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: Manildo Anna
A 59-year-old male patient, carpenter, employed in a furniture factory. He does not engage in any sports activity.
The patient reports the onset, approximately four months ago, of right knee pain localized in the antero-medial region, with spontaneous onset. The pain worsens with weight-bearing and reaches an intensity of 8/10 on the NRS scale. Because of the pain, the patient has been unable to work for the past four months. He denies concomitant pain in other regions.
In his past medical history, the patient reports surgery for lumbar disc herniation approximately thirty years ago and a severe right ankle sprain six years ago.
He underwent an MRI of the right knee, after which an orthopedic diagnosis of arthrosynovitis was made. Two intra-articular injections (corticosteroid and hyaluronic acid) were administered — the first four months ago and the second fifteen days prior to the visit — both with minimal benefit.
He also underwent a course of laser therapy to the knee, with unsatisfactory results.
During motor verification, the squat was limited by pain, confirming a functional impairment of the right knee.
During palpatory verification, the PE and GE segments were examined. The most altered sequence was found to be the AN-ME diagonal. Longitudinal palpation revealed densifications at AN-ME-PE3, AN-ME-TA1, AN-ME-TA2, and AN-ME-CX.
These points were treated, resulting in a pain reduction of more than 50% by the end of the session.
At the second session, one week later, the patient reported that the improvement had remained stable over time.
Further treatment was performed on AN-ME-GE2 and RE-ME-PE3.
At the end of the session, the knee pain was completely resolved, with full recovery of joint function.