Neuro-fascial-vascular training for the treatment of Raynaud's phenomenon: a case report.

Abstract

Primary Raynaud's phenomenon is characterized by episodic, reversible, and disabling vasospasms of the peripheral arteries. In the most severe cases, it can lead to ulceration of the fingers and toes. Neurofascial Vascular Training (NFVT) is a novel therapeutic approach for treating primary Raynaud's phenomenon (PRP). NFVT aims to enhance peripheral circulation and stimulate the autonomic nervous system (ANS) by engaging multiple physiological mechanisms simultaneously. This integrated approach works to reduce vasospasms and alleviate associated symptoms through neurodynamic and myofascial interventions. A 54-year-old woman, who has experienced pain and hypoesthesia in her hands for nine years, received a diagnosis of PRP without systemic sclerosis in 2014. The patient reported daily colour changes in her fingers, along with pain and a temporary decrease in tactile sensitivity. The patient engaged in ten 30-minute exercise sessions, and the clinical outcomes were assessed based on several parameters. These included the frequency and duration of vasospastic attacks, evaluated using the Raynaud Condition Score, as well as pain and tingling, measured through the daily Numeric Rating Scale (NRS). The Composite Autonomic Symptom Score (COMPASS 31) was utilized to assess dysautonomia, while the frequency of medication use and the DASH questionnaire were also considered. The results indicated a significant improvement in symptoms. Conclusion: NFVT improved symptoms and motor dysfunction in a patient with Raynaud's syndrome, demonstrating how NFVT can increase peripheral blood flow, stimulate the ANS, and improve symptoms in PRP.