{"id":44609,"date":"2026-02-20T08:00:08","date_gmt":"2026-02-20T07:00:08","guid":{"rendered":"https:\/\/fascialmanipulation.com\/?p=44609"},"modified":"2026-03-24T14:16:06","modified_gmt":"2026-03-24T13:16:06","slug":"the-fm-method-12-2-2-2-2","status":"publish","type":"post","link":"https:\/\/fascialmanipulation.com\/en\/the-fm-method-12-2-2-2-2\/","title":{"rendered":"Case report: pain at the level of SC-CL"},"content":{"rendered":"<p><strong>Clinician:<\/strong> Fincato Giacomo<\/p>\n<p>A 46-year-old male goldsmith, regular runner, presented to the clinic.<br \/>\nHe reported primary pain at the SC-CL level, which began spontaneously in 2023, localized in RE-LA and AN-ME, more intense on the right side. The pain worsened mainly in the evening, particularly during right rotation and HU adduction.<br \/>\nThe patient also reported concomitant pain in PV and TA, occurring occasionally during running activity.<\/p>\n<p><strong>Past Medical History<\/strong><\/p>\n<ul>\n<li>1976: trauma to the left CA (deep laceration at the wrist);<\/li>\n<li>1983: trauma to the left shoulder (HU lt);<\/li>\n<li>1985: cervical whiplash injury;<\/li>\n<li>1976: nasal septum fracture;<\/li>\n<li>1990: dental extraction (CP3).<\/li>\n<\/ul>\n<p>From an internal medicine standpoint, the patient reports a history of severe cough, a debilitating episode of pneumonia, and the presence of nocturnal apneas (ARE).<\/p>\n<p><strong>Fascial Assessment and Treatment<br \/>\n<\/strong>A third-level approach was chosen for this case.<br \/>\nPalpation was performed along the main trunk catenaries (TH\u2013LU\u2013PV) and control catenaries (CL\u2013CP2\u2013CP3). Increased tension was detected along the lateral line, particularly at AN-LA CL bilaterally and AN-LA TH on the left side.<br \/>\nPalpation of the hinges and tensional points revealed a specific densification at AN-LA HU lt, radiating distally to the hand with a marked stabbing sensation.<\/p>\n<p>Given the time devoted to assessment, treatment was focused on the most densified points:<br \/>\nAN-LA CL bilateral, AN-LA TH lt, AN-LA HU lt, AN-LA CA lt.<\/p>\n<p><strong>Result after first session<br \/>\n<\/strong>The patient reported a marked sensation of lightness and complete disappearance of pain during right rotation. A residual pain in the right shoulder and lumbar area persisted, to be addressed in a subsequent session.<\/p>\n<p><strong>Second Session (after two weeks)<br \/>\n<\/strong>The patient reported a significant improvement in cervical symptoms.<br \/>\nPalpation proceeded along the posterior tensor RE-LA. The most densified points were:<br \/>\nRE-LA HU rt, RE-LA LU bilateral, RE-LA CL lt, RE-LA SC rt,<br \/>\nwith associated points ER-CA rt and LA-TA bilateral, all of which were treated.<\/p>\n<p>During palpation, the patient noted that the ER-CA rt point radiated pain to the shoulder; all identified points were therefore treated.<\/p>\n<p><strong>Outcome<br \/>\n<\/strong>At the end of the manipulation, the patient reported a significant reduction in symptoms:<\/p>\n<ul>\n<li>right shoulder adduction was fully restored;<\/li>\n<li>sciatalgia had resolved;<\/li>\n<li>only mild fatigue remained, likely related to post-treatment soreness at the treated points.<\/li>\n<\/ul>\n<p>A follow-up phone call was scheduled after three weeks to assess clinical progress and determine the need for an additional session.<\/p>\n<p><strong>Follow-Up<br \/>\n<\/strong>At the follow-up call, the patient reported complete resolution of previous complaints.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clinician: Fincato Giacomo A 46-year-old male goldsmith, regular runner, presented to the clinic. He reported primary pain at the SC-CL level, which began spontaneously in 2023, localized in RE-LA and AN-ME, more intense on the right side. The pain worsened mainly in the evening, particularly during right rotation and HU adduction. The patient also reported [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":38168,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-44609","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/44609","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/comments?post=44609"}],"version-history":[{"count":3,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/44609\/revisions"}],"predecessor-version":[{"id":44962,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/44609\/revisions\/44962"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media\/38168"}],"wp:attachment":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media?parent=44609"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/categories?post=44609"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/tags?post=44609"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}