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The Perrin Technique
The Science
A physical disorder, not a psychological condition with physical symptoms.
This section is designed to explain the science behind The Perrin Technique theory by breaking down the different body parts, systems and their functions which when not working properly can cause ME/CFS, FMS and long-Covid.
Since the 1980s Dr Perrin has hypothesised ME/CFS and FMS were a biophysical disorder rather than the accepted view at the time of the conditions being psychosomatic.
Dr Perrin hypotheses a breakdown in the automatic nervous system which causes a breakdown in the lymphatic system, leading to a build up of toxins within the body, brain and spinal cord. These toxins interfere neurologically with every day brain functions and cause a range of physical symptoms.
Thankfully, modern medicine is in agreement now that these conditions are a biophysical disorder with a host of research that, whilst independent of Dr Perrin, backs up his hypothesis.
For more detailed information please see Dr Perrinβs published works.
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Blood Brain Barrier
The blood brain barrier (BBB) prevents toxins in the blood entering the brain. It supplies brain tissues with nutrients, and filters harmful compounds from the brain back to the bloodstream
Historically the BBB challenged the notion of a glymphatic system. Yet, there are seven areas where the brain does not have this protection; the circumventricular organs.
It has also been found that weaknesses can be caused in the BBB for various reasons, increasing its permeability.
CVOs
Circumventricular organs enable hormones and substances that trigger changes in brain function safe passage through the blood brain barrier.
Hormones, for example, can be too large a molecule to pass through the blood brain barrier. So CVOs enable passage in and out of particular areas of the brain like the hypothalamus.
Biofeedback
The hypothalamus is vital in controlling many bodily functions like the release of hormones e.g. sending signals from the brain to the pancreas to determine the bodyβs level of insulin.
This process is called biofeedback and is only possible via circumventricular organs to allowing large molecules like hormones to bypass the blood brain barrier.
Glymphatic System
Dr Perrin hypothesised this since 1989 which was discounted due to there being the blood brain barrier. Now it is widely accepted there is a system of drainage of toxins from the brain.
Named in 2013 due to its dependence upon glial cells and its similarities with the lymphatic system, the glymphatic system is a drainage system within the central nervous system.
Central Nervous System
Your brain and spinal cord make up the central nervous system, controlling everything you do such as, muscle movement, organ function, complex thinking and planning.
Cerebrospinal fluid protects this system and removes waste products from the brain, draining toxins through paravascula and perivascular spaces to deposit in the lymphatic system.
Drainage Channels
Paravascular spaces are gaps next to blood vessels and perivascular spaces are in arterial walls. Toxins pass through these, onto the lymphatic system via perforations in the skull.
Further drainage channels exist round the cribriform plate and cranial nerves; the olfactory (nose) optic (eye), auditory (ear) and trigeminal (cheek) nerves, and down the spinal cord.
Lymphatic System
The lymphatic system is part of the immune system with tissues, lymph fossils and organs connecting lymph nodes. It is a one-way drainage system pumping lymph around the body.
Lymph consists of white blood cells which fight infection, carrying bacteria or toxins to lymph nodes where lymphocytes break down bacteria, viruses, damaged and cancer cells.
Lymphatic Pump
Lymphatic vessels which transport lymph walls like the fish gills, engulfing and dispelling waste products and destroyed bacteria back into the bloodstream for the liver to process.
The thoracic duct, located in the thoracic spine, controls the pumping of the lymphatic system and itself is controlled by the sympathetic nervous system.
SNS
The sympathetic nervous system originates from the spinal cord and runs adjacent to the thoracic spine, controlling involuntary actions like breathing, heart rate and our fight or flight response in dangerous or stressful situations.
If under sustained stress, including mechanical spinal stress, the system can crash, hampering the pumping mechanism and lead to toxin build up and pumping lymph the wrong way round this one-way, lymphatic system.
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There are 5 physical signs detectable & which we use in the aid of diagnosis of ME/CFS, FMS & Long-Covid
No patient is the same. Whilst patients may share similarities in health histories and symptoms, their genetics, upbringing and life experience sets them apart.
Dr Perrinβs theoretical model is outlined and explained below to try and explain why these conditions develop. This model is a general guide to give patients an understanding of the triggers which can lead to conditions like ME/CFS, FMS, Long-COVID developing.
For more detailed information please see Dr Perrinβs published works.
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