Chronic Fatigue Syndrome/ME & Fibromyalgia

Dates: 23 - 24 November 2019
Course leader: Dr Raymond Perrin
Cost: £256 - £320


About the course

Dr Perrin will detail the scientific evidence based on the diagnosis and treatment of these complex disorders and teach the techniques and the management of CFS/ME. The course is suitable for osteopaths, physiotherapists and chiropractors with some experience in basic cranial techniques. The planned workshop will have 4 parts:

1). Applied anatomy and pathophysiology of the neurolymphatic and autonomic nervous system

  • The applied anatomy and physiology of the neurolymphatic system plus the pathogenesis of CFS/ME from a biomechanical perspective. The neuroscience underlying the physical symptoms and diagnostic signs will be explained.

2). The evidence to support the physical diagnostic criteria

  • A summary of the findings of the clinical trials into the treatment at the Universities of Salford and Manchester together with results of an independent controlled clinical study in Hammersmith Hospital London plus a detailed review of the findings from the diagnostic study published recently in the BMJ Open (Hives L et al. Nov 2017)

3). Practical session

  • Dr Perrin will explain the consultation process and practically demonstrate the physical signs that clinicians can use in practice as an aid to the diagnostic process. Also the Perrin Technique treatment protocol will be taught with plenty of hands on participation especially on the second day of the workshop.

4). Other methods of treating CFS/ME and Fibromyalgia will be discussed and the integrative multidiscipline approach will be shown.

Summary of Osteopathic Practice Standards (updated) covered in this course

  • A) Communication and patient partnership - A4, A5, A6
  • B) Knowledge, skills and performance - B2, B2
  • C) Safety and quality in practice - C1

Learning outcomes

  • Understand the pathogenesis of CFS/ME and Fibromyalgia from a biomechanical perspective.
  • Know how to examine the patient for the early physical symptoms and diagnostic signs for possible CFS/ME and Fibromyalgia.
  • Know how to carry out the osteopathic treatment of CFS/ME and Fibromyalgia (The Perrin Technique).
  • Demonstrate ability to integrate the evidence-based medicine discussed in the workshop into better patient care.

Course suitability

The course is suitable for osteopaths, physiotherapist and chiropractors with basic knowledge and some experience in basic cranial techniques.

Course schedule


  • 09:00-09:30  Registration/Coffee
  • 09:30-11:00  Applied Anatomy and physiology of the sympathetic nervous and neuro-lymphatic systems.
  • 11:00-11:15  Tea/Coffee break
  • 11:15-12:30  The pathogenesis of CFS/ME and Fibromyalgia
  • 12:30-13:30  Lunch
  • 13:30-15:30  Diagnosis : The consultation process
  • 15:30-15:45  Tea/Coffee break
  • 15:45-17:30  Practical training: Examination and diagnosis
  • 17:30  Close


  • 09:00:09:30  Coffee
  • 09:30-10:45  Practical training: Examination and diagnosis Cont.
  • 10:45-11:00  Tea/Coffee break
  • 11:00-12:30  Practical training: The Osteopathic Treatment of CFS/ME and Fibromyalgia
  • 12:30-13:30  Lunch
  • 13:30-15:45  Practical training: Treatment cont. Plus exercises and management advice.
  • 15:45-16:00  Tea/Coffee break
  • 16.00-17:30  Other Treatment Strategies of CFS/ME
  • 17:30 Close 

About the course leader

Dr Raymond Perrin qualified in 1984 from the then British School of Osteopathy (now UCO). Whilst at the BSO, he spent 3 years working in the children’s clinic with Jonathan Curtis-Lake where he gained much experience in cranio-sacral techniques. He has extensive experience treating top sportsmen and women including Olympic athletes. In 1991 he was appointed official osteopath to the World Student Games, Sheffield.

Dr Perrin’s research since 1989 into Chronic Fatigue Syndrome/ME has expanded our knowledge of the disease and how to diagnose and treat it. In July 2005, he was awarded a doctorate by the Uuniversity of Salford for his thesis on the involvement of cerebrospinal fluid and lymphatic drainage in CFS/ME. From 1996 onwards he has been the Research Director of F.O.R.M.E. Trust.

Since 2007 he has held the academic post of Honorary Senior Lecturer at the Allied Health Professions Research Unit at the University of Central Lancashire, in Preston, UK. He was appointed member of the scientific committee for the 2nd, 3rd and 4th World Congress on Neurobiology and Psychopharmacology affiliated with the European Association of Psychiatrists Annual Conference, Greece.

In a study between 2015-16 he was chief investigator of joint UCLan & NHS research project: Examining the accuracy of a physical diagnostic technique for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis, REC reference number 12/NW/0877. In 2015 he joined the international faculty of the German School of Osteopathy, Hamburg; and he teaches osteopathic theory and practice to students in colleges all over Europe. He has run workshops training fellow osteopaths, physiotherapists, chiropractors and physicians in the manual techniques he has developed in the US, South Africa, Gibraltar, Germany, Czech Republic, the Netherlands, Ireland, Sweden, Norway, Finland, Sicily and Russia.

He has lectured internationally and in the UK to CFS/ME patient groups and the medical profession on the osteopathic treatment of CFS/ME. He has published papers in major medical journals and his book, 'The Perrin Technique: How to beat CFS/ME' was published by Hammersmith Press, London in 2007.

For his services to osteopathy Dr Perrin was appointed Vice-Patron of the British School of Osteopathy and was he was the proud winner of the inaugural Research and Practice Award from the Institute of Osteopathy in 2015.

He has this year been appointed Honorary Clinical Research Fellow in The Faculty of Biology, Medicine & Health at The University of Manchester.

Ray lives with his family in north Manchester where he runs a multi-disciplinary clinic. He also sees patients at The London Neurology and Pain Clinic and in Bushey Heath, Hertfordshire.


Additional Information

On completion of this two day course delegates are qualified to register as a licenced 'Perrin Technique' practitioner at a discounted price of £20 per month or £200 for the first year of registration (reverting to the regular price of £25 per month or £250 per year there after). This gives you the right to list the Perrin Technique on your own website and will list you as a licenced practitioner on the Perrin Technique website. 

Please note that 'Perrin Technique' and Dr Perrin's name are trademarked and can not be used in any of your marketing material without registering as a licenced Perrin Technique practitioner.



Cancellation policy

The UCO regrets that no refunds can be made for cancelled places unless a substitute participant can be found. The UCO cannot guarantee that any course will run. In the event of your course being cancelled, all paid fees and deposits will be refunded in full.