DRY NEEDLING

What is Dry Needling

Dry Needling involves insertion of very thin needles into myofascial trigger points to deactivate and help resolve trigger points, and thus, pain. This technique has been proven to bring relief, not only for pain, but also in patients of fibromyalgia.

Sir William Gowers BMJ 1;117-121

Fibrositis

Palpable tenderness and hardness of the muscle

Fred H. Albee, MD, ScDMyofascitis from an orthopedic standpoint

JH KellgrenHypertonic saline injections

Referral patterns

DIFFERENTIAL DIAGNOSIS OF PAIN LOW IN THE BACKALLOCATION OF THE SOURCE OF PAIN BY THE PROCAINE HYDROCHLORIDE METHODJAMA. 1938;110(2):106-113Arthur Steindler Myofascial pain

Trigger points

Karl Lewit, MD, DScThe Needle Effect

Janet Travell, MD and David G. Simons, MD

1983

19281938195019791904

1931

Max Lange1st Trigger Point ManualDie Muskelhrten (Myogelosen):Ihre Entstehung und Heilung

Myofascial Pain and Dysfunction, The Trigger Point Manual. Lippincott Williams & Wilkins.

Trigger Point Model

Coined Trigger Point1996C. Chan GunnRadiculopathic Model

History of Dry Needling

What is Trigger Point

The Trigger Point is a hyperirritable point in a muscle, which is located in a tight band and is extremely painful when touched.

It is the focus area of the impacted muscle tissue and the place from which the pain radiates to other referred points.

Targeting the trigger points releases the congestion and relaxes the entire muscular tissue by stimulating the spinal reflex arc.

This relieves the pain which may have been there for a long time, even for years, without injecting any medication.

Dry Needling VS Acupuncture

Dry NeedlingAcupuncture

Dry needling aims for trigger points and knotted muscle fibres.acupuncture employs and is based on the meridian system.

Dry needling also acts via the release of endorphins and serum cortisol but also achieves pain relief and biomechanical re-function by de-activating the trigger points at the muscle cell level and thus eliminating the nociceptive focus of the muscle. Acupuncture achieves pain relief through the release of endorphins and creating balance in the body's energy levels. Through the release of serum cortisol acupuncture can also have an anti-inflammatory effect.

DN is more popular because there is no need to train in traditional acupuncture methods in order to practice the skill/technique of Dry Needling.Acupuncturists and therapists trained in traditional acupuncture are increasingly including the needling of myofascial trigger points into their treatment approaches

Safety and Indications

Studies show that Dry Needling as a solution to pain is much safer than drugs and has much fewer side effects such as mild muscle soreness or bruising.

DN is indicated in numerous diagnoses, such as radiculopathies joint dysfunction, disk pathology, tendonitis, craniomandibular dysfunction, migraines, tension-type headaches, carpal tunnel syndrome, computer-related disorders, whiplash associated disorders, spinal dysfunction, pelvic pain and other urologic syndromes, post-herpetic neuralgia, complex regional pain syndrome, nocturnal cramps, phantom pain, and other relatively uncommon diagnoses such as Barr Liou syndrome, or neurogenic pruritus, among others.

Dry Needling at PhyWorld

At PhyWorld, Dr. Vandana, who is a specialist in dry needling, carries out a thorough evaluation and consultation for the patients in need of this specialized technique. Patients are treated after taking prior consent and the technique is carried out by Dr. Vandana herself at both centers.

PHYWORLDDr. Vandanas Physical Therapy & Fitness Clinics

Address4, North Avenue, Punjabi Bagh (West), New Delhi 110026

C-3, Defence Colony, New Delhi- 110024

Mobile No: +(91)- 9910088152, 011- 25225527

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9/14/15