physiotherapy

physiotherapy in Alexandria  Virginia today we're going to discuss some of the

benefits of trigger point dry needling granulating is a neat adjunct to

treatment when we can't focus in on one orthopedic issue that

might be causing the patinas physical therapists we immediately

start to think well what can be theca use of the problem here

what might be the thing driving the pain and then we would test that out shoulder joint injury let's say

an acromioclavicular joint or a rotator cuff injury people will say it hurts here right here

when i do this so when we have these diffuse patterns of pain

that are dull in nature maybe getting a

little bit worse may respond to different positions of the head neck or shoulders that don'tmake sense for

a joint injury in that area that's when

we have to start thinking about myofascial reason for some of the overlap of pain

the needle itself a lot of times is not even perceived by the patient that i'll tell them is that when i'm

locating these trigger points with my fingers

i'm asking them questions about whatthey're sensing is this pain

referring into an area where they'rekind of feeling a typical sensation of

their complaintand if so when we use the actual needle

the pain is not any greater than when iapply my own palpation with my hands

the difference however is that when i

place that needle insideto that myofascial knot and there is contraction

there's a dull egg that is associatedwith a referral pattern and a local ache

that is just a different sensation thanmyself putting my fingers there

so it's a surprising sensation it's a

deeper ache than they normally can feel because my hands must go through moretissue to get there and it'sreallyacutevery fast mostly surprising to a lot of

people more so than it is any more painful than any other technique

a typical side effect of dry needling isa soreness

it's a soreness very similar to one that if you would exercise muscles very hard

you'd go to move that arm that leg your neck and feels'stiff the motion actually is is one of

the things we see the most improvement in near immediately

whereas if someone couldn't side bend their head because of trigger points and

some of the muscles of their neck that we were working on

you asked them to stand up we'd measure  that side bending again for example and

then show an improvement that's pretty typical response

the pain is dependent upon the body parts well some areas of the body

in particular the calves and maybe the hands and feet

can be a little bit more uncomfortable

than let's say the muscles of the gluts the large muscles of the shoulders so it

does depend on where you're having the treatment done

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