{"id":45379,"date":"2026-09-06T10:22:40","date_gmt":"2026-09-06T08:22:40","guid":{"rendered":"https:\/\/fascialmanipulation.com\/?p=45379"},"modified":"2026-09-06T17:35:12","modified_gmt":"2026-09-06T15:35:12","slug":"case-report-5","status":"publish","type":"post","link":"https:\/\/fascialmanipulation.com\/en\/case-report-5\/","title":{"rendered":"Case report"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Luca B is a 25-year-old factory worker, who works mostly in the standing position. He is an amateur soccer player, playingsoccer 3 times a week. Luca was assessed on the 15<sup>th<\/sup> of March,when he presented with an acute antero-lateral pain in his right knee (<strong>PaMax<\/strong>), which, in general, he felt when he was walking and runningand, in particular, during knee flexion. Pain intensity varied from a minimum of 1 to a maximum of 7 on the VRS scale and this problemhad been intermittent overthe last four years, presenting at irregular intervals. The pain had beenparticularly acute for one day.<\/p>\n<p>There was also concomitant pain (<strong>PA CONC<\/strong>) that referred to the superior region of the sternum bilaterally on forced inspiration. This <strong>PA CONC<\/strong> appeared one month ago and varied from a minimum of 1 to a maximum of 3. Most recently it had accentuated 3 days ago. The only <strong>PA PREV<\/strong>that Luca reported was a strain of the right iliopsoas muscle one year ago. This strain had kept himaway from sport for 10 days. No surgery, fractures or internal dysfunctions were reported. From a postural viewpoint he had a mild dorsal kyphosis.<\/p>\n<p>By considering the patient\u2019s history, we can now formulate a hypothesis regarding the origin of the presenting pain, and elaborating a timeline of the appearance of the symptoms can be useful in this phase of the assessment:<\/p>\n<p>GE\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CX\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TH<\/p>\n<p>Having defined the timeline of the symptoms, the next step is to select the segments to evaluate. I chose THbilaterally, GE rt and PE rt (the latter was considered because it is the extremity of the limb).<\/p>\n<p>Therefore, movement verification (<strong>MoVe<\/strong>) of the selected segments was performed and only the most significative signs were reported. The next step was the palpation verification (<strong>PaVe<\/strong>) of the same segments and, once again, the most significant findings were reported on the assessment chart in an attempt to identify an agreement.<\/p>\n<p>By observing the assessment chart, the sagittal plane appeared to be the most altered and, therefore, treatment was carried out on ANTE-TH rt ANTE-TH lt, ANTE-GE rt, ANTE PE rt, starting from AN-GE,which, according to the timeline, was the oldest area.<\/p>\n<p>Having treated all of the points that were taken into consideration, the MoVe was reassessed and the patient referred an improvement of almost 50%, in particular, in the GE segment.<\/p>\n<p>A second treatment was then planned for the following week.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Luca B is a 25-year-old factory worker, who works mostly in the standing position. He is an amateur soccer player, playingsoccer 3 times a week. Luca was assessed on the 15th of March,when he presented with an acute antero-lateral pain in his right knee (PaMax), which, in general, he felt when he was walking [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":37740,"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-45379","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\/45379","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=45379"}],"version-history":[{"count":1,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45379\/revisions"}],"predecessor-version":[{"id":45380,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45379\/revisions\/45380"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media\/37740"}],"wp:attachment":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media?parent=45379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/categories?post=45379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/tags?post=45379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}