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
63-year-old patient, personal trainer, shows up for outcomes of V right metatarsal infringement occurred at the end of July 2020.
Patient was prescribed knee-high sock for 40 days. After 20 days on holiday at sea, entering the water from a cliff, the patient suffers a distortive trauma tibio-astragalic that exhorts the painful symptoms to the whole foot.Since then the ankle is swollen and even the knee-high sock does not allow a pain-free deambulation.
She shows up at the clinic, procrastinating the visit due to the Covid emergency, in late December.
Patient has a marked antalgic gait. At the visit I noticed edema spread throughout the foot, discoloration of the skin, with the triad rubor, calor, tumor. I also noticed a clear allodynia just touching the skin. The patient refers a constant burning pain, even at rest. It is a clear CRPS.
We proceed with the treatment of the skin thermoregulator system. Being all the foot involved, and therefore different quadrants, we start to palpate the hinge points of coxa. Re-la-ca is very painful. Surprisingly already after the first point, not only the pain decreased but also the redness and, according to the patient, also the swelling. We continue with the treatment of the distal points of re-la-ta. The sore point radiates throughout the foot.
At the end of the point the allodynia has almost disappeared and the patient is able to lean the foot giving the load.
At the follow-up, we observed from an ultrasound point of view a lower retinacole of the extensor of 1.6mm (normal value 1.2 mm). The patient reports pain in the push phase and walking on the tips, but the burning swelling and marked antalgic gait never came again.