What is Dry Needling?

Dry Needling, What does it do?

Dry needling reduces pain,  and is great in the treatment for acute and chronic injuries, and where needling procedures are described for a range of neuro-musculoskeletal diagnoses, e.g., osteoarthritis, low back pain and migraine.

Dry needling is a ‘skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying TrPs, muscles and connective tissues for the management of both neuro-musculoskeletal pain and movement impairments .  Administered to altered or dysfunctional tissues in order to improve or restore function. This may include (but is not limited to) needling of myofascial TrPs, periosteum and connective tissues.

Myotherapy and Massage we uses  the twisting method which has been proven to be the better technique. Read more

Precautions

There are certain precautions to be considered with the use of DN:

1. Patients with a needle aversion or phobia may object to the physical therapy treatment with DN. With appropriate education, however, these patients may still consider DN.

2. Patients with significant cognitive impairment may have difficulty understanding the treatment parameters and DN intervention.

3. Patients who are unable to communicate directly or via an interpreter may not be appropriate for DN treatments.

4. Patients may not be willing to be treated with DN.  Caution is warranted with younger patients. Based on empirical evidence, DN is not recommended for children younger than 12 years of age. When treating children, DN should only be performed with parent and child’s consent. Care should be taken assuming a child understands the procedure.

.5. Patients need to be able to give consent for the treatment with DN.

6. Local skin lesions must be avoided with DN.

7. Local or systemic infections are generally considered to be contraindicated.

(Systemic means affecting the entire body, rather than a single organ or body part. For example, An infection that is in the bloodstream is called a systemic infection.) Sepsis and the common cold is an example of a systemic infection.

8. Local lymphedema (note: there is no evidence that DN would cause or contribute to increased lymphedema, ie, postmastectomy, and as such is not a contraindication).

9. Severe hyperalgesia or allodynia may interfere with the application of DN, but should not be considered an absolute contraindication.

10. Some patients may be allergic to certain metals in the needle, such as nickel or chromium. This situation can easily be remedied by using silver or gold plated needles.

11. Patients with an abnormal bleeding tendency, ie, patients on anticoagulant therapy or with thrombocytopenia, must be needled with caution. DN of deep muscles, such as the lateral pterygoid or psoas major muscle, that cannot be approached with direct pressure to create hemostasis may need to be avoided to prevent excessive bleeding.

12. Patients with a compromised immune system may be more susceptible to local or systemic infections from DN, even though there is no documented increased risk of infection with DN.110

13. DN during the first trimester of pregnancy, during which miscarriage is fairly common, must be approached with caution, even though there is no evidence that DN has any potential abortifacient effects.111-113

14. DN should not be used in the presence of vascular disease, including varicose veins.

15. Caution is warranted with DN following surgical procedures where the joint capsule has been opened. Although septic arthritis is a concern, DN can still be performed as long as the needle is not directed toward the joint or implant. (Additional consideration needs to include implanted devices, pacemakers and cosmetic implants as performing TrP-DN in these areas is contraindicated.)

How does it work?