ME/ CFS  Care 

Specialist Support for Complex Fatigue Conditions

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome is a complex, long-term condition characterised by profound fatigue, reduced physical capacity, and cognitive dysfunction that can significantly impact quality of life.

 

For many individuals, symptoms can be unpredictable, fluctuating, and at times deeply limiting—both physically and emotionally.

My role is to provide a space where your experience is recognised, carefully assessed, and supported with clinical sensitivity and depth.

ME/CFS is increasingly understood as involving dysregulation of the nervous, immune, and autonomic systems, often alongside altered responses to exertion and stress.

 

Clinical Presentation

Each presentation is unique; however, patients commonly report:

• Persistent, debilitating fatigue

• Reduced concentration and cognitive clarity (“brain fog”)

• Post-exertional malaise (symptom flare following activity)

• Musculoskeletal pain (including neck, shoulders, and back)

• Disturbed or unrefreshing sleep

• Sensitivity to light and sound

• Temperature regulation difficulties

• Sore throats or recurrent minor illness

• Cold extremities

Symptoms may vary in severity, and in more advanced cases can significantly limit independence, requiring a highly paced and supportive approach to care.

 

A Complex and Multifactorial Condition

In many cases, ME/CFS appears to develop following a significant physiological stressor—commonly a viral illness such as Epstein-Barr Virus or Lyme disease.

Ongoing research suggests this may lead to persistent immune activation and disruption within the autonomic nervous system, contributing to the characteristic fatigue and reduced resilience seen in this condition.

While the exact mechanisms remain under investigation, it is widely recognised that ME/CFS requires an individualised and carefully managed treatment approach.

 

A Refined Treatment Approach

Treatment is based on the Perrin Technique, adapted to suit the needs and tolerance of each individual.

This is a gentle, highly regulated form of osteopathic care, integrating:

• Subtle manual therapy

• Targeted soft tissue techniques

• Cranial osteopathic work

• Gentle articulatory movements

The approach focuses on supporting the interaction between the nervous system and lymphatic pathways, with the aim of improving physiological balance without overloading a sensitised system.

Sessions are carefully paced, with close attention to individual tolerance, energy levels, and post-treatment response.

 

A Considered, Whole-Person Perspective

ME/CFS often affects multiple aspects of life, including physical health, emotional wellbeing, and daily function.

Time is taken to build a detailed understanding of your history, triggers, and current capacity. Where appropriate, partners or family members are welcome to attend the initial consultation to support a more complete clinical picture.

 

Clinical Framework

This work is influenced by the research of Dr Raymond Perrin, whose clinical model explores the relationship between the central nervous system, lymphatic function, and chronic fatigue conditions.

Research published in BMJ Open has investigated the role of physical assessment in identifying features associated with ME/CFS, contributing to the ongoing development of this approach.

While no single framework fully explains ME/CFS, this model offers a structured and clinically reasoned way to approach a complex and multifactorial condition.

 

What to Expect

Care is individualised, measured, and responsive.

The aims of treatment include:

• Reducing the overall burden of fatigue and associated symptoms

• Supporting improved energy regulation and resilience

• Minimising post-exertional flare-ups

• Enhancing sleep quality

• Improving overall function and quality of life

Progress is typically gradual and carefully paced, reflecting the importance of working in alignment with your body’s capacity for change.

 

Discreet, Patient-Centred Care

Above all, this is a space for thoughtful, unhurried, and respectful care, where your condition is approached with the clinical attention and understanding it deserves.