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The Perrin Technique

The Perrin Technique 

The Perrin technique is a manual method of treatment that can diagnose (under consideration by The National Institute for Health and Care Excellence) and is significant help treatment of Myalgic Encephalomyelitis (ME)/ Chronic Fatigue Syndrome (CFS)/ Fibromyalgia (FM) and other fatigue conditions.

The technique was developed in 1989 and continues to be developed by Dr Ray Perrin



His work is supported by four peer reviewed research projects in collaboration with the NHS, mainly Salford Royal University Trust and Writtington Hospital, Wigan. (See references 1-5).

The theory behind the Perrin Technique is that stress factors which can be physical, emotional, chemical, environmental, immunological (allergies or infections) or genetic, cause excessive stresses on the sympathetic (automatic) nervous system leading to the many and varied ME/CFS signs and symptoms; fatigue, brain fog, nausea, headaches, aches and pains, POTS and irregular heart rhythms etc. More precisely these are the effects of neuro-toxins on the brain and spinal cord. For the CFS sufferer the body is unable to drain these chemicals  for many reasons; sometimes there will be other co-morbidities that will exacerbate the problems.

So, how do these toxins access the brain and spinal cord? Research at Stamford University (reference 6), on mice, demonstrated the continuity of the drainage of the cerebro spinal fluid to the rest of the lymphatic system via the cribriform plate, a bony drainage structure behind the nose.

The current SARS-CoV-2 (Covid-19) pandemic is beginning to leave many people with “Long Covid” in it’s wake. This is very probably the same mechanism and Perrin Practitioners all over the world have begun to treat those suffering with this to good effect. Dr Perrin is currently gathering data for another research project to confirm or deny this. “We aim to treat the patient’s physiology, not the condition”. (ref 7)

Researchers at Charite  -Universitatsmedizin  Berlin have demonstrated electron-microscope images of the SARS-CoV-2 virus present in the olfactory mucosa (hence loss of smell for some) where it crosses the blood-brain barrier (BBB) and is also present in the cerebro-spinal fluid around the membranes of the brain. This causes inflammation and the typical brain fog, loss of some sensations and dis-regulation of many body functions. (Ref 8)

If you or anyone dear to you are/is suffering, please do contact me via Headcorn Natural Health Clinic


01622 890803


in the first instance for a chat and I will do my best to answer any questions you may have.

The treatment pathway starts with a questionnaire that is done at home and if appropriate, progress to an initial assessment. This takes as long as each patient can tolerate up to 90 mins but it can be broken down into shorter times depending on energy levels.

The initial assessment includes an examination of the spine, head and the lymphatics of the neck, chest/thorax and abdomen. A chaperone should attend the initial consultation even if the patient is over 18 and after that it is the patient’s choice. (under 18s it is required) The assessment will determine whether or not the patient would benefit from treatment and on a scoring system, roughly how long it might take to be feeling well again.

If appropriate, treatments are weekly to start with for between 8 and 15 weeks. Thereafter, as symptoms reduce, treatments can be spaced. Over all, the whole pathway can take from 6 months to 3 years depending on how long the patient has been suffering and how much they are able to follow recommendations.

Treatments include gentle stimulation and mobilisation of the thorax and neck, lymphatic drainage techniques and gentle manual treatment of the cranium and the spine. This regular treatment is supported by a daily routine of drainage and mobility done at home.

I am a Licenced Perrin Practitioner  having trained with Dr Ray Perrin nearly 10 years ago and having 25 years of working as an Osteopath (now retired). I am impressed by Ray’s knowledge and passion for the Technique and the positive outcomes I have witnessed over the years. He is now spreading the word all over the world speaking at conferences and running training sessions for new practitioners.

For further information please check Ray Perrin’s website or his recent publications; see below.

(Ref 9 and 10)

Liz Baker BSc HONS  DO   




  1. Perrin RN. Chronic Fatigue Syndrome: a review from the biomechanical perspective.       British Osteopathic Journal 1993 11: 15-23
  2. Perrin RN, Edwards J, Hartley P. An evaluation of the effectiveness of osteopathic treatment on symptoms associated with myalgic encephalomyelitis: a preliminary report. Journal of Medical Engineering and Technology 1998; 22(1):1-13.
  3. Perrin RN. The involvement of Cerebrospinal Fluid and Lymphatic Drainage in Chronic Fatigue Syndrome/ ME. University of Salford, UK. 2005.
  4. Perrin RN, Lymphatic drainage of the neuraxis and CRI: a hypothetical model. Journal of the American Osteopathic Association 2007; 107(06): 218-224.
  5. Hives L,Bradley A, Richards J, Perrin R N,et al. Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study. BMJ Open 2017; 0e017521. Doi:10 1136/bmjopen-1217-017521
  6. Iliff J, Wang M,Liao Y, Plogg B, Peng W, Gunderson G A, Benveniste H, Vates E, Deane R, Goldman S A, Naglehus E A, Nedergaard M A, paravascular pathway facilitates CFS flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid beta. Sci transl Med 2012;4 (147): 147ra111.
  7. Dr Margaretta Griesz- Brisson Neurologist.
  8. Meinhard J, Radke J, Dittmayer C, et al. Olfactory transmucosal SARS-CoV-2 invasion as a port of central nervous system entry in individuals with COVID 19. Nat neurosci 30 November 2020. https://doi.org/10.1038/s41593-02000758-5
  9. Dr Raymond Perrin. The Perrin Technique. Second Edition. 2021. Hammersmiths Books Ltd. ISBN 978-1-78161-149-4
  10. Dr Raymond Perrin. The Concise Perrin Technique. A Handbook for Patients. 2nd 2021. Hammersmith Books Ltd. ISBN 978-1-78161-206-4


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