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: Piva Manuela
A 54-year-old female patient presented to the clinic with localized pain in the right LU and PV regions, with occasional radiations toward the left side. The pain was described as a gravitational discomfort, varying in intensity but not detectable upon motor verification. This symptom was associated with frequent abdominal bloating, which the patient described as a sensation of heaviness present for years, occurring approximately 3-4 times per week. Additionally, she reported bilateral foot pain, primarily felt during the first steps after waking up in the morning.
Her medical history revealed no direct trauma to the LU and PV regions or the lower limbs. The patient reported a previous surgical intervention for melanoma in the right RE LA LU region. The resulting scar was currently hypersensitive to touch.
Based on the symptomatic and anamnetic picture, I hypothesized involvement of the LU tensile structure, with the need to further investigate the PV tensile structure as well. Palpation revealed localized densifications in an-me LU 1 and 3 bilaterally (*), an-la LU 2 right (**), and no points in the oblique tensor. Similarly, in the PV tensile structure, densifications were identified in an-la PV 1 bilaterally (**) and an-la PV 2 right (*), while no densifications were found in an-me.
Following this evaluation, I decided to treat the points of the latero-lateral tensor. Points treated: an-la PV 1 right and left, an-la PV 2 right, re-la PV 2 right and left.
At the end of the session, the patient reported a sensation of lightness and greater freedom of movement, with complete remission of the pain in the lumbopelvic region. In feedback collected one week after the treatment, the patient reported a significant improvement in the sensation of abdominal bloating, while the pain in the lumbopelvic area had not recurred. However, hypersensitivity to touch remained at the surgical scar site. Foot pain also appeared to have decreased, described as mild soreness, much less bothersome than in the pre-treatment condition.