WHAT IS DES MOINES TRIGGER POINT DRY NEEDLING (TDN), AND WHAT DOES IT MEAN?

TDN can be used to treat muscle tension and spasm that often accompany conditions like arthritis, nerve irritations, muscular strains, ligament strains and herniated disks. Des Moines dry needling is a form of injection that does not involve the use of a hypodermic needle to administer a flu shot. Dry Needling is all about the needle and the effects it has on the tissue.

Inflammation will result from injury caused by repetitive use or trauma. To prevent further injury from using the injured tissue, the damaged tissues will go into a contracture or protective tension state. The contracture and inflammation reduce microcirculation, which restricts both oxygen-rich blood from reaching the injury site and waste products. Hypoxia (a decrease in oxygen) causes the injury site to become hypoxic. This stimulates the body’s production of fibroblasts which are cells that produce scar tissue or fibrosis. The scarring and fibrosis that forms around muscles and tissues can limit their ability to function fully (lengthen/shorten). It can also cause irritation and compression of nerves (such carpal tunnel syndrome), which in turn can lead to biomechanical problems in gait and function.

TDN is performed using a small, solid, filament needle that is inserted into a painfully knotted muscle. This creates a local twitch reflex. It is diagnostic and therapeutic. The needle will create a controlled lesion in the muscle and can cut up to three to fifteen thousand muscle fibers. The body will react by activating its immune system to the fact that the needle is viewed as a foreign invader. Your body will also respond to the cut muscle fibers by triggering an inflammation response that can be used to reduce inflammation systemically. If you think you are in Des Moines and Dry Needling could benefit you, make an appointment with us!

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MECHANICAL EFFECTS ON TDN

 
  • Dry Needling can mechanically interrupt a motor endplate that is not working properly.
  • You are looking for results from a Local Twitch Response?
  • LTR causes a change in the length of muscle fibers and has an inhibitory effect upon antagonistic muscles

NEUROPHYSIOLOGICAL IMPACTS OF TDN

 
  • Baldry (2001), suggests that dry needling can stimulate A-nerve fibres (group III) for up to 72 hours after needling.
  • The prolonged stimulation of A-fibers can activate the enkephalinergic inhibitory horn interneurons. This implies that dry needling may cause opioid-mediated pain suppression
  • Dry needling can also be triggered by activation of the descending inhibitory system, which would prevent noxious stimuli from entering the dorsal Horn.
  • LTR could also use the excess ACh in tissue that previously caused increased firing of localized fibres.

EFFECTS CHEMICAL

 
  • Shah and his colleagues (2001) found that motor end plates with sensitized motors had higher levels of Substance P and Bradykinin. These chemicals were immediately reduced after an LTR.
  • CGRP increases the release of ACh at nerve terminals. This results in higher ACh receptors at neuromuscular junctions.
  • Needle penetration can cause micro-trauma (localized inflammation) as well as micro bleeding. To promote healing, PDGF is introduced to the area.

IS TRIGGER POINT DRY A NEEDLING ACUPUNCTURE?

Des Moines Dry Needling does not use Western medical principles and research, while acupuncture uses Traditional Chinese Medicine. It is common that both use the same disposable, sterile solid filament needles.

TDN CAN ASSIST WITH WHAT CONDITIONS?

 
  • Neck/Back Pain
  • Shoulder pain
  • Tennis/Golfers Elbow
  • Headaches
  • Gluteal and hip pain
  • Knee Pain
  • Achilles Tendonitis/Tendonosis
  • Plantar Fasciitis
  • Sciatica
  • Muscular Strains/Ligament Sprains
  • Chronic pain
  • Athletic Performance
  • FDM

Get to know about Dry Needling & Physical Therapy 

DOES TDN HURT

The needle may be felt at different times. Specific needle manipulation can cause a temporary twitch response, which may produce a brief but severe pain response. Some patients describe it as a deep ache and cramping sensation. The local twitch response is the therapeutic response. This is an excellent reaction. 

WHAT CAN YOU DO TO PREPARE FOR YOUR THERAPY?

A light meal should be eaten at least two hours before your appointment. Wear loose, comfortable clothes that can be easily rolled up or taken down in order to reach your concern areas.

WHAT CAN I EXPECT FROM TREATMENT?

We want to see improvements from the very first visit, such as increased range and ease of motion and decreased signs and symptoms. Patients often report feeling sore in the treated area as well as the area referred to. This soreness usually lasts for between one and two days, with occasional bruising. You can reduce the soreness by heating the affected area or applying heat to it. If you are in Des Moines, call us to schedule your dry needling appointment today!

>>> Trigger Point Dry Needling Therapy Results

Oakland, CA Pain Management Clinic
AUTHOR

Dr. Ben Bagge

Pro+Kinetix Physical Therapy & Performance

"We Help Active Adults & Athletes Get Back To Workouts and Sports They Enjoy without surgery, stopping activities they love, or relying on pain medicine."
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