Patient Profile

• Age: 34

• Sex: Female

• Main complaint: Bilateral hand numbness, worse at night

• Duration: ~4 years

• Onset: Symptoms began after a COVID vaccination

• Previous treatments: Two steroid injections in the wrists, with only short-term improvement

The patient sought Fasciapuncture® after years of disrupted sleep and persistent nighttime numbness greatly affecting her quality of life.

Initial Assessment: The Problem Was Not in the Wrist

During the first session, the clinical examination immediately revealed:

• Marked tension in the lower cervical fascia (C5–C7)

• Hypertonicity of the scalene muscles

• Elevated tension in the levator scapulae

• A continuous pulling pattern along the medial scapular fascial plane

• No significant mechanical compression at the wrist itself

This pattern pointed clearly to a Cervico-Scapular Myofascial Entrapment Syndrome —
not a simple “carpal tunnel problem.”

When deep cervical and scapular fascia are chronically tight, they pull and irritate the neural structures, leading to:

• Hand numbness

• Nighttime worsening

• Relief only after shaking or changing position

A typical fascial tension–neurological sensitivity cycle.

First Treatment: Immediate Change, Five Nights Without Numbness

During the first Fasciapuncture® session, I released:

• Deep cervical fascia bilaterally

• Scalene–subclavian fascial tension

• Levator scapulae and medial scapular fascia

• Key tension points along the cervico-scapular chain

After treatment, the patient reported:

“My shoulders feel lighter… and my hands are warm again.”

Most importantly:

She slept five consecutive nights with zero numbness.

For a condition persisting four years, especially one that worsens at night, this is a significant therapeutic turning point.

Why Wrist Injections Failed — And Why Fasciapuncture® Worked

Wrist injections helped only temporarily because:

✔ Symptoms appeared in the hands
✘ But the source of the problem was in the neck and scapular fascia

Fasciapuncture® targets the origin of neural irritation, not only the distal symptoms.

Its effects include:

• Releasing deep fascial tension

• Restoring neural sliding space

• Normalizing cervical–scapular balance

• Reducing mechanical pulling on nerve pathways

This is why results are faster and more lasting.

Second Session: A New Discovery — The Wrist Responds Strongly

During today’s visit, the patient reported:

• Numbness continues improving

• Shoulders feel lighter

• Hands warmer than before

But the most unexpected finding was a strong improvement in wrist mobility, even though the wrist itself was not the primary lesion.

Before vs After Today’s Treatment

The photos show:

• Increased wrist extension

• Smoother fascial contour

• Decreased tension at the thumb–wrist junction

• A noticeable difference in warmth and circulation

Why?

Because when cervical, scalene, and anterior shoulder fascia are released:
➡ neural tension decreases,
➡ blood flow improves,
➡ and the wrist — as the end of the chain — responds first and visibly.

This is a pure demonstration of:

Fascia-Chain Physiology

Treat the origin → the distant endpoint changes fastest.

Why Wrist Injections Failed — Again Confirmed

Steroid injections failed because:

✔ They treated the wrist
✘ But the wrist was only reacting to upstream tension

Fasciapuncture® releases the entire neural-fascial pathway, restoring:

• Neural sliding

• Cervico-scapular balance

• Distal blood flow

• Wrist mobility

This is why the improvement is deeper and longer-lasting.

Next Plan

Next week we will evaluate:

• Stability of nighttime symptoms

• Persistence of wrist mobility gains

• Thoracic inlet balance

• Scapular upward rotation

• Final stage of nerve-gliding restoration

👉 This article will continue to be updated as the case evolves.