Kosta Kolimechkov graduated from the University College of Osteopathy (formerly the British School of Osteopathy, BSO) in 2014 and specialises in the treatment of neuro-lymphatic, musculo-skeletal and sport related injuries. He is treating patients suffering neurological conditions such as Myalgic Encephalomyelitis ME, Chronic Fatigue Syndrome CFS, and Fibromyalgia.

He also has a Sports Science degree (2008) and experience in working with athletes such as rowers, runners, swimmers and cyclists. Kosta himself represented his country Bulgaria at World Rowing Championships.

Kosta is also a licensed Perrin Technique™ practitioner treating patients who suffer ME/CFS and Fibromyalgia.


Scientists investigating the causes of lymphoedema have made a major discovery, revealing that lymphatic vessels can produce red and white blood cells.

Until now, it was believed that blood cells derived solely from stem cells found in bone marrow. 

At this year’s conference, Dr Perrin shared his thoughts on this new discovery: “We’ve seen malformation of red blood cells in both ME and Long Covid - this could be due to the malfunctioning of the lymphatics. If we can help the lymphatics drain better, surely it’s going to help everything work better as well. It’s the control mechanism of the lymphatics as well that is so important - the sympathetic nervous system - and when we treat the patient, we are helping that. Besides helping the sympathetic nervous system work on the blood flow, it could also help in the formation of blood cells in the lymphatics as well.”


The newly discovered membrane in the brain called SLYM and what could this mean for ME/CFS sufferers 

The latest discovery, described today in the journal Science, is a previously unknown component of brain anatomy that acts as both a protective barrier and platform from which immune cells monitor the brain for infection and inflammation.

The new layer discovered by the U.S. and Denmark-based research team further divides the space between the arachnoid and pia layers, the subarachnoid space, into two compartments, separated by the newly described layer, which the researchers name SLYM, an abbreviation of Subarachnoidal LYmphatic-like Membrane.

The new membrane is very thin and delicate, consisting of only a few cells in thickness.  Yet SLYM is a tight barrier, allowing only very small molecules to transit and it also seems to separate “clean” and “dirty” CSF.  This last observation hints at the likely role played by SLYM in the glymphatic system, which requires a controlled flow and exchange of CSF, allowing the influx of fresh CSF while flushing the toxic proteins associated with Alzheimer’s and other neurological diseases from the central nervous system. Read more

Treatment of the month - The Perrin Technique™

The Perrin Technique™ is an Osteopathic manual method that aids the diagnosis and treatment of ME/CFS based on the theory that stress factors which can be physical, emotional, chemical or immunological (such as allergies or infections) can cause excessive strain on the sympathetic nervous system, leading to ME/CFS. 

Rowing related injuries

"What has possibly gone wrong?"