Dry needling Flashcards
(true/false) Dry needling has an ICD-10 code.
true
What are the precautions and contraindications of dry needling?
- clotting disorders
- pregnancy
- immunocompromised
- recent surgery
- active cancer
- fear of needles
- local infection
(true/false) research on dry needling is currently inconclusive
true
What are the top reasons for injury during dry needling?
- poor anatomical knowledge
- poor technique
When can you let go of needles in the thorax?
Until it has a bony backdrop
(true/false) every patient who is referred specifically for dry needling is appropriate!
false
definition: a hyper irritable spot in a taut band of skeletal muscle fibers.
myofascial trigger point
definition: myofascial trigger point that has spontaneous pain or pain in response to movement, stretch, or compression
active myofascial trigger point
definition: myofascial trigger point that responds to only compression
latent myofascial trigger point
Travell and Simons (1993) suggested that excessive _____ and subsequent _____ release initiates a continuous cycle of localized muscle contraction
Ach, Calcium
Increased ____ release is likely the product of muscle overuse or contracture
calcium
An (acidic/alkaline) environment in the muscle cell increases release of CGRP
acidic
definition: intensifies the response to ACh by increasing sensitivity and synthesis of ACh receptors at the neuromuscular junction
calcitonin gene-related peptide (CGRP)
(true/false) If a needle is placed in the femoral artery, it will cause instant death
FALSE
What are the phases of the trigger point continuum?
- excessive Ach and Calcium
- ischemia/hypoxia leads to release of pain/inflammatory chemicals
- pH drops which inhibits acetylcholinesterase
- acidic environment/low pH leads to release of CGRC
- CGRC increases synthesis and sensitivity of Ach receptors
What is the primary objective of the localized twitch response?
to clear excessive Ach and calcium
LTR seems to be reproducible until the excess ____ is depleted
Ach
Origin of rectus femoris.
AIIS
Origin of Vastus lateralis.
proximal 1/2 of the lateral lip of linea aspera
Origin of vastus medialis
Medial lip of the linea aspera
Origin of the Vastus intermedius.
anterior and lateral sirface of the femur
proximal 2/3 on linea aspera
origin of gluteus minimus.
External surface of ilium between anterior and inferior gluteal lines
INNV of gluteus minimus and gluteus medius
Superior gluteal N (L4-S1)
origin of piriformis.
Pelvic surface of sacrum between 1-4 pelvic sacral foramina, pelvic surface of sacrotuberous ligament
Origin of gluteus medius
External ilium, between iliac crest and posterior gluteal line
Insertion of piriformis.
Superior border of greater trochanter
INNV of piriformis
Sacral plexus (L5,S1)
origin of multifidus.
dorsal surface of the sacrum, aponeurosis of the erector spinae, PSIS, posterior saco-iliac ligament
mammillary processes of L5 up to L1
Insertion of multifidus
SP C2-L5
