Dry Needling is a manual technique and therapeutic modality in which a sterile solid filament needle is inserted into soft tissues at points selected by your physical therapist. It is a highly effective form of physical therapy treatment for a multitude of musculoskeletal, neurogenic, and inflammatory conditions.
IDN is based on the research and work of Dr. Yun-Tao Ma from the American Dry Needling Institute. Students attend foundational and advanced courses to become certified in the IDN process. Advanced courses include other micro-vascular therapy including IDN with electrical stimulation and cupping.
Dry needling works at the systemic and local tissue level in order to restore internal homeostasis. Homeostasis is a process in which the body's internal environment is stable, despite changes in external conditions. IDN promotes self healing.
Soft tissue dysfunction involves soft tissue injuries including tissue inflammation, sensitized nerve tissue, scar tissue formation, tissue adhesion, and deficiency in blood and lymphatic circulation. The process of inserting a sterile needle starts with puncturing the skin, and then involves physical stretching of the tissues by mobilizing the needle and creating lesions in the soft tissue. This initiates a tissue remodeling process to reduce tissue tension, normalize local inflammation, and replace injured tissues. IDN can produce a local twitch response when inserted into an active trigger point and this will reduce referred trigger point pain.
The IDN process also works with the systemic nervous system using peripheral nerve mapping to reduce the neurogenic inflammation for pain management of neuropathic and radiculopathis syndromes.
Advanced IDN therapists also use micro-vasuclar techniques, such as cupping and
electrical stimulation with the needling. These techniques follow the same principles of foundational integrative dry needling. Cupping involves placing cups on the skin to create suction and facilitate blood flow. This helps relieve muscle tension, which improves overall circulation and promotes cell repair. Cupping is used along with manual therapy and exercise to give patients optimal treatment results.
A comprehensive physical therapy evaluation will be completed prior to performing dry needling techniques as part of your treatment plan.
Identify misalignment of spinal curves and areas of musculoskeletal imbalance.
Spinal range of motion, muscle testing, joint palpation, and basic neurology testing of the spine to determine if nerve impingement, disc pathology, and/or spinal facet restrictions contribute to your pain.
Specific joint range of motion, muscle testing, and special tests to determine joint pathology.
Application of hands on techniques to identify restrictions in the fascia, joints, and muscles that contribute to your pain. Identify muscle trigger points that reproduce your pain referral patterns. Determines stiff capsular patterns of joints.
Persistent trigger points or knots?
Chronic headache pain or body pain?
Jaw pain? Full body aches?
Scar tissue that is painful?
Joint pain? Inflamed tendons? Muscle tension?
Radicular symptoms in extremities?
Restricted range of motion? .
...IDN and cupping may be a good treatment option for you.