Dry needling

Dry needling

1. Invasive physiotherapy

   • Manual of therapy interventions
     • Hollow solid needle
       • Diagnose and treat neuromuscular pain

2. Invasive physical therapy techniques

   • Dry needling
   • Neuromodulation
   • Percutaneous electrolysis

3. Dry needling

   • Introduction of needles into the body
     • Through the skin
       • No fluid injection or withdrawal
         • For the treatment
           • Neuromuscular pain
           • Movement disorders

4. Dry needling techniques

   • Superficial dry needling technique
     • Needle does not reach myofascial trigger point
   • Deep dry needling technique
     • Needle through the myofascial trigger point

5. Application forms

   • Flat puncture
     • Hand does not dominate removes the tension of the skin
       • Fingers to the sides of the insertion point
     • Dominant hand inserts the needle
       • Feel local spasm responses
   • Pincer puncture
     • Superficial muscle that can be grasped
       • With the index and thumb of the non-dominant hand
         • The muscle is clamped
       • Dominant hand performs the puncture

6. Hong technique, fast entry and exit

   • Insert needle into trigger point
     • Local spasm response
       • Needle moves up and down, no rotations
         • Answers disappear
           • Patient tolerance limit
           • Therapist preference
       • Sudden contraction of the trigger point
       • Dysfunctional spinal endplate reflex

7. Effects of dry needling

   • Increased blood flow and oxygenation
     • Sarcomere reduction
   • Coiling of colegano fibers
     • Stretching of the cut muscle fibers
       • The sarcomeres return to their normal state.
   • Reduction of peripheral and central nociception
   • Decreased activity of spinal cord neurons
   • Activates cortical areas of the brain
     • Neuromotor processing