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Vertebral Spine Institute
Istituto Della Colonna Vertebrale
TMI Dry Needling
Dry Needling as a Manipulative Therapy Method
Definition
Dry Needling is a technique characterized by the insertion of a solid filament needle, without medication, through the skin, to treat various dysfunctions, including – but not limited to – myofacial pain, muscle recruitment, control of musculoskeletal pain in general, regeneration and recovery of injured tissues and even joint pain.
Presentation:
CH 30 h over 3 days and 6 shifts. Success: PEC FE500 Diploma in Chiropractic in Phase 1. Success in PEC Manipulative Physiotherapy and also Diploma in RTO -SBRTO.
This is a physiotherapeutic technique that is spreading rapidly due to its effectiveness and resolution. In Brazil it is still little known, but it is gaining more and more followers.
Dry Needling has been developed since 1940 through the studies of Dr. Janet Travell and was later improved by scientists such as Dr. Karel Lewit and Dr. Chang Gun.
Dr. Janet Travel, who is known as the “mother of knowledge about Myofascial Trigger Point”, in the United States, originally began her studies and clinical practice of this technique that she herself named “Dry Needling”, using hypodermic needles in the treatment of Trigger Points, with no analogy to Acupuncture or TCM (Traditional Chinese Medicine). Only over time did other researchers begin to make this analogy.
The Concept of Dry Needling or Dry Needling was internationally established according to the Federation of State Boards of Physical Therapy /US, as Intra Muscular Manual Therapy, being considered in reality a segment of the areas of Manual, Musculoskeletal and Manipulative Physiotherapy, of interest to Physiotherapists of various specialties, but mainly Chiropractic, Trauma and Orthopedic Physiotherapy, Sports Physiotherapy and other areas. Thus, dry needling is a technique characterized by the insertion of a solid filamentary needle, without medication, through the skin to treat various dysfunctions including, but not limited to, myofacial pain, muscle recruitment, control of musculoskeletal pain in general, regeneration and recovery of injured tissues. and even joint pain. The Journal of Manual & Manipulative Therapy Vol. 14 No. 4 (2006), E70 – E87
Dry Needling, as a method of Manipulative Therapy
By, Pablo Fabrício Flôres Dias.
Definition
Dry Needling is a technique characterized by the insertion of a solid filament needle, without medication, through the skin, to treat various dysfunctions, including – but not limited to – myofacial pain, muscle recruitment, control of musculoskeletal pain in general, regeneration and recovery of injured tissues and even joint pain.
The Concept of Dry Needling or Dry Needling was internationally established according to the Federation of State Boards of Physical Therapy /US, as Intra Muscular Manual Therapy, being considered in reality a segment of the areas of Manual, Musculoskeletal and Manipulative Physiotherapy, of interest to Physiotherapists of various specialties, but mainly Chiropractic, Trauma and Orthopedic Physiotherapy, Sports Physiotherapy and other areas. Thus, dry needling is a technique characterized by the insertion of a solid filamentary needle, without medication, through the skin to treat various dysfunctions including, but not limited to, myofacial pain, muscle recruitment, control of musculoskeletal pain in general, regeneration and recovery of injured tissues. and even joint pain. The Journal of Manual & Manipulative Therapy Vol. 14 No. 4 (2006), E70 – E87
Is dry needling acupuncture?
Dry Needling is a distinct technique from Acupuncture and is related to Manipulative Therapy, being recognized and called Intramuscular Manipulative Therapy, which can be applied in the Intramuscular Electrostimulation mode and is related to professional specialties in the musculoskeletal area such as Manipulative Physiotherapy and Chiropractic. and Osteopathy, following the clinical approach, neurological, biomechanical and functional foundations. Dr. Chang Gunn, a Canadian doctor of Chinese origin, made it clear in his work The Gunn Approach to the Treatment of Chronic Pain that his revolutionary needling technique was not acupuncture as it was based on other concepts.
“What I do is not acupuncture but (EIM) Intra Muscular Stimulation…”
Chang Gunn
Electroneedling or Electrodry (IMS)
IMS (Intra Muscle Stimmulation) is the concept of combining dry needling with electrotherapeutic and analgesic currents. This therapy is enhanced because the skin's impedance is removed and its effect and intensity are superlative. Acupuncture equipment is not used, but rather conventional electrotherapy equipment where the parameters of frequency, amplitude and intensities are well described and traceable.
Thus, it has already been used internationally, as described in the literature, which mentions that many clinicians combine superficial and deep Dry Needling with electrical stimulation through needles. (Mayoral & Torres 2003 Mayoral-del-Moral 2005, Dommerholt et al. 2006).
