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Integrative Dry Needling is a treatment technique using small filiform needles to release tight muscles and myofascial trigger points with the goal of permanently reducing neuromuscular pain and dysfunction. Utilizing Integrative Dry Needling in Physical Therapy practice allows for a more rapid return to a strengthening and exercise program. This results in a faster return to function and prevention of recurrence of the problem. It is very effective to help relieve pain, increase flexibility and improve activation of stabilizing musculature to allow you to return to the life you love.

Cindy has a gentle touch and treats holistically, considering the entire chain of structures that could be contributing to the entire area of pain or dysfunction, not just the active painful area. She uses Integrative Dry Needling as part of a comprehensive treatment plan to help you return to whole health.

Articles on Dry Needling:

Dry needling — peripheral and central considerations
Jan Dommerholt

History of Integrative Dry Needling

 FAQ

WHAT IS A MYOFASCIAL TRIGGER POINT?

A trigger point is a localized area (palpable nodule) of extreme tenderness found within a muscle, caused by a heightened state of muscle activity.

WHY DID I GET A TRIGGER POINT?

Trigger points may be due to muscle overload, trauma, sustained shortened position, or radiculopathy. Other factors include arthritis, joint dysfunction, emotional stress or other existing trigger points. Trigger points are often exacerbated by poor posture, repetitive motion or nutritional deficits.

WHY IS IT IMPORTANT TO TREAT A TRIGGER POINT?

Trigger points can cause pain, inhibit muscle function, and decrease muscle strength, resulting in altered movement patterns and impaired function. Therefore, release of these nodules is essential to decrease pain, increase strength and range of motion, and improve movement and functioning.

WHAT IS THE TREATMENT FOR TRIGGER POINTS?

Modalities such as ultrasound and electrical stimulation are commonly used to treat trigger points, but the success rate is marginal, especially in chronic conditions. Manual therapy techniques including soft tissue mobilization and stretching deliver favorable results. However, these can sometimes be painful or the trigger point may continue to persist. Dry needling is another technique that has shown to be one of the most effective procedures for releasing trigger points.

WHAT IS DRY NEEDLING AND DOES IT HURT?

Dry needling involves solid filament needles, which are placed into the trigger point to produce a local twitch response (LTR), which is followed by a reflexive relaxation of the muscle. The needles are very thin and rarely felt entering the skin.

WHAT SHOULD I EXPECT AFTERWARD?

Most patients experience mild muscle soreness after needling, which can last anywhere from a few hours to 2 days. It is suggested that patients use ice or moist heat and move the body part recently needled to decrease this soreness.

HOW MANY DRY NEEDLING TREATMENTS WILL I NEED?

Typically, patients experience the results in 3 sessions. However, additional sessions may be needed depending on the chronic nature of the trigger point and other contributing factors. After dry needling breaks the pain cycle by resolving the trigger point, other treatment techniques focusing on myofascial release, neuromuscular re-education and strengthening will be introduced into the rehabilitation program.

WHAT SHOULD I DO BETWEEN TREATMENT SESSIONS?

After treatment, the muscle must be trained to regain its normal length and to restore normal contraction and control of the muscle. Therapists instruct patients in the proper exercises to accomplish this. Avoid strenuous exercise that involves the muscles treated, unless otherwise instructed by your therapist. Move!!! Patients must use the affected body part in a normal manner.

 

“I developed fairly severe calf pain in my first year of intensive running. A friend suggested I see Cindy for some treatments, which I did. Cindy not only helped my calf pain through dry needling and cupping treatments, but she also helped me to improve my running form. Being an athlete herself, Cindy understands body mechanics, and with a few simple suggestions, helped me to run better. Obviously, treating the underlying issues is key to long-term health. Cindy has the ability to key into both the acute problem and also what caused it. Cindy has a great manner and is very comfortable to work with. My recovery occurred over the course of a few weeks, and I was soon able to run pain-free, longer, faster and with more enjoyment. I credit Cindy with enabling me to recover and improve at the same time. This was added-value I did not expect when I first went to Cindy, and I look forward to working with her on a continuing basis to keep tuned-up.
Thanks, Cindy!!”

~Todd Kearns