Dry needling Flashcards
Dry needling is
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
Dry needling is a general term for
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
SB 485 has been ___________ and is no longer up for vote, but it would have done what?
moonlighted; it would have instituted language for dry needling as well as expanding the direct access laws
Precautions and contraindications to dry needling
clotting disorders, pregnancy, immuno-compromised, recent surgery, active cancer, needle phobia, and local infection
What are the top two reasons for injury from a dry needling treatment session?
poor anatomical knowledge and poor technique
Don’t let go of needles in the thorax unless you have a ______________
bony backdrop
The needle is not _________, it alone won’t ______ anyone
magic; cure
Dry needling is a PT ___________, it is not a _______________ treatment
modality; stand alone
Not every pt is ___________ for dry needling
appropriate
What drives the treatment?
the evaluation
Myofascial trigger point
a hyper irritable spot in a taut band of skeletal muscle fibers
active trigger points
spontaneous pain or pain in response to movement stretch, or compression; already bothering the pt before they come in
Latent trigger points
respond to compression only, find when doing dry needling
Excessive acetylcholine and subsequent Ca release initiates a continuous cycle of __________________
localized muscle contractions
Increased calcium release is likely the product of ______________________
muscle overuse or contracture
Localized hypertonicity can block _________________, causing __________________
blood flow to the muscles; shortage or nutrients and oxygen -> ischemia and hypoxia
Localized ischemia and hypoxia lead to release of a number of __________________
pain and inflammatory chemicals
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
drop, acetylcholinesterase
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 ____________
CGRP (Calcitonin gene-related peptide), neuromuscular junction
Trigger point model
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
What system is responsible for trigger points?
the nervous system
Is a trigger point always bad?
no
What is the primary objective of the localized twitch response?
clear excessive ACh and Calcium
Localized twitch response seems to be reproducible until the excess ___________ is depleted. It’s unclear whether this is from __________ or _________________
ACh; Muscular contraction or wash out of blood flow
