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
Clinician: Fincato Giacomo
A 46-year-old male goldsmith, regular runner, presented to the clinic.
He reported primary pain at the SC-CL level, which began spontaneously in 2023, localized in RE-LA and AN-ME, more intense on the right side. The pain worsened mainly in the evening, particularly during right rotation and HU adduction.
The patient also reported concomitant pain in PV and TA, occurring occasionally during running activity.
Past Medical History
- 1976: trauma to the left CA (deep laceration at the wrist);
- 1983: trauma to the left shoulder (HU lt);
- 1985: cervical whiplash injury;
- 1976: nasal septum fracture;
- 1990: dental extraction (CP3).
From an internal medicine standpoint, the patient reports a history of severe cough, a debilitating episode of pneumonia, and the presence of nocturnal apneas (ARE).
Fascial Assessment and Treatment
A third-level approach was chosen for this case.
Palpation was performed along the main trunk catenaries (TH–LU–PV) and control catenaries (CL–CP2–CP3). Increased tension was detected along the lateral line, particularly at AN-LA CL bilaterally and AN-LA TH on the left side.
Palpation of the hinges and tensional points revealed a specific densification at AN-LA HU lt, radiating distally to the hand with a marked stabbing sensation.
Given the time devoted to assessment, treatment was focused on the most densified points:
AN-LA CL bilateral, AN-LA TH lt, AN-LA HU lt, AN-LA CA lt.
Result after first session
The patient reported a marked sensation of lightness and complete disappearance of pain during right rotation. A residual pain in the right shoulder and lumbar area persisted, to be addressed in a subsequent session.
Second Session (after two weeks)
The patient reported a significant improvement in cervical symptoms.
Palpation proceeded along the posterior tensor RE-LA. The most densified points were:
RE-LA HU rt, RE-LA LU bilateral, RE-LA CL lt, RE-LA SC rt,
with associated points ER-CA rt and LA-TA bilateral, all of which were treated.
During palpation, the patient noted that the ER-CA rt point radiated pain to the shoulder; all identified points were therefore treated.
Outcome
At the end of the manipulation, the patient reported a significant reduction in symptoms:
- right shoulder adduction was fully restored;
- sciatalgia had resolved;
- only mild fatigue remained, likely related to post-treatment soreness at the treated points.
A follow-up phone call was scheduled after three weeks to assess clinical progress and determine the need for an additional session.
Follow-Up
At the follow-up call, the patient reported complete resolution of previous complaints.