Dry Needling

Question 1

How does TDN work?

Answer 1

We don’t really know but…
Endogenous analgesia
Decreased temporal summation
Reduced cytokines
Changes in local tissue chemicals like endorphin
Counter-irritant input
Placebo
Expectation
Psychosocial

Question 2

Is TDN safe?

Answer 2

Yes

Question 3

What types of adverse events can happen with TDN?

Answer 3

Bleeding
Bruising
Pain during tx
Pain after tx
Fatigue
Local infection (0.01%)
Vertigo (0.22%)
Nausea (0.15%)
Pneumothorax (0.001%)
Systemic infection (0.001%)
Nerve injury (0.014%)

Question 4

What safety precautions do we take when doing TDN?

Answer 4

Positioning & draping
Wash hands
PPE
Alcohol prep
Sterile, single use needles
Sharps disposal