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: Amella Pierpaolo
A 46-year-old patient, a teacher by profession, who does not practice sports, came to visit.
She complained of a sense of cervical stiffness, which worsened until it became pain, with irradiation up to the shoulders during the night. She also complained of restless sleep, morning stiffness and pain at rest. The sensation of posterior stiffness was associated with a sense of constriction in the throat, which made me focus my attention on the CL tensile structure.
Asking specific questions about the UOF-CL, the patient reported suffering from gastroesophageal reflux, with a tendency to worsen annually during seasonal changes, so much so that she was forced to sleep in a semi-seated position, the only one that also allowed her to better tolerate the neck pain.
The motor verification of the CL segment did not reveal any limitations in movement.
With a substantially negative motor verification and considering an ADI dysfunction detected in the anamnesis, the hypothesis was that of an internal dysfunction, that required third-level treatment, according to the principle of the tensile structure.
Palpation of the CL tensile structure was then performed, and the most altered tensor was the AP one.
The first treatment cycle was directed only at the CL tensile structure, even though it was known that the entire catenary had to be assessed in the subsequent sessions.
The patient underwent 3 MF sessions, in which the following points were treated.
1st session: anme cl left, an cp3 left, an cl right, re cl left
2nd session: anme cl left, anme cp3 left, re cl left
3rd session: anme cl left, anme cp3 right, reme cl left, reme cp3 right
A week after the third session, at the check-up with the physiatrist, the patient reported the disappearance of night pain and return to rest in the supine position. Furthermore, in the morning she was well rested and no longer had neck stiffness, while in the evening she continued to feel a sensation of heaviness in both arms. The visceral component had also improved after the treatments, allowing the patient to sleep in a lying position.