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Richmond Manual Therapy

Kosta Kolimechkov

Osteopathhttps://www.richmondmanualtherapy.london

Osteopath
Kosta Kolimechkov is the founder of Richmond Manual Therapy, he graduated from the University College of Osteopathy (former BSO) in 2014 and specialises in the treatment of neuro-musculo-skeletal disorders and sport related injuries.
He also has a Sports Science degree (2008) and experience in working with athletes such as rowers, runners, swimmers and cyclists.
Kosta is also an advanced licensed practitioner of the NHS-supported Perrin Technique™ a diagnostic and treatment protocol for M.E., Chronic Fatigue Syndrome and post-viral fatigue which is currently being researched for efficacy in the treatment of Long Covid.

Services

Initial Consultation

90min Initial Consultation & Treatment

1 hr 30 mins£140

Your Therapist will take a detailed case history asking questions about your general health, current or previous injuries. We will give you a clear explanation of all our findings (diagnosis) and we will discuss a treatment that is most suitable for you.

Normally the treatment consists of soft tissue and muscle energy techniques, gentle to firm joint manipulation / articulation, aiming to improve the range of movement in restricted joints.

After your Initial Consultation and Treatment you will be offered a complimentary Follow Up appointment within a week of your first treatment.

We offer this at no additional cost to you as we are committed to monitor your progress after your Initial Treatment at our Clinic.

Perrin Technique™ Initial Consultation

1 hr 30 mins£140

The Perrin Technique™ consultation includes a comprehensive case history from birth and going through all the symptoms plus a physical examination to determine an immediate diagnosis even in the very early stages of the illness which is much more beneficial to patients. There has never been a more effective way of ascertaining whether a ME/CFS diagnosis is appropriate, and once it is diagnosed then treatment can begin with the best chance of success.

You will receive the full treatment during your complementary follow up appointment.
We offer this at no additional cost to you as we are committed to monitor your progress after your initial consultation at our Clinic.

The ME/CFS treatment of the Perrin Technique™ is an osteopathic method which stimulates the movement of fluid around the brain and spine. Improving movement in the spine further helps to drain the toxins from the cerebrospinal fluid.

Treatment

50min Follow up appointment

50 mins£80

Perrin Technique™ Follow up appointment

50 mins£80

The ME/CFS treatment of the Perrin Technique™ is an osteopathic method which stimulates the movement of fluid around the brain and spine. Improving movement in the spine further helps to drain the toxins from the cerebrospinal fluid.

Systematic manual lymphatic drainage techniques direct the toxins into the bloodstream, where they are eventually expelled by the body or carried to be detoxified in the liver.

Over time, with less toxins affecting the brain, the sympathetic nervous system returns to its normal function and symptoms improve.

Eventually, patients can become totally symptom-free.

Osteopathy Follow up appointment

50 mins£80

Lymphatic Drainage Massage

50 mins£80

Lymphatic drainage massage can be an effective way to stimulate the immune system, helping to increase the production and circulation of immune cells, such as lymphocytes and macrophages, which can strengthen the immune system and improve overall health.
Lymphatic drainage massage offers a holistic approach to relaxation and well-being. Through gentle, rhythmic movements, this therapeutic technique stimulates the flow of lymph, promoting detoxification, reducing swelling, and supporting immune function.
Lymphedema drainage, or lymphatic drainage massage, is an important part of managing lymphedema and swelling after breast surgery for breast cancer, including mastectomy and lumpectomy.

1–2–1 Assisted Stretching

50 mins£80

This one-to-one session combines advanced stretching techniques and joint mobilisations inspired by Thai therapeutic methods. The treatment aims to enhance flexibility, increase joint mobility, reduce muscular tension, and improve overall posture and body awareness.

Through carefully guided movements and supported stretches, the body is encouraged to release restriction and restore optimal range of motion. Specific attention is given to major joints — including the hips, shoulders, spine, and ankles — using gentle mobilisation and muscle energy techniques to deepen the therapeutic effect.

This therapy is ideal for anyone experiencing chronic stiffness, recovering from injury, postural imbalance, or seeking to improve posture and movement efficiency in daily life. Assisted Stretching helps maintain musculoskeletal health and promotes a sense of balance, strength, and relaxation throughout the body.

Pregnancy and Postnatal Massage

50 mins£80

Pregnancy and childbirth are probably the most momentous experiences you’ll ever have – and the most physically demanding. Using a blend of soothing techniques, pregnancy massage helps to support you and your baby through those special months.

And, once baby is born, it aids your body’s rapid readjustment and helps you cope with the wonderful new challenge of motherhood.

When booking your treatment, you must let us know if you are pregnant and also if you are in your 1st trimester, to make sure that you are booked with the appropriately trained practitioner.

Cranio-Sacral Therapy

50 mins£80

Cranio-Sacral Therapy (CST) is a hands-on technique that taps into the body’s natural ability to heal. With a light touch, CST works to restore balance by gently easing tension in the central nervous system and promoting fluid movement around the brain and spine. CST helps unlock the body’s potential for self regulation, self correction and healing - enhancing wellbeing and building resilience.

Cranio-Sacral Therapy for Babies & Children

50 mins£80

Cranio-Sacral Therapy offers gentle, non-invasive support for babies and children at every stage of development. Using light, responsive touch, it helps ease tension in the body and nervous system—often supporting feeding, digestion, sleep, and overall settling.

Many parents find that sessions not only help their baby feel more comfortable and calm, but also bring ease and balance to the whole family. Treatments can include parents where appropriate, strengthening connection and supporting everyone’s adjustment after birth or through periods of change and growth.

Medical Acupuncture (dry needling)

50 mins£80

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Spencer House, 23 Sheen Road Richmond TW9 1BN