What is Therapeutic Dry Needling?
The 2012 American Physical Therapy Association defines dry needling as:
'A skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments' (Dunning et al. 2014).
What happens after Therapeutic Dry Needling?
= Local Analgesia
What is the mechanics of Local Analgesia?
Fibroblasts are a cell that synthesises the extracellular matrix and collagen, delivering the structural framework for tissues, playing a crucial role in wound healing.
Adenosine also has a direct vasodilatory effect, release by fibroblasts and various tissues due to the micro-trauma from the mechanical needle stimulation (Goldman et al., 2010).
The extracellular adenosine binds cell membranes of c-fibres and inhibits their response to stimulation, a local component of needle analgesia.
Myofascial Pain Syndrome (MPS) and Therapeutic Dry Needling?
‘Myofascial pain syndrome (MPS) is a musculoskeletal pain condition characterised by local and referred pain perceived as deep and aching, and by the presence of myofascial trigger points in any part of the body’ (Graven-Nielsen & Arendt-Nielsen, 2014. pp 7-20). Dry needling effectively manages MPS caused by MTrPs (Dommerholt et al., 2018, 2019).
Dommerholt, J., & Fernández-de-las-Peñas, C. (Eds.). (2013). Trigger point dry needling: an evidence and clinical-based approach. Sydney, NSW: Churchill-Liv ingstone Elsevier.
Dunning, James, Raymond Butts, Firas Mourad, Ian Young, Sean Flannagan, and Thomas Perreault. 2014. “Dry Needling: A Literature Review with Implications for Clinical Practice Guidelines.” The Physical Therapy Review 19 (4): 252 –65.
Goldman, N., Chen, M., Fujita, T., Xu, Q., Peng, W., Liu, W., Jensen, T. K., Pei, Y., Wang, F., Han, X., Chen, J.-F., Schnermann, J., Takano, T., Bekar, L., Tieu, K., & Nedergaard, M. (2010). Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture. Nature Neuroscience, 13(7), 883–888.
Therapeutic Dry Needling can provide:
-Local axonal effects that create vascular events (increased blood flow
-Reduced pain through needle analgesia
-Connective tissue effects
-Inflammation reduction through the release of calcitonin gene-related peptide (CGRP) produces angiogenesis: the formation of new blood vessels.
-Myofascial pain control.
Availability (Starting 1st July)
Monday:10 am- 4pm