Dry Needling and Acupuncture (WEEK 13)

Question 1

Acupuncture philosophy

Answer 1

Life energy, Qi, present in every create and circulates throughout the body along pathways called meridians.

• disruption of low responsible for disease and dysfunction
• aimed to correct imbalance in flow by stimulation of points

Question 2

Acupunture Parameters

Answer 2

Left in for 15-30 minutes

- stimulation from manual, electrical or other means (burning Moxa, acupressure, acupuncture like TENS)

Question 3

Dry Needling

Answer 3

non-injection needling with solid, filament needle

Question 4

Dry Needling - philosophy/function

Answer 4

stimulation of specific reactions in target tissue for therapeutic effect

Question 5

Dry needling - parameters

Answer 5

needles are inserted and removed, inserted and removed etc repeatedly over the course of the treatment

Question 6

IMS

Answer 6

• Specific form or type of dry needling
• Totally system for the diagnosis & treatment of myofascial pain syndromes (chronic pain conditions that occur in MSK system when there is no obvious injury or inflammation)

Question 7

IMS vs. Dry Needling

Answer 7

IMS

• believes neuropathy is almost always related to problem (central)
• needled at spine and problem area
• nerve in spine is not feeding the muscle properly (take the stress/pressure off spine)

Dry Needling
- more targeted to muscle problem itself (peripheral)

Question 8

IMS: neuropathy or radiculopathic pain

Answer 8

IMS approach: nerve sensitivity/dysfunction

• ongoing pain with no obvious MOI caused by malfunction in PNS, leading to super sensitivity in the nerves
• supersensitive nerves & their innervated structures react abnormally to stimuli

Question 9

IMS: target

Answer 9

• shortened muscle with palpable, tender/painful bands & trigger points
• enthesopathic (thickened) tendons

Question 10

IMS: Goal

Answer 10

1. release muscle shortening
   - presses on & irritate the nerve causing muscle pain & mechanical affects
2. restore diminished efferent impulse flow, allowing super sensitivity & other abnormal features of neuropathy
3. promote healing

Question 11

IMS: Evidence on Chronic Shoulder pain

Answer 11

contralateral manual acupuncture

• improved VAS pain
• SF-36 physical function, physical role, bodily pain, mental health, and social functioning

Question 12

Dry needling: lateral epicondylitis

Answer 12

better pain and functional scores at 3- and 6- months follow-up compared with daily ibuprofen and bracing

Question 13

What is a muscle knot?

Answer 13

• sensitive spot in soft tissues due to tight muscle fibres that are unable to relax or release
• increased MU activity resulting in area become more susceptible to tightened muscle
• chronic contracture.shortening of muscle due to neurosensitivity, compressor of intra-muscular nociceptors

Question 14

Placebo/expectation effect

Answer 14

expectation for relief was a predictor of reported benefit

Question 15

Adverse Events

Answer 15

1. Needling around Neck/Brain/Lungs
2. Organ or tissue injury (e.g. QL and kidney, U. trap and lung)
3. Infection
4. Dizziness, Syncope
5. bleeding, bruising