Integrative Dry Needling is also known as intramuscular stimulation (IMS) and trigger point dry needling (TDN). It is a safe, effective and efficient treatment used to:

  • Relax myofascial trigger points, and
  • Restore normal muscle tones, muscle length, coordination, function and strength
Request an Appointment

Integrative Dry Needling for Pain Relief in Green Bay

Dry Needling is a treatment technique often used by physical therapists to relieve pain. It requires using a sterile acupuncture needle that is inserted through the skin into muscles, tendons, ligaments, and/or close to nerves to immediately reduce pain, decrease muscle tension and increase mobility. Dry Needling is not acupuncture; it is based on a modern scientific study of musculoskeletal and neuromuscular systems. This treatment technique provides an environment that enhances the body’s ability to heal which ultimately reduces pain.

Integrative Dry Needling Process

Dry needling involves insertion and repetitive manipulation of a “dry”, solid filament needle in a trigger point in order to produce an involuntary spinal cord reflex, also known as a local twitch response (LTR). This results in lasting muscle relaxation due to the release of shortened bands of muscle fibers for overactive (tight) muscles or the activation of under-active (weak) muscles. Deactivation of the trigger points can bring immediate relief of symptoms, so the therapist can immediately train the muscles to work with the newly gained pain free range of motion (ROM).

Dry needling is backed by scientific research as well as a modern Western medical practice. Dry needling is a neurophysiological evidence-based treatment technique and an effective treatment for chronic pain and other musculoskeletal conditions such as arthritis, fibromyalgia, plantar fasciitis, tennis elbow, rotator cuff tendonitis, reduced range of motion, repetitive motion disorders, like carpal tunnel syndrome, Scar-tissue buildup, disk, and spinal problems,  myofascial pain, and a lot more. To achieve the full effects of dry needling, most patients require at least two or three sessions in the office, however, others may require up to six office visits. Depending on your condition, dry needling can be performed once or twice a week.

Dry Needling Vs. Acupuncture

Dry needling is similar to acupuncture in the sense that a dry, solid filament needle is inserted and manipulated under the skin to release endorphins and serum cortisol for pain relief. The difference is that dry needling is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous systems. Acupuncture is based on traditional Chinese medicine (TCM). It creates balance in the body by influencing the flow of Qi (energy) in pathways called meridians to achieve pain relief and alleviate inflammation.

Who Benefits from Integrative Dry Needling?

Dry Needling can provide relief to muscular tissue presenting with these taught points or bands presenting from most causes. These points, colloquially known as “knots” in our muscles, are easy for patients to self-identify. They will often feel like a small marble or ball of tender, hard tissue within the belly of a muscle. They will often also result in immediate referral of pain down a region as if pressing on a nerve when palpated. This therapy is specifically designed to address these tense regions within our muscles and can be utilized in almost any patient with this presentation.

Patients with bleeding disorders, extreme fear of needles, on medications that prevent clotting or promote excessive coagulation, or with tender points directly near vital neural or vascular tissue may be identified as contraindicated to this treatment by a practitioner.

Conditions Treated By Dry Needling

Dry needling has successfully been used to treat a variety of conditions including:

  • Head and Neck Pain – including whiplash and headaches / migraines, degenerative joint disease, degenerative disk disease or osteoarthritis
  • Otological (Ear) and Opthamological (Eye) Pain – including tinnitus and eye strain
  • Dental (Teeth) and Orthodontic (Jaw and Occlusal) Pain – including cavities, temporomandibular joint (TMJ) dysfunction, tooth impaction and root problems
  • Shoulder Pain – including rotator cuff muscle tears, bursitis, adhesive capsulitis (frozen shoulder), tendonitis and impingement syndrome
  • Elbow Pain – including lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer’s elbow)
  • Hand and Wrist Pain – including gamekeeper’s thumb, DeQuervain’s syndrome, carpal tunnel syndrome, degenerative joint disease and osteoarthritis
  • Back and Hip Pain – including lumbar degenerative disc disease, arthritic changes and herniated discs
  • Knee Pain – including degenerative joint disease or osteoarthritis
  • Shin / Ankle / Foot Pain – including shin splints, gout, metatarsalgia and Morton’s neuroma
  • Plantar Fasciitis (Heel Pain)
  • Acute Tendonitis (also spelled Tendinitis) and Chronic Tendinosis (also known as Tendinopathy)
  • Athletic and Sports-related Overuse Injuries
  • Post-surgical Pain
  • Post-traumatic Injuries, Motor Vehicle Accidents (MVA), and Work-related Injuries
  • Other Chronic Pain Conditions – including myofascial pain and myofascial pain syndrome (MPS)

