Dry needling

Intra Muscular Dry Needling (IMDN)

What is Intra Muscular Dry Needling (IMDN) ?

Dry needling is an invasive procedure whereby solid filament (acupuncture) needles are inserted into the skin and muscle directly at a myofascial trigger point, which are related to the production and maintenance of the pain cycle.

The approach is based on Western anatomical & neurophysiological principles which are not to be confused with the Traditional Chinese Medicine (TCM) technique of acupuncture (Travell & Simons 1999).

What can Intra Muscular Dry Needling (IMDN) help?

Dry needling can be used for a variety of Chronic / Acute musculoskeletal problems. Muscles are thought to be a primary contributing factor to the symptoms. Conditions which respond to dry needling include, but are not limited to:

• Headaches

• Frozen Shoulder

• Tennis elbow

• Carpal tunnel syndrome

• Golfer's elbow

• Buttock pain

• Leg pain

• Hamstring strains

• Shin splints

• Muscle Spasms

• Fibromyalgia

• Sciatic Pain

• Hip Pain

• Knee Pain

• Repetitive Strain Injuries

How does Intra Muscular Dry Needling (IMDN) work?

There are mechanical and biomechanical can cause favorable biochemical changes which assist in reducing pain. It is essential to elicit a Local Twitch Response which is a spinal cord reflex and is the first step in breaking the pain cycle.

How does Intra Muscular Dry Needling (IMDN) stop this cycle?

A spasmed muscle becomes a damaged muscle. Spasm reduces blood flow in the muscle. This means less oxygen and nutrients to the muscle. Muscle fibres die off and get replaced by fibrous scar tissue. This in turn holds the muscle tight, prevents muscle metabolites from leaving the muscle and causes continued spasm and pain.

Putting a needle into a spasmed muscle causes the muscle to relax, this can be seen with an electromyogram (EMG).

Where does Intra Muscular Dry Needling (IMDN) fit in the entire rehabilitation programme?

More frequently, dry needling is needed at the beginning to help break the pain cycle  or change instantaneous muscle tension then other treatment modalities are introduced.

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