Additional Information
Book Details
Abstract
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 |