Trigger Point Dry Needling

Trigger point dry needling (TDN) is also known as intramuscular stimulation (IMS) and dry needling. It is a safe, effective and efficient treatment used to:

• Relax myofascial trigger points, and
• Restore normal muscle tones, muscle length, coordination, function and strength

Trigger point dry needling involves insertion and repetitive manipulation of a "dry", solid filament needle in a trigger point in order to produce an involuntary spinal cord reflex, also known as a local twitch response (LTR). This results in lasting muscle relaxation due to the release of shortened bands of muscle fibers for overactive (tight) muscles or the activation of under-active (weak) muscles. Deactivation of the trigger points can bring immediate relief of symptoms, so the therapist can immediately train the muscles to work with the newly gained pain free range of motion (ROM).

TDN vs. Acupuncture

TDN is similar to acupuncture in the sense that a dry, solid filament needle is inserted and manipulated under the skin to release endorphins and serum cortisol for pain relief. The difference is that trigger point dry needling is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous systems. Acupuncture is based on traditional Chinese medicine (TCM). It creates balance in the body by influencing the flow of Qi (energy) in pathways called meridians to achieve pain relief and alleviate inflammation.

Conditions Treated by Trigger Point Dry Needling

TDN has successfully been used to treat a variety of conditions including:

• Head and Neck Pain - including whiplash and headaches / migraines, degenerative joint disease, degenerative disc disease or osteoarthritis
• Shoulder Pain - including rotator cuff muscle tears, bursitis, adhesive capsulitis (frozen shoulder), tendonitis and impingement syndrome
• Elbow Pain - including lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer's elbow)
• Hand and Wrist Pain - including gamekeeper's thumb, DeQuervain's syndrome, carpal tunnel syndrome, degenerative joint disease and osteoarthritis
• Back Pain - including lumbar degenerative disc disease, arthritic changes and herniated discs
• Hip Pain - including iliotibial band syndrome (IT band syndrome), piriformis syndrome, sciatica and arthritis
• Knee Pain - including sprained or strained ligaments, cartilage tears, tendonitis and osteoarthritis
• Shin / Ankle / Foot Pain - including shin splints, gout, metatarsalgia and Morton's neuroma
• Plantar Fasciitis (Heel Pain)
• Acute and Chronic Tendonitis
• Athletic and Sports-related Overuse Injuries
• Post-surgical Pain
• Post-traumatic Injuries, Motor Vehicle Accidents (MVA), and Work-related Injuries
• Other Chronic Pain Conditions - including osteoarthritis and myofascial pain / myofascial pain syndrome (MPS)

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