Dry needling involves the insertion of needles (without medication) into or around muscles, nerves, and connective tissues for management of pain and neuromuscular dysfunction. Dry needling differs from the practice of acupuncture in that the former is influenced by western anatomical landmarks and diagnostic frameworks, not Oriental medicine or the movement of energy along meridians. In practice, however, some of the techniques from dry needling and acupuncture may be similar even if their underlying rationale differs. Regardless, when employed as part of a comprehensive musculoskeletal treatment program, dry needling can help reduce pain and serve as a precursor to more active, exercise-based treatment approaches. The incorporation of dry needling into physical therapy practice varies by state so be sure to clarify that dry needling is indeed available to you if interested.

Overhead Strength Progressions

1️⃣ Push-up to down dog
• Great tool to work into overhead positions with the hands remaining fixed on the ground.
• Self-limiting range of motion and speed for those with mobility or tolerance limitations.
• Promotes “active shoulder” positions with the reach.

2️⃣ 1/2 kneeling landmine press
• Half-kneeling position helps to constrain the hips/lumbar spine and promotes joint motion through the scapula and shoulder.

3️⃣ Tall kneeling alternating KB press
 • Start position helps to limit lumbopelvic and lower body compensations seen with standing presses.
• This variant also mandates a high degree of trunk and unilateral upper extremity strength and coordination.

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What is dry needling?

Dry needling is therapeutic soft tissue technique performed with a small needle.

Does dry needling hurt?

The puncture from the needle itself tends to be relatively painless since the needle is so small. Dry needling may, however, cause muscle soreness in some people that tends to resolve after a few hours.

How many dry needling treatments will I need?

This varies with the patient/athlete and the condition treated.

When will I start to see results from dry needling?

If employed strategically, people may experience relief from dry needling immediately.

Who is the best candidate for dry needling?

There isnt necessarily a best candidate as dry needing is a tool whose efficacy depends on the providers clinical judgement.

How many needles are used during the treatment?

It depends. Protocols vary in different body regions.

What should I do after a dry needling treatment?

Typically there are no restrictions though people sometimes do experience soreness for a few hours after the session. This soreness may dictate what one is comfortable doing immediately following the session.

What type of needle is used in the treatment?

A thin needle is used.

How long is a single dry needle treatment?

The dry needling itself typically lasts a few minutes but is performed in conjunction with other therapies and exercise during an hour long session.

What are the benefits of dry needling?

Dry needling may result in decreased pain, increased range of motion, and improved function.

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