The Perrin Technique
The Perrin Technique is a form of osteopathic treatment developed by UK-based osteopath Raymond Perrin for patients suffering from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The Perrin Technique is based on the hypothesis that the underlying cause of ME/CFS is impaired function of the lymphatic and "glymphatic" systems. Perrin argues that five physical signs are always present in those who suffer from ME/CFS: (1) mechanical disturbances of the thoracic spine, (2) breast varicosities, (3) tender Perrin’s point (third left intercostal space), (4) tender coeliac plexus, and (5) dampened cranial flow. Perrin proposes that examination for these five signs is a more accurate means of definitively diagnosing ME/CFS than the commonly used Canadian Consensus Criteria or a diagnosis of exclusion.
Book[edit | edit source]The Perrin Technique: How to Beat Chronic Fatigue Syndrome/ME is a self-help book by Raymond Perrin.
See also[edit | edit source]
References[edit | edit source]
- Perrin, Raymond N. (2007). The Perrin technique : how to beat chronic fatigue syndrome/ME. London: Hammersmith. ISBN 978-1-905140-12-1. OCLC 244652322.
- Iliff, J. J.; Wang, M.; Liao, Y.; Plogg, B. A.; Peng, W.; Gundersen, G. A.; Benveniste, H.; Vates, G. E.; Deane, R. (Aug 15, 2012). "A Paravascular Pathway Facilitates CSF Flow Through the Brain Parenchyma and the Clearance of Interstitial Solutes, Including Amyloid". Science Translational Medicine. 4 (147): 147ra111–147ra111. doi:10.1126/scitranslmed.3003748. ISSN 1946-6234. PMC . PMID 22896675.
- Puri, BK; Gunatilake, KDR; Fernando, KAC; Gurusinghe, AI; Agour, M; Treasaden, IH (Feb 2011). "Increased Tenderness in the Left Third Intercostal Space in Adult Patients with Myalgic Encephalomyelitis: A Controlled Study". Journal of International Medical Research. 39 (1): 212–214. doi:10.1177/147323001103900122. ISSN 0300-0605.
- Hives, Lucy; Bradley, Alice; Richards, Jim; Sutton, Chris; Selfe, James; Basu, Bhaskar; Maguire, Kerry; Sumner, Gail; Gaber, Tarek (Nov 2017). "Can physical assessment techniques aid diagnosis in people with chronic fatigue syndrome/myalgic encephalomyelitis? A diagnostic accuracy study". BMJ Open. 7 (11): e017521. doi:10.1136/bmjopen-2017-017521. ISSN 2044-6055. PMC . PMID 29133321.
- Carruthers, Bruce M.; Jain, Anil Kumar; De Meirleir, Kenny L.; Peterson, Daniel L.; Klimas, Nancy G.; Lerner, A. Martin; Bested, Alison C.; Flor-Henry, Pierre; Joshi, Pradip (Jan 2003). "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols". Journal of Chronic Fatigue Syndrome. 11 (1): 7–115. doi:10.1300/J092v11n01_02. ISSN 1057-3321.
myalgic encephalomyelitis (ME) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.
chronic fatigue syndrome (CFS) - A fatigue-based illness. The term CFS was invented invented by the U.S. Centers for Disease Control as an replacement for myalgic encephalomyelitis (ME). Some view CFS as a neurological disease, others use the term for any unexplained long-term fatigue. Sometimes used as a the term as a synonym of myalgic encephalomyelitis, despite the different diagnostic criteria.