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: Ghetti Francesco

A 60-year-old male patient entered my clinic complaining of posterior bilateral neck pain.  He reports no recent trauma or history of neck pain in the cervical area.  A recent x-ray shows minimal arthrosis of the articular facets probably not sufficient to justify his painful symptoms. Neck pain appeared 2 weeks before arrival at the clinic. He complains of a mild constant neck pain exacerbated while lying in the supine position and relieved during walking.  He states that he has been aware of minimal intermittent neck pain for the past 10 years. He reports that 5 months earlier he had an operation on the supraspinatus tendon of his shoulder.  He also reports another more mild and occasional lumbar pain, and an unusual drop in voice that has been present for a few months.

Based on this history we decided to investigate the internal component. My first question was: “Have you ever had resistant or recurrent pneumonia”?  He stated that he contracted TB about 30 years ago that was coupled with a pleural effusion after a short time. In addition, he claims to suffer with Irritable Bowel Syndrome for about 20 years.
At this point, I considered a hypothesis that respiratory infection and pleural effusion have led to the development of altered adhesions and strains which have gradually compensated in the musculoskeletal system. Considering this a viscero-somatic dysfunction we decided to treat the visceral sequence with particular attention to the respiratory system.

The palpatory verification revealed a greater alteration of the AP catenary both at the level of the trunk catenary and at the area. The most densified points of AN-ME-TH3, AN-ME-LU1, AN-ME-CP3 on the right and AN-ME-CL on the left were treated.
Subsequently, palpatory verification was performed on the hinges and on the tensors of the upper limb where the points of the AN-ME tensor emerged. Then the bilateral IR-SC and the right AN-ME-CA1 points were treated.

At the second session a slight improvement of the neck was reported so we continued with the treatment of the AP catenary.  The points of AN-ME-CA2 and IR-CU on the left were treated. Then the treatment was balanced with the left RE-ME-TH3, RE-ME-SC points that were very sore and densified.

At the third session, the patient reported a clear improvement in the painful symptoms of the CL segment and stated that for a few days he has not had any significant decline in his voice. We concluded the treatment with an AN-ME-CL point on the right, AN-ME-TH1 and AN-ME-SC2 point on the left and RE-CL points on the left.

Two weeks after the third session, the results were further improved and maintained.

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