Trigger Point Dry Needling Historically, trigger point dry needling developed from Travell’s trigger point injection technique, in which local anaesthetic was injected into the trigger point while the hypodermic needle was moved through the muscle to elicit local twitch responses (LTR’s). Investigators proposed, and research subsequently supported, that the therapeutic effect was likely related to the mechanical movement of the needle and the elicitation of LTRs, as opposed to the anaesthetic or fluid effect. Is dry needling painful? The insertion of the needle through the skin is usually painless. It may sometimes causes a very brief burning sensation. Needling of the trigger point will cause a local twitch response. Some patients describe the local twitch response as painful but many patients say that it feels relieving. Is dry needling dangerous? Dry Needling is a very safe method if applied by trained healthcare clinicians with excellent three dimensional anatomical knowledge. The clinician should always be aware where the needle tip is at all times. Contraindications have to be considered and when present dry needling may be inappropriate. Common side effects of dry needling are haematoma and post treatment soreness. We refer physiotherapists to the 2012 ISCP Guidelines for Dry Needling Practice (McEvoy, Dommerholt et al). What about supervision during dry needling courses? Our main goals is to ensure safety during our dry needling courses. Before participants practice dry needling among each other the instructor demonstrates the needling technique and mentions all precautions. Participants are supervised during practice.
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