Abstract of The Week: Effect of Dry Needling for Myofascial Trigger Points in the Neck and Shoulders

Posted by NAIOMT on Sep 14, 2015 12:45:55 PM

Abstract: The effect of dry needling for myofascial trigger points in the neck and shoulders: a systematic review and meta-analysis. Ong J1, Claydon LS2.
This systematic review and meta-analysis sought investigate the efficacy of dry needling of myofascial trigger points in the neck and shoulders. Four of the quality articles reviewed compared dry needling to lidocaine injections on pain relief.

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Topics: Abstract of the Week, Manual Therapy, neck pain, shoulder pain, Dry Needling, dry needling course, TPDN

Rationale for Choosing Dry Needling: A Story

Posted by NAIOMT on Aug 20, 2015 8:37:01 PM

I had a 34 year old gentleman I was treating for a textbook L5 radiculopathy. He was responding beautifully to a combination of a Medrol dose pack, mechanical traction and an extension biased program. After 3 weeks his radicular symptoms were abolished and he was left with mild right lumbosacral pain that was resistant to further treatment. Honestly, at this point I was a bit stuck. Objectively, ROM testing was non-provocative, repeated movements did nothing, biomechanical assessment was unremarkable, neural testing was non-provocative and palpation only revealed bilateral multifidus atrophy at L5.  Do I chalk it up to low level dural irritation I can’t provoke?  What about very minor inflammation producing a chemically mediated pain I can’t provoke?  Or, is it just the posterior annulus that remains painful?  I could go on, but I think you see my paralysis by overanalysis.

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Topics: manual therapy, Manual Therapy, Clinical Reasoning, Dry Needling, dry needling course

Upper Quadrant Dry Needling Overview & Video

Posted by NAIOMT on May 20, 2015 12:55:48 PM

In orthopaedic manual physical therapy, the techniques get all the attention. Manipulation, mobilization, muscle energy, neural mobilization, soft tissue mobilization, etc.   You can now add Dry Needling (DN) to this list. Any seasoned clinician will tell you that learning these techniques, with practice, is the easy part.  Being able to implement them efficiently and effectively is the hard part. Considering DN, understanding the genesis of myofascial pain, applicable pain science, the mechanisms of DN, its application to orthopaedic diagnoses, and the proper historical context is crucial to understanding the theory behind DN. However, when not placed in the context of a thorough subjective history, a comprehensive neuromusculoskeletal examination, appropriate differential diagnosis and clinical reasoning, it can be challenging to accurately identify the most appropriate patients and achieve optimal patient outcomes.

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Topics: Manual Physical Therapy, manual therapy, Manual Therapy, Physical Therapy, clinical skills, Dry Needling, dry needling course, gary kearns

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