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.
The use of solid needles was initially surrounded by concerns. Compared to hypodermic needles, solid needles were thought to lack the tactile feedback and strength needed. Practitioners also thought that they could be deflected easily by dense contraction knots. However, these claims were later discarded as unfounded. As such, solid needles were adopted and are in use to this day.
In fact, research has concluded that dense muscle knots are penetrated better and easier by acupuncture needles and the tactile feedback they provide is also better. Also, patients feel less uncomfortable and the needles are easier to manage. The official FDA designation for the needles used is acupuncture needles, but practitioners offering IMS without the scope of acupuncture in their profession introduced the term solid filiform needle. That is the technical design term.
Currently, there are no standards in dry needling. Also, its efficacy is not indicated by and body of evidence, but mostly claims. Most studies to determine efficacy in the technique were crowded by issues that rendered it impossible to gather any strong evidence. For example, most sample sizes used were small, there were high drop out rates, and randomization was not applied.
No specification was made by the studies whether or not myofascial trigger points were the sole source of pain felt. In addition, their diagnosis of myofascial trigger point did not follow minimally acceptable criteria. Some studies had candidates dropping out up to almost half the initial number. However, the conclusion that IMS enhances disability, mood, and function was reached by studies that proceeded to the end.
This treatment option is taught and practiced in various places worldwide. The professionals who teach and practice include chiropractors, acupuncturists, physical therapists, naturopathic physicians, doctors of osteopathic medicine, and doctors of medicine among others. In the US, ISM is part of the scope of practice of Doctors of Medicine, acupuncturists, and Doctors of Osteopathic Medicine.
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.
The use of solid needles was initially surrounded by concerns. Compared to hypodermic needles, solid needles were thought to lack the tactile feedback and strength needed. Practitioners also thought that they could be deflected easily by dense contraction knots. However, these claims were later discarded as unfounded. As such, solid needles were adopted and are in use to this day.
In fact, research has concluded that dense muscle knots are penetrated better and easier by acupuncture needles and the tactile feedback they provide is also better. Also, patients feel less uncomfortable and the needles are easier to manage. The official FDA designation for the needles used is acupuncture needles, but practitioners offering IMS without the scope of acupuncture in their profession introduced the term solid filiform needle. That is the technical design term.
Currently, there are no standards in dry needling. Also, its efficacy is not indicated by and body of evidence, but mostly claims. Most studies to determine efficacy in the technique were crowded by issues that rendered it impossible to gather any strong evidence. For example, most sample sizes used were small, there were high drop out rates, and randomization was not applied.
No specification was made by the studies whether or not myofascial trigger points were the sole source of pain felt. In addition, their diagnosis of myofascial trigger point did not follow minimally acceptable criteria. Some studies had candidates dropping out up to almost half the initial number. However, the conclusion that IMS enhances disability, mood, and function was reached by studies that proceeded to the end.
This treatment option is taught and practiced in various places worldwide. The professionals who teach and practice include chiropractors, acupuncturists, physical therapists, naturopathic physicians, doctors of osteopathic medicine, and doctors of medicine among others. In the US, ISM is part of the scope of practice of Doctors of Medicine, acupuncturists, and Doctors of Osteopathic Medicine.
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