What is the SMP technique?

At CAF, we use the SMP technique (Subcutaneous Multipoint Puncture), a minimally invasive method designed to address dysfunctions of the superficial fascia. In this video, Dr. Expósito explains what the treatment involves and how it may be used in the management of persistent pain.

The video is in Spanish with English subtitles available. Please note that in Spain, the technique is referred to as PMS rather than SMP due to the difference in translation.

How does the treatment start?

The process begins with a detailed account of the patient’s medical history and other relevant factors. We listen to the patient to identify where they feel pain or limitations. Next, we perform a functional examination to assess how the pain affects movements and daily activities.

How do we identify the areas to treat?

We perform a manual physical examination using palpation, an important part of the assessment process that helps identify areas of altered fascial texture, sensitivity or function and guides the treatment approach.

What is the procedure?

Once the relevant areas have been identified, we apply the SMP technique using small sterile needles less than 1 cm long, performing superficial micropunctures in a precise and controlled manner. The technique is non-pharmacological and is generally well tolerated. Temporary minor effects, such as small bruises or local tenderness, may occasionally occur.

When are the results noticed?

Responses to the SMP technique can vary between individuals. Some people may notice changes in comfort or mobility during or shortly after a session, while for others changes may occur more gradually. The number of sessions required will depend on the individual presentation, response to treatment and treatment goals.

Who developed this technique?

The SMP technique was developed by Dr Marta Cañis Parera and Dr Marta Expósito Izquierdo following research that began in 2018 as part of their doctoral work. Their research explored the possible role of fibrofatty tissue dysfunction in low back pain and contributed to the development of this approach to working with the superficial fascia.

What is the working hypothesis behind the SMP technique?

The SMP technique is based on the hypothesis that changes within the superficial fascial and subcutaneous tissues may contribute to altered tissue mobility, sensitivity and local fluid dynamics. The proposed mechanism suggests that micropuncture may influence these tissues and assist local fluid movement, including lymphatic drainage. These mechanisms remain an area of ongoing investigation, and the clinical response can vary between individuals.