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
Patient, a 47-years-old, software developer, came into the clinic for a pain in the right shoulder that radiates to the contralateral temple, predominantly in the morning, of 10 years duration with a frequency of 2 episodes per week.
The patient reports having to take 1 or 2 pills of ibuprofen in the early morning. Otherwise the pain in the head becomes unbearable.
He reports a recurrent GERD-based cough. His history is notable for a fracture to the left radius.
We proceed by evaluating the joint ROM of the cervical spine, finding that it has limited rotation and lateral flexion along with pain in rotation.
We hypothesize a somato-visceral origin due to the previous stress fracture of CA along with sitting at the computer 8-10 hours a day.
I treat an-th, an-sc, an-cl, all b/l, an-ca lt, re-sc rt, re-cl lt. The patient reports improvement in symptomatology and almost full pain resolution in the rotation of the cervical spine.
After a week, the patient returns to the clinic reporting a marked improvement in symptomatology such that he does not have to take any medication except for this past Sunday morning after an evening with friends in which he drank hard alcohol. He reports now a pain of 3/10 always present that can reach 5/10.
However, this pain is now mainly at 4 o’clock in the morning, awakening the patient.
The patient also reports intolerance to fried foods, provoking his neck pain. This information had not been reported in the first session. No history of liver abnormalities, except for a possible pancreatic disorder, the details of which he is unclear.
We thought of a viscero-somatic problem of the visceral sequence.
The Latero-lateral tensive line is revealed as the most sensitive.
We start the treatment with an-la-lu 2 lt. At the resolution of the densifications of this point, the patient no longer feels pain in the head and neck. We proceed with an-la-pv 1 rt that also improves the joint ROM of the neck that was still limited to lateral flexion left. We continue with an-la-sc lt that resolves quickly.
The joint ROM is perfectly symmetrical and the patient reports a feeling of lightness in the head.