ME/CFS and Fibromyalgia
The Perrin Technique™ is a 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. Further investigation into this theory has shown that this overload is probably caused by toxins building up in the spinal cord and the brain. For a ME/CFS sufferer, these toxins fail to drain properly. In fact, evidence has shown a backflow of the drainage leading to a further build-up of neurotoxins causing a worsening breakdown of the brain’s normal function leading to the diverse symptoms seen in ME/CFS.
By identifying the common signs in all ME/CFS sufferers, The Perrin Technique™ has devised a physical examination that results in an aid to a definitive diagnosis. There has never been a more effective way of ascertaining whether a ME/CFS diagnosis is appropriate, and once it is diagnosed then treatment can begin with the best chance of success. ME/CFS should be considered if the patient’s symptoms are aggravated after exertion. Most health practitioners around the world diagnose ME/CFS by exclusion after many exhaustive tests and if the symptoms do not subside for a few months. However, using The Perrin Technique™ through a thorough consultation including a comprehensive case history from birth and going through all the symptoms plus a physical examination it is now possible to determine an immediate diagnosis even in the very early stages of the illness which is much more beneficial to patients.
The sympathetic nervous system affects every type of tissue around the body and receives messages from them. Tissues called lymph vessels form a network of channels carrying a transparent fluid called lymph, which eventually enters the bloodstream. The lymphatic system is essentially a waste disposal unit for the body to flush out the body’s larger toxins. The ME/CFS treatment of the Perrin Technique™ is an osteopathic method which stimulates the movement of fluid around the brain and spine. Improving movement in the spine further helps to drain the toxins from the cerebrospinal fluid. Systematic manual lymphatic drainage techniques direct the toxins into the bloodstream, where they are eventually expelled by the body or carried to be detoxified in the liver. Over time, without the toxins affecting the brain, the sympathetic nervous system returns to its normal function and symptoms improve. Eventually, patients can become totally symptom-free.
CLINICAL RESEARCH TRIALS 1994-2022
Peer Reviewed Journal Publications
Perrin RN. Chronic Fatigue Syndrome, a review from the biomechanical perspective. British Osteopathic Journal; 11, 1993
Perrin RN, Edwards J and 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 , 22(1), 1-13.1998
Perrin RN. Lymphatic Drainage of the Neuraxis in Chronic Fatigue Syndrome: A Hypothetical Model for the Cranial Rhythmic Impulse. Journal of the American Osteopathic Association, 107(06), 218-224. 2007
Perrin R, Tsaluchidu S. Integrating biological, psychological and sociocultural variables in myalgic encephalomyelitis: Onset, maintenance and treatment. Panminerva Medica 51(03) Suppl. 1, 88, Sept 2009
Perrin R. EPA and The Perrin Technique: A Combined approach to treating Myalgic encephalomyelitis. Annals of General Psychiatry. 9 (Supplement 1):S25, 2010.
Perrin R, Embleton K, Pentreath VW, Jackson A. Longitudinal MRI shows no cerebral abnormality in chronic fatigue syndrome. Br J Radiol. 2010 May;83(989):419-23.
Perrin RN, Richards JD, Pentreath V, Percy DF Muscle Fatigue in CFS/ME and its response to a manual therapeutic approach: A Pilot Study. International Journal of Osteopathic Medicine, May 2011.
Perrin RN. Neurolymphatic pathways in chronic fatigue syndrome/myalgic encephalomyelitis: New Evidence supporting The Perrin Technique. Osteopathische Medizin, 14. Jahrgang 2/2013.
Hives L, Bradley A, Richards J, Sutton C, Selfe J, Basu B, Maguire K, Sumner G, Gaber T, Mukherjee A, Perrin RN. Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study. BMJ Open 2017;0:e017521. doi:10.1136/ bmjopen-2017-017521
Perrin RN Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: diagnosis from an osteopathic perspective Russian Osteopathic Journal 2018 1-2 (40-41): 19-27.
Perrin R, Riste L, Hann M et al. Into the looking glass: Post-viral syndrome post COVID-19. Med Hypothesis 2020 Nov; 144: 110055. Published online 2020 Jun 27. doi: 10.1016/j.mehy.2020.110055.
Heald AH, Perrin R, Walther A, et al. Reducing fatigue-related symptoms in Long COVID-19: a preliminary report of a lymphatic drainage intervention. Cardiovasc Endocrinol Metab. 2022 Jun; 11(2): e0261. Published online 2022 Apr 12. doi: 10.1097/XCE.0000000000000261.