DRY NEEDLING HIGH YIELD

Question 1

acts via the release of endorphins and serum cortisol

can achieve pain relief

Answer 1

DN

Question 2

achieves pain relief by creating balance in energy levels

Answer 2

acupuncture

Question 3

what was the effect of the placebo?

Answer 3

correlates physio changes with DN

Question 4

no medication delivered is considered, wet or dry?

Answer 4

dry

Question 5

injections is considered, wet or dry?

Answer 5

wet

Question 6

needles can be as short as _____?long as _____?

Answer 6

12.5 mm

100 mm

Question 7

what is the technique?

Answer 7

target tissue ID

pierced with needle

needle choice based on depth

clean field technique used, not sterile

needles used for 30 sec

remove and dispose

Question 8

specific technique?

Answer 8

deep dry needing
superficial dry needling
periosteal pecking 
needle manipulation
PENS

Question 9

name this type of dry needling?

needle goes deeper into target tissue and elicits a local twitch response

Answer 9

deep dry needling

Question 10

name this type of dry needling?

only skin overlying the target tissue is penetrated

Answer 10

superficial dry needling

Question 11

what are the types of responses?

Answer 11

strong

average

weak

Question 12

physiological effects?

Answer 12

healing effects
trigger point release
analgesic effect

Question 13

how does the needle manipulation work?

Answer 13

rotation

pistoning

Question 14

myofasical trigger point treatment strategies leads too?

Answer 14

manual therapies like:
noninvasive manual therapy
intramuscular manual therapy

electrophysical agents

Question 15

what is the purpose of TP release?

Answer 15

its like a fire alarm that goes off due to some other underlying abnormality

this TP must be released and treat underlying tissue for relief

Question 16

needle insertion directly to TP causes a small muscle contraction referred to as a _____?

Answer 16

local twitch response (LTR)

Question 17

what is the effect of superficial dry needling?

Answer 17

releases the TP via reflex inhibition

Question 18

analgesia is the stimulation of _____?

Answer 18

superficial A-delta fibers in the skin

Question 19

what are the therapeutic effects?

Answer 19

pain reduction via counterirritation and NT release

pain reduction via TP resolution

promotion of healing via fibroblast stimulation

promotion of healing via increased local blood supply

Question 20

absolute contraindications?

Answer 20

afraid of needles

unwilling patient

unable to consent

Question 21

relative contraindications?

Answer 21

tendency toward abnormal breathing

compromised immune system

vascular disease

Question 22

what is the goal of PENS”?

Answer 22

pain relief

Question 23

what are the PENS parameters?

Answer 23

2-4Hz creates nociceptive pain conditions

80-100Hz affect release of Dynrophin and GABA

Question 24

when to use SDN?

Answer 24

when opiod release is primary therapeutic goal

areas with sensitive underlying structures

when dermatomes and myotomes coincide