At Insight Chiropractic, our practitioners are trained to identify and combine Dry Needling with Chiropractic Manipulation Technique to more effectively treat our spine and joint conditions.
The practitioners that deliver Dry Needling therapy are trained under the Global Education of Manual Therapists (GEMt), a group of well known Dry Needling educators.
HOW DOES IT WORK?
To fully understand Dry Needling Therapy, we must first understand Myofascial Trigger points (MTrP) or Myofascial Pain Syndrome (MPS). Myofascial pain syndrome is a disease of the muscles when there is a presence of Trigger points. They are characterized by a taut or hard band within the muscle that causes muscular dysfunctions such as motor and sensory abnormalities, for example reduced range of motion and tenderness respectively.
Trigger points can be acute or chronic. Active trigger points can spontaneously trigger local or referred pain, causing muscle weakness and restricted range of motion. Chronic trigger points, sometimes known as latent trigger points tend to be generalized and may not cause pain unless they are stimulated. They may alter muscle activation patterns and also contribute to restricted ROM.
MYOFASCIAL PAIN SYNDROME
Myofascial pain syndrome is a disease of the muscle that produces local and referred pain. It is characterized by a motor abnormality (a taut or hard band within the muscle) and by sensory abnormalities (tenderness and referred pain). It is classified as a musculoskeletal pain syndrome that can be acute or chronic, regional or generalized. It can be a primary disorder causing local or regional pain syndromes, or a secondary disorder that occurs as a consequence of some other condition. When it becomes chronic, it tends to generalize, but it does not change to fibromyalgia. It is a treatable condition that can respond well to manual and injection techniques but requires attention to postural, ergonomic, and structural factors, and toxic or metabolic factors that impair muscle function.
A theory for the reason behind the pain caused by Myofascial Trigger points is due to hypoxia and decreased blood flow within the trigger point, leading to a decreased pH which activates the muscle’s nociceptors to restore homeostasis.
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