Dry needling is a form of therapy of muscle pain like myofascial pain syndrome, which uses needles. This process makes use of two kinds of acupuncture needles, that is, solid filiform needles and hollo-core hypodermic needles. The other name for this process is intramuscular stimulation (IMS). It is among the many traditional practices that fall under western medical acupuncture. When in need of dry needling Pennsylvania is worth visiting.
In the Chinese style of tendinomuscular acupuncture Ah Shi points are carefully palpated, As Shi points correspond to trigger points as well as motor points in myofascial tissues. The Chinese style differs from the Japanese and American and Japanese styles which use higher gauge needles by using lower gauge needles. Lower gauge needles increase precision in puncturing contraction knots. Practitioners in most acupunctural styles need to possess a great deal of knowledge in western anatomy as well as channel networks and connections.
As such, although the IMS does not cover all versions of acupuncture and the two are not the same, the term can be used to specifically refer to some versions of acupuncture. Those forms of acupuncture to which IMS refers to specifically include some versions of Sports Acupuncture, Myofascial Acupuncture, and tendinomuscular Acupuncture. Janet Travell is often credited with coming up with the term dry needling, which she described in her book.
Concerns initially existed about the use of solid needles. They were viewed as lacking in strength and tactile feedback like the one derived from hypodermic needles. They were also viewed to be capable of being deflected by dense contraction knots. However, research later determined that those concerns were unfounded. Therefore solid or acupuncture needles are now in wide use.
In fact, research has found that acupuncture needles penetrate dense muscle knots better and easier and they also offer better tactile feedback. They are also easy to manage and patients feel less discomfort. Acupuncture needle is an FDA designation, but the name solid filiform needle was introduced by some practitioners who offered IMS but their scope did not include acupuncture. Solid filiform needle is a technical design term.
Currently, dry needling does not have any standards. In addition, the practice is filled with claims without a body of proof and evidence. Methods that attempt to determine its efficacy are characterized by the use of methods that making gathering of strong evidence impossible. For instance, small sample sizes, high drop out rates, and lack of randomization are common.
The studies failed to state if the pain the patient felt was solely caused by myofascial trigger points. Additionally, they did not adhere to minimally acceptable criteria that need to be followed to diagnose a myofascial trigger point. Drop out rates in some studies have been as high as 48 percent. However, research studies that continued to the end concluded that IMS can improve function, disability, and mood.
This treatment option is taught and practiced in various places worldwide. The professionals who teach and practice include chiropractors, acupuncturists, physical therapists, naturopathic physicians, doctors of osteopathic medicine, and doctors of medicine among others. In the US, ISM is part of the scope of practice of Doctors of Medicine, acupuncturists, and Doctors of Osteopathic Medicine.
In the Chinese style of tendinomuscular acupuncture Ah Shi points are carefully palpated, As Shi points correspond to trigger points as well as motor points in myofascial tissues. The Chinese style differs from the Japanese and American and Japanese styles which use higher gauge needles by using lower gauge needles. Lower gauge needles increase precision in puncturing contraction knots. Practitioners in most acupunctural styles need to possess a great deal of knowledge in western anatomy as well as channel networks and connections.
As such, although the IMS does not cover all versions of acupuncture and the two are not the same, the term can be used to specifically refer to some versions of acupuncture. Those forms of acupuncture to which IMS refers to specifically include some versions of Sports Acupuncture, Myofascial Acupuncture, and tendinomuscular Acupuncture. Janet Travell is often credited with coming up with the term dry needling, which she described in her book.
Concerns initially existed about the use of solid needles. They were viewed as lacking in strength and tactile feedback like the one derived from hypodermic needles. They were also viewed to be capable of being deflected by dense contraction knots. However, research later determined that those concerns were unfounded. Therefore solid or acupuncture needles are now in wide use.
In fact, research has found that acupuncture needles penetrate dense muscle knots better and easier and they also offer better tactile feedback. They are also easy to manage and patients feel less discomfort. Acupuncture needle is an FDA designation, but the name solid filiform needle was introduced by some practitioners who offered IMS but their scope did not include acupuncture. Solid filiform needle is a technical design term.
Currently, dry needling does not have any standards. In addition, the practice is filled with claims without a body of proof and evidence. Methods that attempt to determine its efficacy are characterized by the use of methods that making gathering of strong evidence impossible. For instance, small sample sizes, high drop out rates, and lack of randomization are common.
The studies failed to state if the pain the patient felt was solely caused by myofascial trigger points. Additionally, they did not adhere to minimally acceptable criteria that need to be followed to diagnose a myofascial trigger point. Drop out rates in some studies have been as high as 48 percent. However, research studies that continued to the end concluded that IMS can improve function, disability, and mood.
This treatment option is taught and practiced in various places worldwide. The professionals who teach and practice include chiropractors, acupuncturists, physical therapists, naturopathic physicians, doctors of osteopathic medicine, and doctors of medicine among others. In the US, ISM is part of the scope of practice of Doctors of Medicine, acupuncturists, and Doctors of Osteopathic Medicine.
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