Use Of Trigger Point Dry Needling

Plan includes and restarting PT. trigger point injections was administered on this visit at the bilateral L3-5 paravertebral and sacroiliac joint muscles.

The project began with the formulation of a PICO question in an area of interest to guide the literature search. The PICO (population, intervention, control, and outcomes) format was used as a strategy for framing a foreground evidenced-based question. Dissecting the question into its component parts and restructuring was an essential first step in the evidence-based practice project. After careful consideration of the clinical manifestations and practitioner professional experience, the PIO question emerged was, Does Kinesio taping decrease pain and improve engagement in functional tasks in patients with shoulder pathology? Fortunately, there was sufficient evidence within the literature to support the PIO question.

Dr. Jeff Roderick is an experienced chiropractor who is certified in the Active Release Technique and trained in the myofascial release modality. He also holds an official Certified Chiropractic Sports Physician designation. Over the course of his career, he has served as a chiropractic sports medicine physician at the Salt Lake City Olympics, the team physician for the Madison and South Fremont high schools, and a chiropractor with Madison Ridge Chiropractic. While working for Madison Ridge, Dr. Jeff Roderick earned special recognition for excellent service and dedication to the chiropractic profession from the Logan College of Chiropractic.

Trigger point saline injections is thought to be disruption of the trigger points by the mechanical effect causing local vasodilation, dilution, and removal of the accumulated nociceptive substrates. In several studies trigger point injections have been found to provide significant relief from myofascial low back

The therapies offers uses state-of-the art science, including dry needling. It is like acupuncture with the use of needles that uses mild electronic current to stimulate muscles in precise positions.

In this academic journal Melanie Brown reports the benefits and experiences of using alternative and conventional methods to treat muscular skeletal pain. In this study Brown explains the methods people use to indicate what is going wrong or what is causing them problems and the methods they use in order to treat said ailment. Brown explains the methods and treatments used to treat muscular skeletal treatment, but she also shows the methods she used to collect the information. Brown used questionnaires, interviews,

One of the many techniques we utilize in our clinic is the Graston Technique. This technique is a form of instrument-assisted soft tissue mobilization (IASTM). It allows us to effectively address issues with scar tissue, fascial restrictions, and range of motion. With the assistance of specially designed stainless steel instruments and appropriate therapeutic exercise, we are able to drastically reduce a patient’s overall treatment time, and we are able to foster a faster rehabilitation period. The Graston Technique’s unique approach to pain and injuries allows us to administer effective range of motion maintenance programs.

The purpose of this strategic plan, is to provide a marketing strategy for the implementation of a dry needling (DN) program at ProActive clinic in Pearland, Texas and ultimately expand it to their other two clinics in Pasadena and Clearlake, Texas. The purpose of the DN program, is to provide DN services to the community of individuals that will benefit from this treatment technique, while decreasing their pain and improving their quality of life.

Various studies have been performed to determine the efficacy of myofascial trigger point release on relieving tension type headache intensity, frequency and duration. These studies have relied on subjective pain measurement such as a visual analogue scale (VAS) or the McGill Pain Questionnaire to determine effectiveness of a treatment as biochemical evidence in the form of precise molecular identification remains unclear.

Mechanoreception is a practice where mechanical sensations of touch reinforce the stimulation of mechanoreceptors applied affecting the body’s tissue. Equal parts of impulse effects of mechanoreceptor input can excite and inhibit functions. Acupuncture points are special sites with deeper sensory disbursement to different body parts and connective tissue. The insertion of a needle into these points acts as a mechanical stimulus that activates the mechanoreceptors and sends conduit (vessels) signals to the central nervous system (CNS), where pain is processed in the brain. Neurochemical processes of pain modulation are consequently activated, inducing acupuncture analgesia.

Dry needling is currently one of the “scope of practice” battles encountered in the physical therapy profession. The “hot topic” is extremely controversial and is not only debated by physical therapists but by acupuncturists as well. The primary issue is whether dry needling should actually be considered under the physical therapists scope of practice. The controversial aspect arises because the dry needling technique is technically invasive because the skin is being punctured. Another issue that comes about this topic is the insufficient amount of research conducted. (Benefits/Side Effects) In addition, dry needling is also not currently included in the DPT programs curriculum. Therefore, those physical therapists who want to acquire this skill it is required to be learned in a continuing education course. Furthermore, there are currently only 18 locations in the United States that offer dry needling education to physical therapists. Another issue concerning dry needling is how this technique should be coded and billed. This being said, it is illegal for physical therapists in New York, Idaho, Tennessee, Hawaii, and South Dakota to perform dry needling in their practice. For example, Hawaii prohibits physical therapists from puncturing skin under any circumstances. Although, it is not considered illegal in the other states, it has not been confirmed as qualifying under the scope of practice by the state regulatory board. The APTA has even began to contact

Knygsand-Roenhoej and Maribo (2011) examined the effects of modified edema mobilization (MEM) treatment with MEM pump points (MPP) stimulation technique and compared it with the traditional edema technique for patients with subacute hand/arm edema. The effects were determined based on the outcome measures that includes reduction in edema and pain, active range of motion (AROM), and activities of daily living(ADL). It was hypothesized that modified MEM treatment will have better outcome measures compared to the traditional edema technique.

Dry needling is currently one of the “scope of practice” battles encountered in the physical therapy profession. The hot topic is extremely controversial and is not only debated by physical therapists, but by acupuncturists as well. The primary issue concerning dry needling is whether this technique fits within the Physical Therapist Scope of Practice. The controversial aspect emerges since dry needling is technically considered minimally invasive. Another issue that has appeared is the insufficient amount of research conducted. In addition, dry needling is not currently included in the DPT program curriculum. Therefore, physical therapists who want to acquire this skill are required to take a continuing education course. Furthermore, there are currently only 18 locations in the United States that offer dry needling education courses for physical therapists (APTA, 2012).

According to John Hopkins Medicine (n.d.), pain is an uncomfortable feeling that tells you something may be wrong. It can be fixed, throbbing, stabbing, aching, pinching, or described in many other ways. Pain is categorized as either acute or chronic. Acute pain is usually severe and brief, and is often a signal that your body has been injured. Chronic pain can vary from mild to severe and is there for long periods of time (John Hopkins Medicine, n.d). This paper will discuss a scenario that entails which person is experiencing the most pain, how two people can have the same procedure experience different levels of pain, factors that contribute to each person’s pain level, and two complementary/alternative methods of pain control.

Wet-cupping has been used as an alternative treatment method throughout the world, especially in Asia, the Middle East and Europe. The main purpose of this therapy is to precipitate the circulation of blood and to remove blood-stasis and waste from the body(Kim, 2011). Benefits of Cupping: By creating suction and negative pressure, cupping has been found to affect the body up to four inches into the tissues, which is used to treat muscle pain and spasms, drain excess fluids and toxins, loosen adhesions, connective tissue and stubborn knots in soft tissue, stimulate blood circulation and bring blood flow to nourish stagnant muscles and skin, enhance the flow of energy, stimulate the peripheral nervous system, activate the lymphatic system, clear colon blockages, help activate and clear the arteries, veins, and capillaries, and improve varicose veins. Cupping draws the inflammation out, yet does not add to