Effects of Fascial Manipulation on patients with refractory painful external tibia

Abstract

[Purpose] This study aimed to report the improvement effect of Fascial Manipulation (FM) on refractory painful external tibia. [Subject] We report the case of painful external tibia of Veitch classification type II, for which surgical treatment was considered. [Method] We evaluated pain assessment, ankle and hindfoot criteria, and walking ability. Furthermore, we measured the foot arch ratio and spread ratio as morphometric measurements of the foot. We performed FM as a physical therapy. [Results] No change was observed in the morphology of the foot; however, walking ability improved, and pain reduction was observed. [Conclusion] FM as manual therapy was suggested to be useful for painful external tibia.