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Trigger Point Dry Needling E-Book

Trigger Point Dry Needling E-Book

Jan Dommerholt | Cesar Fernandez de las Penas



This exciting new publication is the first authoritative resource on the market with an exclusive focus on Trigger Point ((TrP) dry needling. It provides a detailed and up-to-date scientific perspective against which TrP dry needling can be best understood.

The first section of the book covers important topics such as the current understanding and neurophysiology of the TrP phenomena, safety and hygiene, the effect of needling on fascia and connective tissue, and an account on professional issues surrounding TrP dry needling. The second section includes a detailed and well-illustrated review of deep dry needling techniques of the most common muscles throughout the body. The third section of the book describes several other needling approaches, such as superficial dry needling, dry needling from a Western Acupuncture perspective, intramuscular stimulation, and Fu’s subcutaneous needling.

Trigger Point Dry Needling brings together authors who are internationally recognized specialists in the field of myofascial pain and dry needling.

    • First book of its kind to include different needling approaches (in the context of evidence) for the management of neuromuscular pain conditions
    • Highlights both current scientific evidence and clinicians’ expertise and experience
    • Multi-contributed by a team of top international experts
    • Over 200 illustrations supporting the detailed description of needling techniques

    Table of Contents

    Section Title Page Action Price
    Front Cover Cover
    Trigger Point Dry Needling: An Evidenced and Clinical-Based Approach iii
    Copyright iv
    Contents v
    Dedication vii
    Foreword by Leon Chaitow ND, DO ix
    Foreword by Robert D. Gerwin MD xi
    Preface xiii
    Acknowledgements xv
    Contributors xvii
    Part 1 - Basis of trigger point dry needling 1
    1 - Basic concepts of myofascial trigger points (TrPs) 3
    Neurophysiological basis of muscle referred pain 4
    Neurophysiological aspects of muscle/TrPs 6
    Sensitization mechanisms of TrPs 9
    Pathophysiology of TrPs: the integrated hypothesis 12
    Other hypothetical models 13
    References 14
    2 - Proposed mechanisms and effects of trigger point dry needling 21
    Introduction 21
    Mechanisms and effects of trigger point dry needling 22
    Summary 23
    References 24
    3 - Part 1: Effects of acupuncture needling on connective tissue 29
    Needles and connective tissue 29
    What are the consequences of mechanical stimulation of connective tissue? 30
    Conclusion 32
    3 - Part 2: Fascia and dry needling 35
    Introduction 35
    Brief update on fascia 35
    Fascia and trigger points (TrPs) 36
    Summary 37
    References 37
    4 - Trigger point dry needling: safety guidelines 39
    Safety Considerations 39
    Introduction 39
    Trigger point dry needling: safety 40
    Hygiene 42
    Contraindications and precautions 45
    Anatomical considerations 47
    Procedural safety issues 48
    General guidelines for principles of practice 50
    General guidelines 51
    Patient selection 51
    Principles of dry needling application 52
    Electrical stimulation via dry needles 55
    Summary (Figure 4.1) 55
    Acknowledgement 55
    References 56
    5 - Professional controversies and dry needling 59
    Introduction: scope of practice 59
    Counter-arguments 62
    Traditional Chinese Music 63
    Additional concerns 64
    Summary 67
    References 67
    Part 2\rClinical and evidence-informedapproach of TrP dry needling 71
    6 - Deep dry needling of the head and neck muscles 73
    Clinical presentation of TrPs in head and neck pain syndromes 74
    Dry needling of head muscles 80
    Dry needling of neck-shoulder muscles 84
    References 89
    7 - Deep dry needling of the shoulder muscles 93
    Introduction 93
    Dry needling of the shoulder muscles 95
    References 104
    8 - Deep dry needling of the arm and hand muscles 107
    Introduction 107
    Dry needling of the arm and hand muscles 108
    References 118
    9 - Deep dry needling of the trunk muscles 119
    Introduction 119
    Clinical relevance of TrPs in syndromes related to the trunk 120
    Dry needling of the trunk muscles 121
    References 131
    10 - Deep dry needling of the hip, pelvis and thigh muscles 133
    Introduction 133
    Dry needling of the abdominal, hip, pelvis, and thigh muscles 134
    References 149
    11 - Deep dry needling of the leg and foot muscles 151
    Introduction 151
    Clinical relevance of TrPs in leg and foot pain syndromes 152
    Dry needling of the leg and foot muscles 153
    References 165
    Part 3\rOther dry needling approaches 167
    12 - Superficial dry needling 169
    Introduction 169
    Superficial dry needling 169
    Variable reactivity to needle-evoked nerve stimulation 170
    Procedure recommended for the carrying out of SDN 170
    The initial consultation 170
    Systematic search for trigger points (TrPs) 170
    Muscle stretching exercises 171
    Measures to be taken to prevent trigger point (TrP) reactivation 171
    Summary 171
    References 172
    13 - Dry needling from a Western medical acupuncture perspective 173
    Introduction and historical development 173
    Neurophysiological mechanisms of the technique 175
    Clinical research 177
    Clinical application of the technique 179
    Summary 181
    References 204
    14 - Intramuscular stimulation (IMS) 209
    Introduction 209
    Neurophysiological mechanism of Gunn-IMS 212
    Historical development of Gunn-IMS (Fig. 14.2) 215
    Clinical application of Gunn-IMS 218
    Case study example 226
    References 226
    15 - Fu’s subcutaneous needling 229
    Concept and terminology 229
    Origin of Fu’s subcutaneous needling 231
    Development of FSN 233
    FSN manipulations 235
    Factors that influence FSN effects 245
    FSN features 246
    Acknowledgment 248
    References 248
    Index 251