be contributing to a problem.

What is The Perrin Technique?

The Perrin Technique is a method of diagnosing and treating chronic fatigue conditions, such as fibromyalgia, Chronic Fatigue Syndrome and Myalgic Encephalomyelitis (CFS/ME) and Long Covid (or Post-Covid Syndrome).

It’s a method that has scientific backing and, as new research takes place, it undergoes constant updating.

It was conceived by neuroscientist and osteopath, Dr Raymond Perrin, in 1989. It’s practised by osteopaths (or other manual therapists) who have completed a qualification in the technique.

Dr Perrin developed an interest in treating CFS/ME after treating a patient for a different problem. The patient reported that, following treatment, his ME symptoms had also resolved. Dr Perrin began working with patients and researching ME to understand how treatment might affect it.

He concluded that some people experience an ‘overwhelm’ of stress. This stress can take many forms, including physical, emotional or psychological trauma, stressful life situations, and disruption to the hormonal and immune systems. Often, the final trigger in the process is a viral infection.

All these stressors activate the sympathetic nervous system, which is responsible for our ‘fight-or-flight’ response. Dr Perrin hypothesised that an overstimulated sympathetic nervous system leads to a build-up of toxins around the brain and central nervous system.

Normally, these toxins would be dispersed by our lymphatics – the network of fluid drainage that is under the control of the sympathetic nervous system. But the abnormal toxic build-up blocks these normal drainage channels, leading to the array of symptoms we typically see in CFS/ME and Long Covid patients.

Dr Perrin found that patients who had these symptoms also had tell-tale physical signs. Looking for these signs enables practitioners to diagnose the presence of a post-viral condition, and to treat it according to the principles of The Perrin Technique. 

How does The Perrin Technique work?

By understanding the process that leads to a chronic fatigue or post-viral syndrome, Dr Perrin was able to formulate targeted treatment. This hands-on treatment addresses the underlying causes of a patient’s symptoms. Typical symptoms include extreme fatigue, aching, brain fog, breathing difficulties, depression and anxiety, stomach troubles, tingling and numbness, and disturbed sleep.

The Perrin Technique is a natural, non-invasive protocol. It’s designed to gently clear the toxins that are blocking normal drainage in the central nervous system.

The osteopath applies gentle manual pressure to certain areas on your body to help stimulate lymphatic drainage and clear toxic build-up. They mobilise your chest, neck, pelvis and other areas. Everyone is unique, and the osteopath adapts treatment according to what they find, and how you respond.

As treatment begins to work, you may find an initial worsening of your symptoms. This can happen as toxins begin to shift and your system works hard to clear them.

Soon, normal function begins to return to the lymphatics. This allows the overstimulated nervous system to settle, and you’ll find your symptoms improve. 

It’s important to keep the momentum of your recovery going, so your osteopath will give you instructions on exercises you can do at home to maintain your progress.

Reaching your best health usually takes several months, but your osteopath will keep a close eye on your progress and advise you. As recovery moves forward, the frequency of your treatments will be reduced.

Some patients subsequently move onto a maintenance schedule. Remember that stress of many kinds can trigger symptoms, so you may wish to have treatment from time to time to keep things in check.

Can I stay clothed during treatment with The Perrin Technique?

It’s important for your osteopath to examine you to diagnose your condition. This involves assessing certain parts of your body, including the chest area, for tell-tale signs. At your first appointment, the osteopath will examine you to find these signs. This may require you to remove some clothes, but your osteopath will ensure you understand and consent to the procedure first.

You’re welcome to bring a friend or relative to the appointment with you, if that makes you feel more comfortable – just let us know when you book in.

After the diagnosis has been made, treatment mainly focuses on gentle manipulation around the head, neck, chest and back.

This might include soft tissue treatment to relax muscles, mobilisation of joints, cranial osteopathy techniques, and lymphatic drainage massage. This special form of massage uses light touch along the skin in specific directions to enhance the flow of fluid through the lymph network. These techniques require skin contact, but your osteopath will ensure you’re only uncovered as far as necessary, and will always gain your consent prior to starting.

The osteopath devises personalised treatment to fit individual needs, based on symptoms, stage and the osteopathic assessment. They will discuss their plan for your treatment session with you and make sure you’re happy and comfortable with it.

