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: Monti Filippo
A 73-year-old female patient presented to the clinic with pain in the left hip, specifically in the posterolateral region (RELA). The pain had persisted for 7 months, and she was awaiting an elective total hip arthroplasty of the left hip. However, in the meantime, she sought to reduce her pain symptoms.
The pain was also present at rest during the night, requiring her to get up and walk 3–4 times per night.
From her medical history, a colectomy for colorectal cancer 20 years earlier was identified. At the time of assessment, however, she reported no intestinal dysfunction. Over the past year, she had experienced recurrent cystitis, particularly exacerbated during the summer months.
Considering the patient’s history, I decided to perform a palpatory evaluation of the pelvic tensile structure, examining AN-ME PV 2, AN-LA PV 2, and IR PV (main points), as well as AN-ME PV 1, AN-LA PV 1, and IR PV p (proximal points). Densifications were mainly localized along the ANLA line, leading me to also palpate the associated points AN PV BI.
After treating all the anterior points of the tensile structure, I asked the patient to rise from the examination table and take a short walk to assess her sensation in the hip. Following this, I proceeded to manipulate the posterior tensor LL at the points RE-LA PV and LA PV.
At the end of the session, the patient reported improved well-being, including a reduction in pain during the transition from sitting to standing, which had been painful before the treatment, and a decrease in discomfort while walking. The second session was scheduled one week later.