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: Burigo Denise
A 53-year-old female patient presented for evaluation. She worked as a professional cook and practiced skiing and trekking as recreational activities.
She reported experiencing pelvic pain radiating from the sacral region to the hips, occasionally extending bilaterally to the inguinal region. This pain had developed approximately one and a half years earlier, without any history of trauma. It was most pronounced during the night and upon waking but improved with weight-bearing and movement.
Medical history revealed two cesarean deliveries, which had resulted in a hypersensitive scar upon palpation.
Motor assessment showed limited and painful forward trunk flexion.
A palpatory verification was conducted at the PV/CX/LU segments, revealing hypersensitivity and unapproachability in all gluteal points (RE PV, ER CX, LA PV, RE-LA CX, RE-ME CX). Among other segments, the most affected was the horizontal plane, along with certain CF points along the RE-LA diagonal.
The following points were treated: ER PV bilaterally, IR PV bilaterally, RE-LA PV bilaterally, and AN-LA PV bilaterally. The patient was instructed on how to mobilize the scar independently.
During the motor verification immediately after treatment, forward trunk flexion was no longer painful. At the follow-up session, the patient reported a slight improvement in nocturnal pain, complete desensitization of the scar, and additional improvements in bowel regularity.