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, ScD• “Myofascitis from an orthopedic standpoint”

JH Kellgren•Hypertonic saline injections•Referral patterns

DIFFERENTIAL DIAGNOSIS OF

PAIN LOW IN THE BACK

ALLOCATION OF THE SOURCE OF PAIN

BY THE PROCAINE HYDROCHLORIDE METHOD

JAMA. 1938;110(2):106-113

Arthur Steindler •“Myofascial pain”•“Trigger points”

Karl Lewit, MD, DSc•“The Needle Effect”

Janet Travell, MD and David G. Simons, MD

19831928 1938 1950 19791904 1931

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

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

Trigger Point Model

Coined “Trigger Point”

1996

C. Chan Gunn

Radiculopathic 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 AcupunctureDry Needling Acupuncture

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

COUNTRIES WHERE DRY NEEDLING IS PRACTISED

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 Barré Liéou syndrome, or neurogenic pruritus, among others.

" ONE SESSION OF DRY NEEDLING ACUPUNCTURE = 5 SESSIONS OF PHYSIOTHERAPY OR CHIROPRACTIC MASSAGE”

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. Vandana’s 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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