Dry needling technique is an innovative treatment technique, where a solid filament acupuncture needle is advanced to the muscle to target the myofascial trigger point in order to deactivate and release them. It is a very effective and efficient way of treating myofascial trigger points, taut band, muscular tightness and dysfunction.
Acupuncture is based on Chinese traditional concepts in which the needle is inserted to stimulate certain acupuncture points found along certain meridians passing over the body. Traditional Acupuncture aims to promote health and restore energy balance for various disease conditions. But Dry Needling is purely based on musculoskeletal anatomy and neurophysiologic principles, which is totally scientific in nature. Dry needling brings out certain mechanical, biochemical and neurological changes in the body to assist in the recovery process.
Dr. Janet and Dr. Travel initially used trigger point injection to deactivate myofascial trigger points. Later acupuncture needles were used without any injections (hence called as Dry needling) to get the same therapeutic effect. These needles when inserted on the trigger points, gives a mechanical stimulus to the trigger point to result in Local Twitch Response (LTR). This LTR is an involuntary response, which is presumed to be the most important aspect in obtaining a successful outcome for trigger point deactivation. Adding to this, dry needling will cause a positive biochemical changes, blood flow enhancement and helps in releasing pain deactivating chemicals from Brain (Descending Pain Inhibition).
Any primary or secondary muscular conditions shall be treated by Dry Needling. It includes Repetitive stress injuries, Fibromyalgia, Tennis elbow, Periarthritis shoulder, Spondylosis, IVDP, Piriformis Syndrome, Patello-femoral Pain Syndrome, Plantar Fasciitis, IT band tightness, Sports injuries, Post operative and Post Immobilization Stiffness, etc.
Physiotherapists who are specifically trained and certified will have skills for a effective and safe needling. It requires proficient anatomical knowledge along with clinical diagnosis and reasoning skills to use this technique diligently. The patient may feel a light prick when the needle is pierced in to the skin and after the needled is lodged in the muscle, there will be a mild dull aching pain. Some people may feel their pain referred to distant areas of the muscle, which is a good and desirable reaction for the technique. As time proceeds, the patient may not be aware of the needle in his body.
Each session will approximately range between 10-15 mins. The number of needles, depth of penetration, and frequency of sessions may vary from patient to patient based on their clinical presentations and chronicity of the condition. Often the patient tends to get maximal pain relief with first session itself.
Yes, since it is minimally invasive and maximally efficient towards curing musculoskeletal pain. It is considered to be a part of physical therapy treatment. Countries like United States, Canada, Australia, South Africa, and UK have approved this technique falling under the scope of physical therapy. Hence any independent physical therapist can employ this technique provided they finished the dry needling course and got certified by a school.
Usually it takes 5 – 7 days to complete all the modules. After that the participants should take our theory and practical exam and should pass both to get the licensure. Our Dry Needling Association offers a high quality comprehensive Dry Needling Course to physiotherapists. It covers both basic and advanced courses. As a preparatory stage, we also conduct muscle palpation course to improve the diagnostic and therapeutic accuracy.
The information in this workshop was valuable and relevant. It was more specifically useful than I expected. Dr. Raj Kannan has an amazing ability to readmore
This was a great workshop! Never realized it could be so easy to get this new treatment tool. The techniques you teach are gentle, easy and painless.readmore