Clinician: Sharka Aljon
A 32-year-old female patient presented to the clinic reporting low back pain and cervical pain. Pain intensity, assessed using the NRS, was 6/10 and was primarily localized to the RE PV and RE CL regions. The symptom was not reproducible or modifiable with specific movements; the patient described it as continuous, present also during nighttime and upon morning awakening. She reported no previous trauma to the cervical spine or pelvis, nor any surgical interventions. Pain onset occurred approximately two weeks prior to evaluation and exhibited a fluctuating course. Her history includes competitive volleyball until age 17, followed by occasional yoga and Pilates practice.
During motor verification, all spinal movements were painful, without clear directional or selective characteristics. Investigation of the organ-fascial units revealed a history of Hashimoto’s thyroiditis, treated pharmacologically for over ten years. The patient also reported menstrual rhythm alterations, with cycles occurring every 17–18 days for the past ten months, without associated pain.
Based on anamnesis and clinical findings, an endocrine system dysfunction was hypothesized. Palpatory assessment revealed alterations of the antero-lateral CF (AN-LA) at the pelvis (PV), cervical spine (CL), and CP2 segments. Evaluation of articular hinges highlighted a particularly painful AN-LA CX LT, with symptom irradiation toward the pelvic region.
First treatment: AN-LA PV bilaterally, AN-LA CP2 LT, AN-LA CX LT, and LA CL bilaterally.
After one week, the patient reported significant improvement in cervical and lumbar symptoms, with only mild residual discomfort.
Second treatment: LA TA bilaterally, RE-LA PV and CL bilaterally, and AN-LA CA RT.
At follow-up after three weeks, the patient reported near-complete resolution of symptoms and noted an extension of the menstrual cycle interval, with the cycle occurring after 25 days.
Third treatment: RE-LA HU bilaterally, RE-LA TH RT, LA PES bilaterally, AN CX RT, and AN LU LT.