Dry needling refers to the use of needles for therapy of muscle pain such as myofascial pain syndrome. There are two types of acupuncture needles used in this process, that is, hollo-core hypodermic and solid filiform needles. This process is also sometimes referred to using the name intramuscular stimulation (IMS). Dry needling or IMS is one of the many subcategories (traditional practices) that are classified under western acupunctural medicine. Whenever there is need of professionals in dry needling Pennsylvania is the place to visit.
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, though not all acupunctural forms are covered by IMS and these two are different, some acupunctural forms can be termed specifically using the name IMS. These include tendinomuscular Acupuncture, Myofascial Acupuncture, and versions of Sports Acupuncture. A book written by Janet Travell was the first to describe the term dry needling. Thus, the credit for coining the term is often given to her.
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, it has been concluded by research that dense muscle knots are penetrated easier and better by acupuncture needles. They also give better tactile feedback and patients experience less discomfort. Acupuncture needle is the official FDA designation for the needles used. However, the technical design term, solid filiform needle, was introduced by practitioners whose scope of practice excludes acupuncture but allows them to offer IMS.
Currently, no standards for dry needling exist. There is also no body of evidence to indicate its efficacy in managing the medical conditions it claims. Most of the studies that were conducted on this technique were crowded by a lot of issues that made it impossible for any strong evidence to be gathered. For instance, sample sizes employed were small, drop out rates were high, and studies lacked randomization.
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.
IMS is a treatment that is practiced and taught in many places worldwide. The teaching and practicing is done by various medical professionals including acupuncturists, physical therapists, doctors of osteopathic medicine, naturopathic physicians, doctors of medicine, and chiropractors among others. The scope of practice of acupuncturists, and Doctors of Medicine and Osteopathic Medicine covers IMS.
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, though not all acupunctural forms are covered by IMS and these two are different, some acupunctural forms can be termed specifically using the name IMS. These include tendinomuscular Acupuncture, Myofascial Acupuncture, and versions of Sports Acupuncture. A book written by Janet Travell was the first to describe the term dry needling. Thus, the credit for coining the term is often given to her.
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, it has been concluded by research that dense muscle knots are penetrated easier and better by acupuncture needles. They also give better tactile feedback and patients experience less discomfort. Acupuncture needle is the official FDA designation for the needles used. However, the technical design term, solid filiform needle, was introduced by practitioners whose scope of practice excludes acupuncture but allows them to offer IMS.
Currently, no standards for dry needling exist. There is also no body of evidence to indicate its efficacy in managing the medical conditions it claims. Most of the studies that were conducted on this technique were crowded by a lot of issues that made it impossible for any strong evidence to be gathered. For instance, sample sizes employed were small, drop out rates were high, and studies lacked randomization.
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.
IMS is a treatment that is practiced and taught in many places worldwide. The teaching and practicing is done by various medical professionals including acupuncturists, physical therapists, doctors of osteopathic medicine, naturopathic physicians, doctors of medicine, and chiropractors among others. The scope of practice of acupuncturists, and Doctors of Medicine and Osteopathic Medicine covers IMS.
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