Dry needling is a form of therapy of muscle pain like myofascial pain syndrome, which uses needles. This process makes use of two kinds of acupuncture needles, that is, solid filiform needles and hollo-core hypodermic needles. The other name for this process is intramuscular stimulation (IMS). It is among the many traditional practices that fall under western medical acupuncture. When in need of dry needling Pennsylvania is worth visiting.
The Chinese style of tendinomuscular acupuncture carefully palpates Ah Shi points which correspond to motor points as well as trigger points in myofascial tissue. The Chinese style is different from the American and Japanese style because it uses lower gauge needles while the former use higher gauge needles. The use of lower gauge needles ensures precision in puncturing contraction knots. Most styles of acupuncture need practitioners to be very knowledgeable about channel networks and connections as well as the western anatomy.
As such, although the IMS does not cover all versions of acupuncture and the two are not the same, the term can be used to specifically refer to some versions of acupuncture. Those forms of acupuncture to which IMS refers to specifically include some versions of Sports Acupuncture, Myofascial Acupuncture, and tendinomuscular Acupuncture. Janet Travell is often credited with coming up with the term dry needling, which she described in her book.
Concerns initially existed about the use of solid needles. They were viewed as lacking in strength and tactile feedback like the one derived from hypodermic needles. They were also viewed to be capable of being deflected by dense contraction knots. However, research later determined that those concerns were unfounded. Therefore solid or acupuncture needles are now in wide use.
In fact, research has found that acupuncture needles penetrate dense muscle knots better and easier and they also offer better tactile feedback. They are also easy to manage and patients feel less discomfort. Acupuncture needle is an FDA designation, but the name solid filiform needle was introduced by some practitioners who offered IMS but their scope did not include acupuncture. Solid filiform needle is a technical design term.
Currently, there are no standards in dry needling. Also, its efficacy is not indicated by and body of evidence, but mostly claims. Most studies to determine efficacy in the technique were crowded by issues that rendered it impossible to gather any strong evidence. For example, most sample sizes used were small, there were high drop out rates, and randomization was not applied.
The studies did not specify if the pain felt came solely as a result of myofascial trigger points. Also, they failed to follow minimally acceptable criteria that should be followed when diagnosing a myofascial trigger point. In some studies, there were drop out rates of up to 48 percent. However, studies that were completed concluded that IMS improves mood, function, and disability.
This approach to treatment is taught and practiced in many parts of the world. Teachers and practitioners can be physical therapists, chiropractors, acupuncturists, doctors of medicine, naturopathic physicians, and osteopathic doctors several many others. In the United States, the scope of practice of acupuncturists, Doctors of Medicine, and Osteopathic doctors include IMS.
The Chinese style of tendinomuscular acupuncture carefully palpates Ah Shi points which correspond to motor points as well as trigger points in myofascial tissue. The Chinese style is different from the American and Japanese style because it uses lower gauge needles while the former use higher gauge needles. The use of lower gauge needles ensures precision in puncturing contraction knots. Most styles of acupuncture need practitioners to be very knowledgeable about channel networks and connections as well as the western anatomy.
As such, although the IMS does not cover all versions of acupuncture and the two are not the same, the term can be used to specifically refer to some versions of acupuncture. Those forms of acupuncture to which IMS refers to specifically include some versions of Sports Acupuncture, Myofascial Acupuncture, and tendinomuscular Acupuncture. Janet Travell is often credited with coming up with the term dry needling, which she described in her book.
Concerns initially existed about the use of solid needles. They were viewed as lacking in strength and tactile feedback like the one derived from hypodermic needles. They were also viewed to be capable of being deflected by dense contraction knots. However, research later determined that those concerns were unfounded. Therefore solid or acupuncture needles are now in wide use.
In fact, research has found that acupuncture needles penetrate dense muscle knots better and easier and they also offer better tactile feedback. They are also easy to manage and patients feel less discomfort. Acupuncture needle is an FDA designation, but the name solid filiform needle was introduced by some practitioners who offered IMS but their scope did not include acupuncture. Solid filiform needle is a technical design term.
Currently, there are no standards in dry needling. Also, its efficacy is not indicated by and body of evidence, but mostly claims. Most studies to determine efficacy in the technique were crowded by issues that rendered it impossible to gather any strong evidence. For example, most sample sizes used were small, there were high drop out rates, and randomization was not applied.
The studies did not specify if the pain felt came solely as a result of myofascial trigger points. Also, they failed to follow minimally acceptable criteria that should be followed when diagnosing a myofascial trigger point. In some studies, there were drop out rates of up to 48 percent. However, studies that were completed concluded that IMS improves mood, function, and disability.
This approach to treatment is taught and practiced in many parts of the world. Teachers and practitioners can be physical therapists, chiropractors, acupuncturists, doctors of medicine, naturopathic physicians, and osteopathic doctors several many others. In the United States, the scope of practice of acupuncturists, Doctors of Medicine, and Osteopathic doctors include IMS.
About the Author:
For the latest information about dry needling Pennsylvania locals can come to our web pages online here today. Additional details are available at http://www.primalphysicaltherapy.com now.
No comments:
Post a Comment