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Myofascial Injection Using Fascial Layer-Specific Hydromanipulation Technique (FLuSH) and the Delineation of Multifactorial Myofascial Pain
Article

Pilot Study of Sacroiliac Joint Dysfunction Treated with a Single Session of Fascial Manipulation® Method: Clinical Implications for Effective Pain Reduction

1
Fascial Manipulation Institute by Stecco, 35129 Padua, Italy
2
Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35121 Padua, Italy
3
School of Physiotherapy, University of Verona, 37129 Verona, Italy
4
Azienda Ulss 6 Euganea, Territorial Rehabilitation Unit, 35100 Padova, Italy
*
Author to whom correspondence should be addressed.
Contributed equally to this paper.
Academic Editor: Janey Prodoehl
Medicina 2021, 57(7), 691; https://doi.org/10.3390/medicina57070691
Received: 17 May 2021 / Revised: 29 June 2021 / Accepted: 4 July 2021 / Published: 6 July 2021
(This article belongs to the Special Issue Connective Tissue Disorders)
Background and Objectives: Sacroiliac joint dysfunction (SIJD) generally refers to pain in the lower back due to abnormal sacroiliac joint movement, either from hypomobility or hypermobility. It is considered to be the principal cause in up to 40% of low back pain cases. In literature, it emerges that the “fascia”, by its anatomical continuity, if altered or densified in different regions of the body with respect to the sacroiliac joint and its surroundings, may have a fundamental role in the genesis of SIJD and low back pain. The purpose of the present study is to evaluate the effectiveness of incorporating a single session of Fascial Manipulation®-Stecco method®, treating the muscular fasciae at distance from the painful region. Materials and Methods: Twenty patients with acute and chronic sacroiliac joint dysfunction (SIJD) were recruited (16 males and 4 females, mean age of 46.6 ± 12.98 years). Patients underwent a predefined assessment protocol, followed by an evaluation of myofascial pain and subsequent manipulation of the fascia at points at least 20 cm away from the posterior inferior iliac spines (PIIS). Each patient underwent three pain evaluations: pre-treatment (t0), post-treatment (t1), and at a 1-month follow-up (t2). For the evaluation in t0, t1 the numerical rating scale (NRS) for the intensity of pain and the algometer for the pain threshold at the PIIS were used; in t2 only the NRS scale. Results: The results obtained by comparing the algometer measurements with the NRS values between t0 and t1 were in both cases statistically significant (p < 0.0001), whereas the comparison between the NRS values at t1 and at t2 was not statistically significant (p > 0.05). Conclusions: A single Fascial Manipulation treatment, even when applied at least 20 cm from the PIIS, can potentially decrease pain around the SIJ. The inclusion of this type of approach in SIJD can allow for improved patient management, better tolerance for other treatments and a more rapid application of pain-free exercise programs. View Full-Text
Keywords: fascia; sacroiliac joint dysfunction; pain; Fascial Manipulation; manual treatment; connective tissue; low back pain; thoracolumbar fascia fascia; sacroiliac joint dysfunction; pain; Fascial Manipulation; manual treatment; connective tissue; low back pain; thoracolumbar fascia
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MDPI and ACS Style

Bertoldo, D.; Pirri, C.; Roviaro, B.; Stecco, L.; Day, J.A.; Fede, C.; Guidolin, D.; Stecco, C. Pilot Study of Sacroiliac Joint Dysfunction Treated with a Single Session of Fascial Manipulation® Method: Clinical Implications for Effective Pain Reduction. Medicina 2021, 57, 691. https://doi.org/10.3390/medicina57070691

AMA Style

Bertoldo D, Pirri C, Roviaro B, Stecco L, Day JA, Fede C, Guidolin D, Stecco C. Pilot Study of Sacroiliac Joint Dysfunction Treated with a Single Session of Fascial Manipulation® Method: Clinical Implications for Effective Pain Reduction. Medicina. 2021; 57(7):691. https://doi.org/10.3390/medicina57070691

Chicago/Turabian Style

Bertoldo, Dennis, Carmelo Pirri, Barbara Roviaro, Luigi Stecco, Julie A. Day, Caterina Fede, Diego Guidolin, and Carla Stecco. 2021. "Pilot Study of Sacroiliac Joint Dysfunction Treated with a Single Session of Fascial Manipulation® Method: Clinical Implications for Effective Pain Reduction" Medicina 57, no. 7: 691. https://doi.org/10.3390/medicina57070691

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