Trigger Point Dry Needling: An Overview

Dry Needling Apr5th 2023

Trigger point dry needling (TDN) is a technique used to relieve pain and muscle tension in the body. It involves inserting a thin needle into trigger points, which are tender and tight muscle areas. 

The goal of TDN is to deactivate the trigger point, allowing the muscle to relax and reduce pain. TDN is performed by healthcare practitioners such as physical therapists, chiropractors, acupuncturists, and medical doctors.

It is a minimally invasive procedure that can be performed in a clinic or office setting, with a low risk of complications. TDN is effective for various conditions, including chronic pain, muscle spasms, and tension headaches.

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History of Trigger point dry needling (TDN)

Trigger point dry needling (TDN) is a relatively new technique developed in the 1970s by Dr. Janet Travell, a physician known for her work in pain management. Dr. Travell was one of the first practitioners to identify and treat trigger points, which she described as hyperirritable spots in the skeletal muscle that are associated with palpable nodules in taut bands of muscle fibers.

Dr. Travell and her colleague, Dr. David Simons, developed a comprehensive system of diagnosis and treatment for myofascial pain syndromes that included trigger point injections and manual trigger point therapy.

Later, TDN was developed as an alternative to manual trigger point therapy. TDN involves using a thin needle, similar to an acupuncture needle, to penetrate the skin and stimulate the trigger point.

Physical therapists initially used TDN, but many healthcare practitioners, including chiropractors, acupuncturists, and medical doctors, have since adopted it. Today, TDN is used worldwide to treat various conditions related to muscle dysfunction and pain.

How does TDN works?

Trigger point dry needling (TDN) works by inserting a thin needle into a trigger point, a taut band of muscle fibers within a muscle that is tender to the touch and often causes pain. The hand is typically made of stainless steel and is about the same width as human hair.

When the needle is inserted into the trigger point, it causes a minor injury that stimulates a healing response in the body. This healing response includes the release of natural painkillers, such as endorphins, and activating the body’s immune system.

The needle also helps to mechanically disrupt the tight muscle fibers that make up the trigger point, which can help to reduce muscle tension and pain.

TDN can be used to treat a variety of conditions, including chronic pain, muscle spasms, and tension headaches. It is particularly effective for conditions related to muscle dysfunction, such as myofascial pain syndrome, characterized by trigger points in the muscle tissue.

TDN can also treat joint pain, nerve pain, and other muscle tension-related pain.

Overall, TDN is a safe and effective technique for relieving pain and muscle tension.

However, it is essential to note that a trained healthcare practitioner should only perform it with experience with this technique.

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Potential Risks:

Trigger point dry needling (TDN) is a generally safe procedure, but as with any medical treatment, there are some potential risks. Some of the potential dangers associated with TDN include the following:

1. Soreness and bruising: It is common to experience some soreness and bruising at the needle insertion site after TDN. This usually resolves within a few days.

2. Infection: Although infection is rare, there is a small risk of disease associated with TDN. The healthcare practitioner must use sterile needles and follow proper infection control procedures.

3. Pneumothorax: Pneumothorax is a rare but severe complication that can occur when the needle penetrates the lung. This is more likely to occur in patients with underlying lung conditions.

4. Nerve injury: There is a small risk of nerve injury associated with TDN. This risk is higher in patients who have underlying nerve conditions.

5. Bleeding: There is a small risk of bleeding associated with TDN, especially in patients who are taking blood thinners.

It is important to note that these risks are generally low and can be minimized by choosing a qualified healthcare practitioner trained in TDN and following proper safety protocols.

The practitioner will also assess the patient’s medical history and physical condition before performing TDN to ensure appropriate and safe treatment.

Conclusion

Trigger point dry needling is a safe and effective technique for relieving pain and muscle tension. It works by deactivating trigger points in the muscle tissue, allowing the muscle to relax and reducing pain.

TDN is a minimally invasive procedure that can be performed in a clinic or office setting, with a low risk of complications.

While some potential risks are associated with the procedure, they are rare, and most patients do not experience any complications.

If you are experiencing chronic pain or muscle tension, TDN may be an effective treatment option.

Dry-Needling

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Suppose you suffer from chronic pain, muscle tension, or other related conditions and have not found relief from traditional treatments. In that case, trigger point dry needling (TDN) may be an effective treatment option.

TDN is a minimally invasive procedure that is safe and effective for various conditions related to muscle dysfunction and pain.

However, it is essential to note that TDN should only be performed by a qualified healthcare practitioner trained in this technique. Before undergoing TDN, discussing the treatment with your healthcare provider to determine if it is a suitable option for you based on your medical history and current condition is necessary.

If you want to try TDN, you can speak to our practitioner, who specializes in this technique. With proper assessment and treatment, TDN can be a valuable tool in managing pain and improving the overall quality of life.

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