{"id":45187,"date":"2026-07-15T08:15:49","date_gmt":"2026-07-15T06:15:49","guid":{"rendered":"https:\/\/fascialmanipulation.com\/?p=45187"},"modified":"2026-07-02T08:16:05","modified_gmt":"2026-07-02T06:16:05","slug":"case-report-2","status":"publish","type":"post","link":"https:\/\/fascialmanipulation.com\/en\/case-report-2\/","title":{"rendered":"Case report"},"content":{"rendered":"<p><strong>CASE REPORT<\/strong><\/p>\n<p>by A. P.<\/p>\n<p>22-year-old female, works as a waitress.<\/p>\n<p>The patient presents in 2025 with pain in RE LU-PV bi since 2017. No significant history of trauma or strains. Pain has been worsening over the last 2 years, in particular, following a right ankle sprain in August 2025. No pain at rest (NRS = 0\/10), maximum pain NRS = 7\/10.<\/p>\n<p>PaMo: Back pain is worse in sitting and, over the last 2 years, it is also aggravated by extensive walking and work. No identifiable painful movements.<\/p>\n<p>PaConc: Concomitant pain = CL for 4-5 years. Since 2017, pain and pins and needles in the DI (lt&gt;rt), TA-PE bi, CP bi.<\/p>\n<p>Anamnesis: Dysmenorrhea. 2017-18: braces. 2020-2022 used a mouthguard. In 2022 &#8211; extraction of wisdom teeth. Recurrent tonsillitis. Previous problems: candidosis, herpes simplex. Feet are swollen after work. Allergic to some fruits (strawberries) with reactions such as angioedema and dermatitis. Dermatitis on her scalp.\u00a0 8 years ago, she experienced weight gain (8 kg) following use of oestrogen + progestogen medication<\/p>\n<p>HYPOTHESIS: visceral dysfunction (receptor sequence + glandular sequence\/endocrine apparatus) + dysfunction of the lymphatic-immune system.<\/p>\n<p>Palpation of the catenaries \u2192 prevalence of the AP tensor<\/p>\n<ul>\n<li>1<sup>st<\/sup> treatment session (06.10.25): AN ME PV 2 lt, MEa LU rt, AN ME TA bi. Improvement in back pain. During treatment the patient experienced headache between the eyes&#8211;&gt; improved with treatment of RE ME PE3 rt. Minor dorsal tension was also felt during the session.<\/li>\n<li>2<sup>nd<\/sup> session (20.10.25): In general, improvement in back pain and also lower limb symptoms, also at work. No change in upper limb and neck symptoms. The identified tensors were confirmed and receptor treatment was continued: AN ME CP3 rt, RE ME CA1 lt, AN ME CA1 rt, AN ME PE3 lt, AN ME PE 1 rt, AN ME (AN1) CP1 lt.<\/li>\n<li>3<sup>rd <\/sup>session (10.11.25): Back pain improved, and further improvement in lower limb (calves) symptoms, despite having walked extensively. No change in headache. Pins and needles in right hand reduced, no change in the left hand with regards to pain and pins and needles. A lot of abdominal pain during her most recent menstrual cycle. Treatment: ME CU lt, AN ME CP1 rt, AN ME CL lt, MEa?\/AN ME PV2 rt.<\/li>\n<li>4<sup>th<\/sup> session (02.03.26): Returned after 4 months. Initially her symptoms had been significantly reduced, although her menstrual cycle remained painful. Feet had shown definite improvement but more recently some return of symptoms. The back pain had never resolved completely but there had been a definite improvement until last week, after prolonged work in standing. Currently worse in sitting and at night. She has returned to gym and work since January. Today\u2019s verification: prevalence of the OB tensor. Treament: IR CP 2 lt, IR LU rt, IR CL rt. Q (an la ge lt, an me pv rt, an la ge rt).<\/li>\n<li>5<sup>th<\/sup> session (23.03.26): Very good, residual mild pain in the right scapular region, the feet and low back. Treatment of the OB tensor was continued: ER\u00a0LU rt, ER CX lt, ER CP3 lt, ER CL lt. Overall the patient reported a definite improvement in symptoms, but a persistent sensation of tension in the right thigh region required further treatment of ER CX lt to resolve it completely.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>CASE REPORT by A. P. 22-year-old female, works as a waitress. The patient presents in 2025 with pain in RE LU-PV bi since 2017. No significant history of trauma or strains. Pain has been worsening over the last 2 years, in particular, following a right ankle sprain in August 2025. No pain at rest (NRS [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":38053,"comment_status":"closed","ping_status":"closed","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-45187","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\/45187","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=45187"}],"version-history":[{"count":1,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45187\/revisions"}],"predecessor-version":[{"id":45188,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45187\/revisions\/45188"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media\/38053"}],"wp:attachment":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media?parent=45187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/categories?post=45187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/tags?post=45187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}