Fascial Manipulation for Internal Dysfunctions
Publication date: July 2013
Price: 80,00 €
Piccin Code: 1931470
Book in english
This book presents a series of treatment approaches for numerous dysfunctions of the internal apparatus and systems. An apparatus is formed by individual organs that collaborate together for a single function. A system is the union of parts that are organised in a similar manner and which extend throughout the entire body. Various osteopathic techniques, first and foremost Visceral Manipulation by Barral1, describe specific manual approaches to help patients with
internal dysfunctions. Acupuncture is also applied to all of the problems examined in this text. Nevertheless, the scope of this book is not to duplicate other work but to link internal dysfunctions to ‘densifications’ in the superficial, deep, visceral, vascular and glandular fasciae. The treatment approaches presented here utilise the same points as those used in treatments of deep fascia but the manual techniques are different, as are the combinations of points. Fascial Manipulation (FM) for the musculoskeletal system acts on the muscular fascia and the somatic (voluntary) nervous system via muscle spindles. Fascial Manipulation for Internal Dysfunctions (FMID) aims to restore function within the autonomic (involuntary) nervous system. For dysfunctions within the components of the musculoskeletal system (joints, muscles, ligaments, etc.), strategies suitable for rebalancing the myofascial (MF) unit, the MF sequence, or the MF spiral are employed. For dysfunctions within the body’s internal components, strategies to either rebalance tensile structures that contains organ-fascial units (o-f units) or to restore fluidity within quadrants of the superficial fascia connected to the systems (see p. 316) are applied. FMID acts on both internal organ dysfunctions and dysfunctions of vessels, glands and systems. For this reason, the term ‘internal dysfunctions’ has been used, rather than ‘visceral dysfunctions’, which would have been too limiting. FMID does not act directly on the fascia of the organs but on the fascia of their ‘container,’ namely the trunk wall. Similarly, acupuncture treats numerous internal dysfunctions by inserting needles into the superﬁcial and deep fasciae of the trunk wall, but not into the fascia of an internal organ. This text is divided into three parts. In the first part, single organs and their connections with their surrounding fasciae are discussed.
Together these structures form o-f units. Intramural and extramural autonomic ganglia of the enteric system are inserted within the o-f units’ fasciae. Organ
peristalsis can be restored by acting on the tensile structures (see Ch. 4) forming the four segments (neck, thorax, lumbar, and pelvis) of the trunk wall. In the second part, the apparatus are studied. Fascial sequences connect the organs of a single apparatus together. Extensive autonomic nerve plexuses are arranged along these apparatus-fascial sequences. The treatment of apparatus focuses on the forces that invest the entire trunk wall (catenaries and distal tensors; see Ch.13). In the third part, the systems are analysed. Examples of systems are the nervous system, the immune system, the thermoregulatory system and the metabolic system. Systems are composed of internal and external components that are connected to the superficial fascia. Prevertebral and paravertebral
autonomic ganglia modulate the activity of the internal organs in response to variations in the external environment. Treatment of the systems focuses
on quadrants of the superficial fascia. These quadrants can act as ‘peripheral receptors’ for the internal autonomic ganglia. The FM motto is ‘Manus sapiens potens est’ (A knowledgeable hand is powerful). The more a therapist’s hand is supported by scientific knowledge, the more effective it will be. A therapist’s hand will only be able to treat internal dysfunctions appropriately after comprehending the importance of the fasciae in the physiology of organ-fascial units, apparatus, and systems. Naturally, the manual approach itself is also important. Results can only be obtained if one treats: –– densifications with sensitivity and not with violence –– altered (or densified) points until they resolve –– the correct fasciae for the problem (superﬁcial or deep) –– the correct combination of points (rather than following standard protocols). Treatment of the organ-fascial units is fairly straightforward, because the pain or dysfunction is localised in the same body segment that contains the dysfunctional organ or organs. Global treatment of the apparatus-fascial sequences is more difficult because referred pain is often localised in areas at a distance from the origin of the problem. In the treatment of the systems, the visible state of the superficial fascia provides useful information, and the actual manual approach varies accordingly. Fascial Manipulation is not effective when anatomical damage is advanced. However, it can yield good results when it is applied to dysfunctional fasciae that are decompensating an organ, an apparatus or a system.
1 Our experience has convinced us that it is possible to
improve the function of an organ through manipulation, reestablishing,
to a certain degree, its characteristic movement
(Barral J.P., 1988).