£256 – £320

Chronic Fatigue Syndrome/ME & Fibromyalgia-13-14 March 2021

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University College of Osteopathy

275 Borough High Street



United Kingdom

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About the course

Dr Perrin will detail the evidenced based diagnosis, treatment and management of Chronic Fatigue Syndrome (CFS)/ Myalgic Encephalomyelitis (ME) and fibromyalgia.

The planned workshop will be in 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 practical sessions on the second day of the workshop.

Note the examination and treatment requires exposure of the whole breast tissue that must be done with underwear removed. Participants on the course are under no obligation to model for the examination or treatment. If you would like to volunteer as a model full information and a consent form will be provided prior to the course.

4 The range of management options available for CFS/ME and Fibromyalgia will be discussed and an integrative multidisciplinary approach will be shown.

Summary of Osteopathic Practice Standards (Updated) and other CPD elements covered

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.
  • Learn how to carry out the treatment of CFS/ME and Fibromyalgia using ‘The Perrin Technique’.
  • Have an understanding of the wider management of the CFS/ME and fibromyalgia patient to support patient wellbeing.


Please bring a towel with you to this CPD and unfragranced massage oil- not almond oil please in case someone is allergic to nuts.



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 Perrin Technique' 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 for CFS/ME

17:30 CLOSE

Course suitability

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

Additional information

On completion of this two-day course delegates are qualified to register as a licenced 'Perrin Technique' practitioner. This gives you the right to list that you are a registered 'Perrin Technique' practitioner on your own website. You will also be listed as a licenced practitioner on the Perrin Technique website. The cost for registration as a licenced 'Perrin Technique' practitioner is being offered by Dr Perrin at a discounted price of £20 per month or £200 for the first year of registration for delegates attending the UCO course (reverting to the regular price of £25 per month or £250 per year there after). Registering as a licenced 'Perrin Technique' practitioner means you will receive updated information from Dr Perrin at various intervals throughout the year and he holds annual catch up events at different locations. Please note that 'Perrin Technique' and Dr Perrin's name are trademarked by Dr Perrin and cannot be used in any of your marketing material without first registering as a licenced 'Perrin Technique' practitioner.

About the course leader

Dr Raymond Perrin qualified in 1984 from the then British School of Osteopathy. 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 treat it. In July 2005 he was awarded a doctorate by the university of Salford, UK 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 theAllied Health Professions Research Unit, 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 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 USA, 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 service to osteopathy Dr Perrin was appointed a vice-patron of The British School of Osteopathy, now The University College 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, Herts.

Recommended pre course reading

The Perrin Technique, Raymond N Perrin, Hammersmith Press, London 2007.

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

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.

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University College of Osteopathy

275 Borough High Street



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