Not only has fascia been sadly under investigated by dissection anatomists, the fascia itself changes so much so quickly after death, that according to Schliep, investigating, fresh cadavers/biopsy samples is essential !...............at the moment I am more captivated by in vivo footag like .J.C.Guimberteau's compelling video, "Strolling Under the Skin".

Peter Lelean said:

Hi Stephen. Your presumption is essentially correct. The abstract on Researchgate refers to the migration that occurs in the crest area. All the fascia is indeed normal - its just that we hadn't yet found all of it. In the course of standard dissections, the fascia is mostly "blunt" reflected to reveal the muscles and deep fascia. Little did we realise that contained within the reflected material was a key structural element. Its just available for sensitive palpation (in normal position) medial to the crest, and feels like a fine fishing line. It serves as, among other things, a mediator of pelvic myofascial recruitment patterns. Think of it as a securing belt for the fascial suit. Regarding migration, since that paper came out several other sites have been identified. These are now part of an assessment and treatment protocol and enable restitution of body balance before others have even started session six. Manips are involved, naturally. Good luck with your palpatory expeditions - we don't yet know all that we should! Cheers Peter

i find fascial manipulation has its strength in the explanation of lesions between body segments that may cause somatic dysfunction. to fully grasp his concept one must build the knowledge about acupuncture and meridians which he has kindly put into his books. i have diligently analysed what is written and i have found some discepancies between what is written about the association of acupuncture points and fascial manipulation points. this needs to be clarified properly. i feel that the points he refers to are not the only sites of interest i have been relying on my palpatory skills to detect lesions along the myofascial planes (sequences) and assess there effects on the condition in question.

for example when a patient presents with shoulder pain assess their AROM into the cardinal planes, first perform a mobilisation with movement at the glenohumeral joint and sustained apophyseal glides at the cervical and thoracic segments to identify whether the condition is arthrogenic or myofascial in nature these are mulligan techniques. use the knowledge of sclerotomes, myotomes and cutaneous sensation dermatomes to identify the corresponding levels. if the muliigan technique does not have an effect or aggravates the condition this inidcates that the condition may be myofacial in nature the movement has a correlation with the meridian channels, assess the extraordinary acupuncture points on the wrists for confirmation of the meridian in question. the affected meridian will be tender on palpation. go the the segmental section that is appropriate eg for shoulder pain the scapular or the humerus but further anaylsis may be required further into the forearm or wrist and torso and neck.. i have found that the correct location of the point will have an immediate effect on the AROM. if you sustain the pressure on the lesion site ask the patient to perfrom the affected movement into the plane of movmemnt in question, you should see an immediate effect and within 3 repititions an immediate change in improving range of movment or pain with movment. if not go elsewhere

http://www.youtube.com/watch?v=Y3fSFjz40qg