Integrative Dry Needling Results

Most patients attempting Dry Needling will notice decreases in their affecting symptoms immediately. Due to the various causes of tender points such as muscular overuse, stress, or tissue trauma, additional interventions like targeted tissue loading through resistance training, flexibility training, mindfulness activities, and gradual exposure programs may be necessary to maintain these decreases and multiple sessions of intervention may be required over time to maintain relief depending on the cause and chronicity of your pain. You and your provider will be able to assess these causes and factors at your initial evaluation to determine and individualized plan of care to optimize your results with Dry Needling!

Integrative dry needling is not acupuncture (traditional Chinese medicine), it is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems. A very fine filament needle is inserted through the skin and into the deeper tissues that have inflammation, swelling, trigger points that produce pain. Dry needling works by causing a micro lesion within the pathological tissue improving blood flow, releasing shortened tissues, normalizing the inflammatory response, and centrally mediating your pain. This mechanical and neuromuscular effect provides an environment that enhances the body’s ability to rebuild the dysfunctional tissue improving your function.

 

Because of the neurophysiological effects described above dry needling can be effective for most neuromusculoskeletal conditions. These conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension- type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms).

 

Yes, we only use single use sterile disposable needles.

 

The fine filament needle is very thin, solid, and flexible, which allows for the needle to be inserted through the skin versus cutting the skin. We strive to make the treatment virtually painless, however we are attempting to create a sensation that is described as an ache, heaviness or reproduction of the familiar symptom. This is a represents a physiological response that is needed to reduce your pain. You may also experience a momentary small muscle twitch (contraction) that will help release your muscle tightness and pain. These sensations are perfectly normal and are desirable responses. Your clinician closely monitors the process making modifications to the treatment to make your experience as comfortable and therapeutic as possible.

 

This will vary but many patients experience immediate relief of their symptoms and an increase in range of motion. Soreness can also be a common response from the needling but does not occur with all people. Some individuals may experience an immediate achiness or a delayed soreness that is reported like a post workout soreness. The soreness, if present, will usually last 1-2 days, use of heat and light massage and movement will be beneficial. Mild bruising may occur at the needling sites and is more prevalent in certain parts of the body. Larger bruising may also occur but is rare.

It is uncommon but possible that the treatment may temporarily increase your symptoms. This is not unusual but if this continues past the 1-2-day window, inform your clinician to allow adjustment of your program to enhance your comfort the next time.

 

Yes, your personalized program will still integrate traditional physical therapy methods including manual therapy, therapeutic exercise, endurance training, stabilization and posture training.

 

This will depend on the category you fit in, which is determined by the state of the injury and your overall health. Remember we are attempting to cause mechanical and biochemical changes without any pharmacological means. Therefore, we are looking for a cumulative response to break the pain cycle. Your clinician will be able to give you more insight after your evaluation.

 

  • Do not eat 30 minutes before the treatment
  • Be well hydrated but empty your bladder prior to treatment
  • Wear lose fitting clothing, shorts, or swimsuit for easy access to your painful areas

 

Recommendations vary depending on the nature of the condition and your individual response to the treatment. However, common recommendations include increasing your water intake, applying heat over the area, gentle stretches provided by your clinician and continue with normal daily activities- movement is good to maximize the benefits of dry needling.

 

Dry needling treatment is billed under specific insurance codes. Your clinician or the administrative staff will be able to let you know if your insurance covers dry needling.

You Can Count On Us in Green Bay

Dry Needling is a powerful treatment technique that when in conjunction with our other physical therapy treatments, can help you relieve your pain and improve your function quickly. Contact us today to learn more about our dry needling therapy.