fdm-textbook_section1.pdf

FDM

Clinical and Theoretical Application of the

Fascial Distortion Model

Within the Practice of Medicine and Surgery

Stephen Typaldos, D.O.

Illustrations by Anita Crane

FDM is dedicated to the memory of Dimil Andreassen, M.D.

(September 18, 1922 - May 29, 2000)

First Edition 1997

Second Edition 1998

Third Edition 1999

Fourth Edition 2002

system, or transmitted in any form or by any means, electronic or mechanical,

photocopying, recording, or otherwise, without the prior written permission of the

publisher.

This text is not intended as a substitute for the medical advice of a physician. Shown in

the following pages are possible considerations and treatments for patients with injuries

or medical conditions. It is the responsibility of the treating physician, relying on

his/her experience and knowledge, to determine the best course of therapy for each

patient. Each physician is cautioned to use his or her best judgment before employing

these or any other treatment modalities. The good clinician will modify the treatments

according to the special needs of each individual patient. The publisher cannot be

responsible for any clinical decisions made by the practitioner, or the side effects or

adverse outcomes of any particular treatment discussed in this book.

Cautionary Note: Within the United States, the clinical practice of the FDM by non-

physicians (i.e., those who do not hold a valid and current state medical license) may

legally be interpreted as the practice of medicine without a license and thus subject to

disciplinary action and criminal charges.

ISBN 0-9659641-3-2

A BOUT THE B OOK

This book is written for physicians — especially orthopedists. It is also designed to meet

the clinical needs and stimulate the interest of neurologists, physiatrists, family doctors,

emergency physicians, cardiologists, and medical researchers. Much of the text is

centered on the nuts and bolts of fascial distortion model manipulative treatments of the

most commonly seen orthopedic injuries (from ankle sprains and fractures to frozen

shoulders). However, in addition to presenting treatments and the theoretical basis of the

fascial distortion model, it also looks to the future and proposes conceptually new

therapeutic perspectives for a wide range of conditions from myocardial infarctions to

seizures.

FDM: Clinical and Theoretical Application of the Fascial Distortion Model Within the

Practice of Medicine and Surgery is the fourth edition of what previously was called

Orthopathic Medicine: The Unification of Orthopedics with Osteopathy Through the

Fascial Distortion Model (third edition published Spring 1999). However, the

publication you are holding in your hands better reflects the fascial distortion model’s

broad scope and greater focus on the current and future practice of medicine and surgery.

Structurally this book is divided into five sections:

1. Introduction to Theory and Techniques

2. Medical Concepts

3. Treatment of Musculoskeletal Injuries

4. Case Histories

5. Addendum and Glossary

Section One leads the physician through general concepts of the model and explains the

anatomical basis of current manual FDM techniques. Section Two explores the FDM

interpretation of selected medical topics in the fields of orthopedics, neurology and

rehabilitation, and internal medicine. Section Three is the how-to and hands-on portion

of the book which shows step-by-step procedures to correct ankle sprains, frozen

shoulders, carpal tunnel syndrome, back and neck pain, and a host of other injuries.

Section Four consists of case histories which demonstrate clinical points and emphasizes

practical concepts discussed in the text. And finally Section Five is the glossary and

addendum where a quick understanding of key words and clinical conditions are right at

the physician’s fingertips.

There are several people to thank for their contributions to the massive project of putting

this book together. First and foremost is Marjorie Kasten who played many roles, some

of which include: chief editor, computer layout specialist, printer, photographer 2 , and

business manager. Her long hours and tireless efforts are humbly appreciated and

enthusiastically accepted. Next I’d like to thank Anita Crane; her drawings bring the

concepts and treatments alive. Thirdly, thanks go to John Kasten who not only is the

grammar specialist, but also the final authority in editorial decisions. And my final thank

you goes to Irv Marsters who, without his help (and that of the Bangor Letter Shop) this

book would never have become a reality.

Stephen Typaldos, D.O.

April 2002

S TEPHEN T YPALDOS

March 25, 1957 – March 28, 2006

Bachelor’s Degree: University of California,

Riverside

Medical Degree: University of Health

Sciences College of Osteopathic Medicine,

Kansas City, Missouri

Internship: Parkview Hospital, Toledo, Ohio

(Rotating)

Residency: Mercy Hospital, Toledo, Ohio

(Family Practice)

Experience: Five years emergency medicine

Thirteen years manipulative medicine

2 Please note that no models are used in any photographs. Each and every photo is of a real patient who

received a successful treatment for the condition or injury described in the associated text.

C ONTENTS

S ECTION O NE : I NTRODUCTION T O T HEORY AND T ECHNIQUES

Chapter

Page

1. Introduction

2. Finesse and Brawn of FDM Techniques

3. Triggerbands and Triggerband Technique

4. Herniated Triggerpoints and Herniated Triggerpoint Therapy

5. Continuum Distortions and Continuum Technique

6. Folding Distortions and Folding Technique

7. Cylinder Distortions and Cylinder Technique

8. Tectonic Fixations and Tectonic Technique

S ECTION T WO : FDM M EDICAL C ONCEPTS

9. Orthopedics

10. Neurology and Rehabilitation

11. Internal Medicine

107

S ECTION T HREE : FDM T REATMENT OF M USCULOSKELETAL I NJURIES

12. Neck and Back Pain

125

13. Sore Shoulders

139

14. Upper Extremity Complaints

159

15. Lower Extremity Complaints

177

16. Ankle Sprains

203

S ECTION F OUR : C ASE H ISTORIES

221

S ECTION F IVE : A DDENDUM & G LOSSARY

Summary of Common Conditions, Body Language, and FDM Treatments

253

FDM Abbreviations

264

Tables of Fascial Distortion Subtypes

265

Glossary

269

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