How long should The Perrin Technique take to work?

The initial phase of treatment starts the process of mobilising your lymphatic system. Your body has to work quite hard during this stage, as your liver processes the toxins that have built up. You may feel more symptomatic, particularly with fatigue, while this happens.

We treat you weekly at this stage, both to support this clear-out process, and to help you more generally to cope with symptoms you may be experiencing.

As your treatment progresses and your symptoms start to improve, we may suggest that you come in less often. We’ll guide you in using self-massage techniques at home to make sure your recovery stays on track. Your osteopath will monitor your progress closely and will discuss the best course of action with you.

In the later stages, as you attain your peak of recovery, we may suggest reducing treatment frequency further. We can base this on your symptom level and your progress. Although you may then only need to come for treatment occasionally, remember that stress can trigger a flare-up, and it’s best to deal with symptoms early.

Of course, everyone is unique and each path to recovery is different. Some people feel worse before they feel better, while others will feel an improvement straight away. In all cases, we’d expect to see significant positive changes within three months, though it’s often much sooner.

We’ll be guided by your symptoms and your progress, but you can be assured that we will never prolong treatment longer than necessary. You’re in charge at all stages. 

What makes The Perrin Technique unique?

The Perrin Technique is devised specifically to treat chronic fatigue conditions, such as CFS/ME, fibromyalgia and Long Covid. Scientific studies looking into both the conditions themselves and the use of The Perrin Technique to treat them, increasingly validate it as an effective method.

For example, a recent study confirmed that physical examination of patients is valuable in identifying CFS/ME. And early research into the effects of The Perrin Technique for patients with Long Covid has also shown promising results.

Currently, other treatment options for these conditions offer physical and psychological rehabilitation to help you manage your symptoms. The Perrin Technique is different, in that it addresses the underlying cause. 

Who would benefit from The Perrin Technique?

Many people who book for treatment with The Perrin Technique have already had a diagnosis of CFS/ME or fibromyalgia and have exhausted other treatment options. They may have seen a number of health professionals without success.

Other people book because they have symptoms typical of chronic fatigue or post-viral syndromes. They realise their symptoms of feeling tired, ill, achy, breathless and foggy-headed have lasted much longer than a normal virus should.

Whether you’ve already been diagnosed or not, we can help. We will assess you to confirm your diagnosis – this will happen at your first appointment. At that stage, we can advise on whether The Perrin Technique is right for you, and what to expect.

We recognise that these kinds of symptoms can have many underlying causes, so if something doesn’t seem right, we’ll always refer you to your GP for blood tests or other diagnostics, as appropriate. 

I’ve never been treated with The Perrin Technique before. Will it work for me?

Each individual treatment plan using The Perrin Technique is formulated according to the needs of the patient and adapted to match the patient’s progress. Because it is designed around you, this single course of treatment will help you achieve your best recovery.

The Perrin Technique is a team effort, and the best outcome requires each patient to commit to the process. That includes adapting your lifestyle, where possible, to reduce stress, and undertaking self-management exercises at home.

We will monitor your progress together, looking at your symptom fluctuation and your everyday functioning, as well as physical signs. Although it’s best not to interrupt a course of treatment, we understand that circumstances can change, or you may wish to explore other options. We’re always happy to give you advice on the best way forward.

Despite best efforts, stressful things do still happen in life! As stressors can trigger symptoms, you may experience the occasional setback. That’s why our doors are always open, and you can pick up treatment as and when you feel the need. We’re here to support your journey to health. 

Reviews for The Perrin Technique

Aisha brought me pain relief for fibromyalgia where nothing else worked. She is warm and welcoming, and the sessions and environment are always extremely soothing. She is very knowledgeable about health and especially women’s health, giving regular information about supplements and ways to manage or improve pain. I would absolutely recommend seeing her.

Sabrina, 2021


Absolutely wonderful staff, I always felt very cared for and considered. Ami, Aisha, and Robert always went the extra mile and were pivotal for my recovery. The reception were always friendly and helpful, made me feel at home. I would wholeheartedly recommend without any hesitation.

Kellye, 2021