What are the Dry Needling models:
Trigger Point Model: Intramuscular manipulation of trigger points, tense bands and myofascial dysfunctions.
Neuropathic model with the aim of controlling myofascial, joint pain and trauma-orthopedic pathologies based on radicular and neural intervention, causing inhibition and control of pain in reflex areas.
Regenerative Model: Stimulating increased blood circulation, promoting piezoelectric effect, improving trophic and metabolic factors with the aim of promoting tissue repair and healing.
Historic
The term Dry Needling was coined by Dr. Janet Travel, a researcher in the area of referred pain, having initially applied it to trigger point therapy, and also having the figure of Karel Lewit who began studies on the physiological effects of needling, as well as the introduction of the needle. solid filament instead of the hypodermic needle and also Dr. Chang Gunn, Canadian physician who developed the neuropathic model initially treating myofascial pain of radicular origin and wrote the book The Gunn Approach to the Treatment of Chronic Pain: Intramuscular Stimulation for Myofascial Pain of Radiculopathic Origin Instituto Coluna Vertebral, was a pioneer in Brazil, having introduced the concept of Manual/Manipulative Intra-muscular Therapy (based on the Federation of State Boards of Physical Therapy/US) and also the Neuropathic model for the clinical practice of Dry Needling, not only for myofascial pain of radicular origin, but also for joint and trauma-orthopedic dysfunctions.
Instituto Coluna Vertebral, was a pioneer in Brazil, having introduced the concept of Manual/Manipulative Intra-muscular Therapy (based on the Federation of State Boards of Physical Therapy/US) and also the Neuropathic model for the clinical practice of Dry Needling, not only for myofascial pain of radicular origin, but also for joint and trauma-orthopedic dysfunctions.
Looking for the best training in the country!
We aim to provide training in Dry Needling in accordance with the true identity of dry needling, as a resource related to the area of Manipulative and Orthopedic Physiotherapy, named in accordance with international entities as Intramuscular Manipulative Therapy. The course is predominantly practical, in accordance with the regulations of the COFFITO regulatory ruling. Providing up to 2,000 disposable and sterile needles for practice, on average 100 needles for each student.In basic training, accredited by ABRANEEDLING, in addition to needling based on the trigger point model, initially proposed by Janet Travel, we offer principles of the history and physiology of the technique, with foundations of the regenerative and mainly neuropathic model, by Chang Gun, with an updated and contemporary, which allows a broad range of activities in trauma-orthopedic and manipulative specialties.
The use of clinical reasoning, associating the clinical practice of Dry Needling, with functional clinical diagnosis, which balances information from the clinical experience of one million needlings and 11 years of experience, associated with EBP.
Unprecedented neuropathic and regenerative treatment protocols associated with intramuscular electrical stimulation: Disc herniation, sacroiliitis, sciatica, hip and spine pain, joint kinesiopathology and myotendinous dysfunctions, osteoarthritis, carpal tunnel syndrome, bicipital tendonitis, de Quervain's, rotator cuff injuries, capsulitis adhesive, gonioarthrosis, subtrochanteric bursitis, plantar fasciitis, Morton's neuroma, acute and chronic sprain, fracture, supracondylar, lateral and medial epicondylitis, global knee protocol, with variants in MCL and LCL, patellar injuries, approach to myotendinous ruptures and much more …
NEW PROGRAM CONTENT:
• Physiology of Dry Needling;
• History and Treatment of Trigger Points;
• Indications and Contraindications of the technique;
• Definition and History of Dry Needling Therapy;
• Dry Needling and Acupuncture;
• Myofascial Dry Needling;
• Approach to NP in the neuropathic model;
• DN approach in the Trigger Points model;
• Superficial Dry Needling Application Techniques;
• Deep Dry Needling Application Techniques;
• Algiological Dry Needling;
• Electro Dry Needling;
• Practice myofascial release of some muscles;
• Location and patterns of pain
• Deactivation of Trigger Points by Dry Needling: upper limb, shoulder girdle, neck and skull, lower limb, pelvic, thoracic and lumbar girdle;
• Insertion of the needle into the appropriate body part safely and effectively;
• Location and treatment of the main trigger points with needling;
• Practice inserting a needle into major muscles. Ex: piriformis, hamstrings, upper trapezius, etc.;
• Precautions and contraindications;
• Clinical Considerations;
• Presentation of scientific research;
• Needling Practice;
• Treatment of Trigger Points using the Instrumental Chiropractic method with activator – TIQ – Chiropathic Instrumental Therapy;
• Algiological Dry Needling Protocols for Herniated Disc, Neck Pain, Back Pain and Low Back Pain;Accredited course (10% discount for SBRTO/SOGAB members)
Lecturer:
Prof. Dr. Pablo Fabrício Flores Dias