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
Clinician: Tagle Natalia
A 26-year-old female patient, working as a clinical office secretary, presented to the clinic reporting pain localized from the occipital base along the trapezius to the scapular region. She reported that the pain is generally more pronounced in the evening or in the morning upon awakening. The symptom has been present for approximately 13 years, initially intermittent, while over the past three years it has become relatively constant during the periods described, with variable intensity. The patient also reports lumbar pain of a sciatic-like pattern, which appeared one year after delivery, which occurred two and a half years ago.
Regarding visceral disturbances, the patient reports constipation and colitis, stomatitis, and chronic headache (“as long as I can remember, I have always suffered from it”), which significantly improved about one and a half months ago following the diagnosis of nickel allergy and the initiation of a specific diet. She also presents seasonal allergic rhinitis, treated with antihistamines as needed. While using oral contraceptives, she reports no prior menstrual alterations. The delivery was spontaneous and uncomplicated. The patient underwent fixed orthodontic treatment from age 13 to 15.
The diagnostic hypothesis considered a dysfunction of the Visceral Sequence (VI-SE), given the presence of both respiratory issues (allergy) and intestinal intolerance (nickel), likely aggravated by dental interventions, after which cervical pain appeared.
Motor verification (MoVe) highlighted that the worst movements in terms of range of motion and pain were RE LU RT and LA CL RT, with symptom irradiation to RE LA CL RT. Additional findings included bilateral posterior tension in AN CL, sensitivity in AN LU RT, and in ER CL LT.
Palpatory verification (PaVe) revealed greater densifications in the latero-lateral (LL) plane. After longitudinal palpation of the tensile structures, control catenary, pivots, and extremities, the most densified Fusion Centers (CFs) were selected and treated: AN-LA PV 2 RT, AN-LA SC 1 LT, LA CP2 RT, RE-LA PV 2 LT, RE-LA CX, RE-LA SC 2 LT, RE-LA CL RT
At the end of the treatment, the patient reported a global sensation of lightness and an almost complete improvement of the movements evaluated with MoVe, although a slight residual discomfort persisted in the right gluteal region and right trapezius.