The Fascial Manipulation Method is a cycle of articles dedicated to the understanding of themost common dysfunctions we meet during our clinical practice, specifically theirmanifestation and treatment with Fascial Manipulation. FM specialists report clinical cases,accurately describing their symptomatology, the chosen work plan and the resultsobtained, thanks to the treatment. For privacy reasons, the names of the patients have been changed.
Clinician: Ghirelli Matteo
A 22-year-old female professional video maker presented to the clinic complaining of bilateral pain in the posterior thoracic region, present for two weeks. The pain occurred during lateral trunk flexion in daily activities and after physical exercise.
The patient had resumed a sport she had stopped two years earlier, starting to practice flag throwing for a historical reenactment group approximately two months prior. She described the sensation not as true pain, but as tension and stiffness during movement. Additionally, she reported pain while lying on her side, exclusively on the right side, characterized by sharp, painful sensations and the feeling of wearing a rigid corset as soon as she lay down in bed.
During the medical history, the patient reported a greenstick fracture of the right carpal bone at the age of 6, with no history of surgical interventions or visceral dysfunctions.
Upon palpatory verification, densifications were found along the horizontal plane, particularly in the anterior part of the body. The initial treatment was performed on the anterior CC, providing the patient with a greater sense of movement freedom. However, the patient continued to complain of discomfort during lateral flexion, so the decision was made to treat the posterior CC of the trunk to balance the treatment.
After treating the posterior points, the patient reported improvement in symptoms related to lateral flexion but continued to experience mild pain in the lumbar region along the spine. During a more thorough palpatory verification of the lumbar region, including palpation of the superficial fascia, altered sliding of the quadrant of re la pv was observed, so it was treated with mobilization and compression.
At the end of this procedure, the patient reported no pain in the lumbar region and felt a greater sense of lightness and freedom in her movements, even during dressing.
Ten days later, the patient canceled the follow-up appointment, reporting that she had resumed training without pain.