The Fascial Manipulation Method is a publication featuring actual case reports. This publication is dedicated to the deepening our understanding of the common dysfunctions we encounter in our clinical practice, how they present and how they can be treated with Fascial Manipulation. Professionals tell us their cases, accurately describing the patients symptomatology, the working plan they have chosen and the results obtained due to the treatment. The names of the patients have been modified for privacy reasons.

Female patient, born in 1964, comes to me for major carpal pain on the right of 3 year duration. During the data collection, I note a significant lacrimation. The patient apologises and reports a chronic problem of hyper-lacrimation (epiphora) from obstruction of the lacrimal ducts of secondary idiopathic origin, of about 10 years duration, affecting both eyes, more intensely on her right.

The patient has already undergone a canalicular clearing operation which did not give positive results,even accentuating the problem in the left eye which is now almost worse than the right.
She reports the problem is more severe in the morning. Examination reveals a redness of the eyes similar to conjunctivitis, probably due to the continuous rubbing of the eyelid mucous membranes to dry the tears. The clinical picture is very disabling not only for social life, but also for quality of sight, which is always “blurred”.

We proceed with the evaluation of the receptor apparatus with the points of the photoreceptor system. We find the points of la-cp1 and me-cp1 very altered bilaterally.
We proceed with the treatment of these points and add the points an-la-ca1 and re-meca1 right.
At the end of the session, the pain in the right carpus has almost disappeared, while the hyperlacrimation persists.

During the second session, the patient reports an improvement of 30% in the excess lacrimation, especially in the morning. This improvement was noticed one week after the first treatment. The carpal pain improved on the right and persists on the left.
In the second session we re-evaluate the points of the photoreceptor system noting a very altered an-cp1 bi. We proceed with the treatment of these points. We add ir-ca bi and er-ca lt.
At the second follow-up, the patient reports an 80% decrease in lacrimation. This improvement manifested itself 3 days post-treatment. Also noted was that the resolution of the symptoms was in both left and right eyes.

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