When appropriately stimulated, the nervous system’s natural response is to begin a chain of reactions to aid healing. Augmenting the nervous system response to a minute and focused noxious stimulus is the goal of dry needling technique. Neurochemicals, such as Endorphins and Corticosteroids, are released; the immune system brings white blood cells to the injured area, and red blood cells carrying oxygen and nutrients run to the site (inflammatory response). Dry needling relaxes contracted muscles. Since the presence of the needle in a tense muscle may be painful, the nervous system sends the appropriate feedback to the muscle to inhibit or stop its spasm. This spasm is often the cause of the pain or dysfunction experienced by the patient. So by achieving an inhibition or ceasing of spasm, dry needling can take away the cause of pain and dysfunction.
Dry needling is an invasive procedure in which a thin filament needle is inserted into the skin and muscle directly at a myofascial trigger point. A myofascial trigger point is a focus of small muscle fibre contraction knots, which are related to the production and maintenance of the pain cycle. They often occur as a result of neuromuscular dysfunction and in areas of musculoskeletal stress.
There are many similarities and differences between dry needling and acupuncture. Physiotherapists at SSPC are not acupuncturists and do not practice acupuncture. In contrast to most schools of acupuncture, dry needling is strictly based on Western medicine principles and research and it is increasingly used in the management of musculoskeletal and sports injuries.
The exact mechanisms of dry needling are not known.
There are mechanical and biochemical effects. Based on the pioneering studies by Dr. Jay Shah and colleagues at the National Institutes of Health, we know that inserting a needle into trigger points can cause favorable biochemical changes, which assist in reducing pain. It is essential to elicit so-called local twitch responses, which are spinal cord reflexes. Local twitch response with dry needling is the first step in breaking the pain cycle.
Dry needling can be used for a variety of musculoskeletal problems. Neuromuscular dysfunction and imbalances are thought to be a primary contributing factor to the symptoms. Such conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms). The treatment of muscles has the greatest effect on reducing pain mechanisms in the nervous system.
Most patients do not feel the insertion of the needle. The local twitch response elicits a very brief (less than a second) painful response. Some patients describe this as a little electrical shock; others feel it more like a cramping sensation. Again, the therapeutic response occurs with the elicitation of local twitch responses and that is a good and desirable reaction.
Yes, we only use sterile disposable needles.
Mild soreness is a common after the procedure. The soreness is described as muscle soreness over the area treated and into the areas of referred symptoms. Typically, the soreness lasts between a few hours and two days.
Typically, it takes several visits for a positive reaction to take place. Again, we are trying to cause mechanical and biochemical changes without any pharmacological means. Therefore, we are looking for a cumulative response to achieve a certain threshold after which the pain cycle is disturbed. Most of the time once the dysfunction or imbalance has been corrected the body will often maintain the appropriate balance. However, the musculoskeletal system is under constant stress from the demands of varying postures, gravity, psychological and emotional states etc. A regular exercise program combined with good posture can prevent many problems. If the pain comes back, occasional sessions are recommended to treat and prevent serious injuries.
No. Before any procedure you are always informed and your consent is mandatory.
Most Physiotherapists and Myotherapists at SSPC do dry needling as an adjunct to treatment and there is no addition cost for this as it forms a part of your consultation. Please ask reception if you want to know which practitioners are qualified to dry needle.