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
