Dry Needling

Question 1

Dry Needling

Answer 1

-use fine filament form needle to treat trigger point/dysfunctional neuromuscular junction

Question 2

Goal:

Answer 2

• to elicit a local twitch response in the involved muscle

- desensitize supersensitive structures and restore motion and function

Question 3

Trigger Point

Answer 3

-localized areas of deep tenderness within taut band of muscle

Question 4

Causes of Trigger Points

Answer 4

• posture
• repetitive movments
• compressive forces
• trauma
• restriction of biomechanics of joint

Question 5

goals achieved by

Answer 5

• releasing shortened muscles
• remove source of irritation
• promote healing (produce local inflammation)
• decrease spontaneous electrical activity of trigger point
• decrease pain associated with active trigger points

Question 6

Contraindications

Answer 6

• inadequate knowledge
• pregnancy
• bleeding disorder
• high dose anti-coagulants
• immunosuppressed
• local infection
• umbilicus, external genetalia
• area over joint replacement, breast implant, pacemaker, spinal stimulator
• over ribs
• none for 1st 6 weeks post op

Question 7

Precautions

Answer 7

• T spine
• lung proximity
• sacral/coccyx/buttock
• neurovascular bundles assoc with femoral triangle, cubital fossa, supraclavicular triangle, pec major

Question 8

Complications

Answer 8

• insertion pain
• vasovagal reaction
• forgotten needle
• stuck needle
• broken needle
• Mm soreness
• fatigue
• bruising
• infection
• pneumothorax