TRIGGER POINT DRY NEEDLING

Dry needling is a procedure in which a solid state filament needle is inserted into the skin and muscle directly at a myofascial trigger point.  A myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle.

The exact mechanisms of dry needling are not known.  There are mechanical and biochemical effects. Based on the pioneering studies by Dr. Jay Shah and colleagues at the National Institutes of Health, we know that inserting a needle into trigger points can cause favorable biochemical changes, which assist in reducing pain.  It is essential to elicit so-called local twitch responses, which are spinal cord reflexes.  Getting local twitch responses with dry needling is the first step in breaking the pain cycle.

Dry needling can be used for a variety of musculoskeletal problems.  Muscles are thought to be a primary contributing factor to the symptoms.  Such conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms).  The treatment of muscles has the greatest effect on reducing pain mechanisms in the nervous system.

Most patients do not feel the insertion of the needle. The local twitch response elicits a very brief (less than a second) painful response.  Some patients describe this as a small electrical shock; others feel it more like a cramping sensation.  Again, the therapeutic response occurs with the elicitation of local twitch responses and that is a good and desirable reaction.


Helps reduce pain for the following conditions: 

​Neck/Back Pain
Shoulder Pain
Tennis/Golfers Elbow
Headaches
Hip and Gluteal Pain
Knee Pain
Achilles Tendonitis/Tendonosis
Plantar Fasciitis
Sciatica
Muscular Strains/Ligament Sprains
Chronic Pain
Athletic Performance