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Leading multi-disciplinary practice in Timperley, Altrincham providing osteopathy for all the family across Cheshire and Manchester.


South Manchester & Cheshire

Welcome to The Village Osteopaths The Perrin Technique pages. We are a licensed Perrin Technique clinic, diagnosing and treating Myalgic Encephalopathy (ME) and Chronic Fatigue Syndrome (CFS) using The Perrin Technique™.

The Perrin Technique technique has also seen some benefits to patients suffering with Fibromyalgia and similar Systemic Exertion Intolerance Diseases as they are acknowledged as being on the same 'spectrum'.
You can keep scrolling down or use the links below to click to find out more on The Perrin Technique, ME/CFS and our Principal Osteopath Collette Bourke who is an Advanced Perrin Technique Practitioner, who has been diagnosing and treating since 2005.

From feeling exhausted all the time I have progressed to the point that I see Collette every few months and am able to live my life to the full! Thank you so much!


Myalgic Encephalopathy is an illness estimated to affect some 250,000 people across the UK. There are a number of different names for the condition, such as:

Myalgic Encephalopathy or “ME” 

Chronic Fatigue Syndrome or “CFS”

Post-Viral Fatigue Syndrome or “PVFS”

Chronic Fatigue Immune Dysfunction Syndrome or “CFIDS”

ME is a wide spectrum in that all types of people from different backgrounds and ages are affected.

Some may experience minimal affects whilst others will have their lives drastically change, disrupting schooling, employment, social and their family lives.
People typically suffer from severe and debilitating fatigue, painful muscles and joints. Many people will also experience disordered sleep, gastric disturbances, poor memory and concentration.

Whilst the reasons for the onset of ME are not currently known it is thought that triggers may be linked to viral infections, an operation, accident and stress.

However, the symptoms may only become apparent after a prolonged period of time.



The causes are not yet fully understood but through Dr Perrin’s research he discovered that the probable cause for ME and CFS is nervous system overload due to stresses on the body causing build-up of toxins in the fluid around the brain and the spinal cord.

These stresses can be emotional, physical trauma, viral, environmental and infective, and ususally a combination of these.

The result of this is a break down of the lymphatic system and therefore the build-up of poisons.

In ME and CFS sufferer the normal drainage points have become congested causing this back up of toxins which irritate the brain, spinal cord and tissues causing the wide range of symptoms suffered.



Dr Raymond Perrin had a chance encounter with a patient suffering with ME who came to him with lower back pain. After several months of Dr Perrin’s osteopathic treatment the patient found his ME, in his eyes, 'cured'.

Dr Perrin, based at The Perrin Clinic, Prestwich, carried out years of research and trials to develop The Perrin Technique™; a specialist technique designed for the diagnosis and treatment of Myalgic Encephalopathy (ME) and Chronic Fatigue Syndrome (CFS).

The Perrin Technique has also seen some benefits to patients suffering with Fibromyalgia and similar Systemic Exertion Intolerance Diseases as they are acknowledged as being on the same 'spectrum'.

The Perrin Technique involves both diagnosis and treatment. The diagnosis is independent of other diagnoses due to the consideration of a patients physical signs.

The diagnostic element of The Perrin Technique formed the basis of a NHS research project at Wrightington Hospital in Wigan with results published in November 2018.

The research project is solely focused on the diagnosis of ME and CFS and the results were extremely positive and future trials are in the planning stages. You can read more about the trial by clicking here.



The Perrin Technique™ gives an immediate diagnosis after the patient's first physical examination, rather than the diagnosis of ME and/or CFS being a process of elimination, as seen in mainstream medicine.

The Perrin Technique determines ME is a result of different stress factors on the body cause an overstrain of the sympathetic nervous system leading to lymphatic breakdown and toxic build-up.

Dr Perrin has discovered definite physical signs common to all ME and CFS sufferers and he has provided a small article on the physical signs of ME/CFS - which you can read here.

Your osteopath will give an indication on the severity of your condition and outline a treatment plan with the aim of getting you symptom free.



The Perrin Technique™ is an osteopathic approach designed to manually stimulate the fluid motion around the brain and spinal cord, encouraging drainage of the lymphatic system.

Manipulation of the spine and tissues further aid drainage of these toxins out of the cerebrospinal fluid.
Through gentle manipulation of soft tissues in the head, neck, back and chest The Perrin Technique directs all the toxins out of the lymphatic system and into the blood, where they are eventually detoxified in the liver.
Eventually with no poisons affecting the brain, the sympathetic nervous system begins to function correctly.  
Providing the patients do not overstrain themselves their symptoms should gradually improve and in time some patients become totally symptom free.

Collette Bourke - Advanced Perrin Technique Practitioner

Collette Bourke B.Ost

Principal Osteopath

Advanced Perrin Technique Practitioner

Collette graduated from the prestigious British School of Osteopathy in 2005 and immediately trained and worked with Dr Perrin, becoming a licensed Perrin Technique Practitioner in 2005.

She has worked closely with Dr Perrin since and was awarded “Excellence in the Perrin Technique” in 2012 for her work and expertise in the field.

Collette was one of the first osteopaths to become an “Advanced Perrin Technique Practitioner” and performs Initial Consultation appointments for diagnosing ME/CFS, alongside the The Perrin Technique treatment.

Collette Bourke 5891