Dry needling

Question 1

Dry needling is

Answer 1

a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissuesfor the management of neuromusculoskeletal pain and movement impairments

Question 2

Dry needling is a general term for

Answer 2

a therapeutic treatment procedure that involves multiple advances of afilament needle into the muscle in the area of the body which produces pain and typically contains a ‘Trigger Point’. There is no injectable solution and typically the needle which is used is very thin

Question 3

SB 485 has been ___________ and is no longer up for vote, but it would have done what?

Answer 3

moonlighted; it would have instituted language for dry needling as well as expanding the direct access laws

Question 4

Precautions and contraindications to dry needling

Answer 4

clotting disorders, pregnancy, immuno-compromised, recent surgery, active cancer, needle phobia, and local infection

Question 5

What are the top two reasons for injury from a dry needling treatment session?

Answer 5

poor anatomical knowledge and poor technique

Question 6

Don’t let go of needles in the thorax unless you have a ______________

Answer 6

bony backdrop

Question 7

The needle is not _________, it alone won’t ______ anyone

Answer 7

magic; cure

Question 8

Dry needling is a PT ___________, it is not a _______________ treatment

Answer 8

modality; stand alone

Question 9

Not every pt is ___________ for dry needling

Answer 9

appropriate

Question 10

What drives the treatment?

Answer 10

the evaluation

Question 11

Myofascial trigger point

Answer 11

a hyper irritable spot in a taut band of skeletal muscle fibers

Question 12

active trigger points

Answer 12

spontaneous pain or pain in response to movement stretch, or compression; already bothering the pt before they come in

Question 13

Latent trigger points

Answer 13

respond to compression only, find when doing dry needling

Question 14

Excessive acetylcholine and subsequent Ca release initiates a continuous cycle of __________________

Answer 14

localized muscle contractions

Question 15

Increased calcium release is likely the product of ______________________

Answer 15

muscle overuse or contracture

Question 16

Localized hypertonicity can block _________________, causing __________________

Answer 16

blood flow to the muscles; shortage or nutrients and oxygen -> ischemia and hypoxia

Question 17

Localized ischemia and hypoxia lead to release of a number of __________________

Answer 17

pain and inflammatory chemicals

Question 18

Pain and inflammatory chemicals along with a release of Hydrogen, result in a ________ in pH, which inhibits ____________________, an enzyme which removes AcH from the neuromuscular junction

Answer 18

drop, acetylcholinesterase

Question 19

An acidic environment in the muscle cell increases the release of _________________, which intensifies the response to ACh by increasing sensitivity and synthesis of ACh receptors at the ____________

Answer 19

CGRP (Calcitonin gene-related peptide), neuromuscular junction

Question 20

Trigger point model

Answer 20

injury to muscle, calcium release and prolonged sarcomere shortening, compromise of local circulation (O2 reduced), Recovery compromised prolonged shortening, accumulation of ischemic by-products, and sensitization of sensory nerves

Question 21

What system is responsible for trigger points?

Answer 21

the nervous system

Question 22

Is a trigger point always bad?

Answer 22

no

Question 23

What is the primary objective of the localized twitch response?

Answer 23

clear excessive ACh and Calcium

Question 24

Localized twitch response seems to be reproducible until the excess ___________ is depleted. It’s unclear whether this is from __________ or _________________

Answer 24

ACh; Muscular contraction or wash out of blood flow