FDM: Fascial distortion model according to Typaldos

The term fasciendistosion model is composed of the words fascia (bundle) and distortion (twist and dislocation). This diagnostic and therapeutic method was developed by the US American physician and osteopath Stephen Typaldos, who introduced it in 1991. This treatment method is primarily based on years of experience in the examination and therapy of acute and chronic pain patients with a wide variety of diagnoses.

Typaldos assumed that 6 different fascial distortions with reproducible descriptive patterns are hidden behind the pain pictures of the patients. An FDM therapist must have excellent visual and palpatory (tactile) perception, since each of the 6 fascial distortions – twisting, shifting, sticking together, calcification of the connective tissue – feels different and can only be diagnosed by anamnesis, inspection of posture and body language, a functional test with pain provocation and palpation. The treatment is carried out manually with large-area and punctual fascial techniques that vary according to the degree of spoilage.

These are certainly painful for the patient, but ultimately leave a feeling of wellbeing and pain relief. Since the symptoms already improve during the treatment, the therapist can immediately verify his diagnosis by means of tests. In addition, cupping therapy and active self-expansion of the affected areas can be applied in the time between treatments. Contraindications: acute injuries or inflammation, osteoporosis, high blood pressure, heart attack

Myofascial Taping

Myofascial taping is a useful supplement to passive and active fascial therapy, as the tape remains on the body for a time and can act there when no other form of treatment is used. A special myofascial tape is used, similar to the well-known kinesiological function tapes, but with a stronger adhesive and less retraction force, since it is often necessary to work with strong traction. When the tape is applied with adapted traction, the affected fascia is moved in the direction that brings the greatest possible relaxation and pain reduction – myofascial release. The application technique and the traction depend on the structural quality of the fascia and its localization as determined in the findings (movement restriction, pain findings and palpation findings). By leaving the tape on the skin – on average 5 days with 2-3 days of recovery for the skin between the 2-3 tape layers – a long-term effect can be achieved.