lundi 25 avril 2016

For Experts In Dry Needling Pennsylvania Is Worth Visiting

By Richard Collins


Dry needling is some kind of therapy of muscle pain including myofascial pain syndrome that utilizes needles. Two major kinds of needles are used in this therapy, these are solid filiform and hollo-core hypodermic needles. Intramuscular stimulation (IMS) is the other name often used to refer to this technique. It falls under western medical acupuncture. If in need of high-quality dry needling Pennsylvania is among the places to prioritize.

The Chinese version of tendinomuscular acupuncture relies on carefully palpating Ah Shi points which often correspond to both motor and trigger points in the myofascial tissue. As opposed to the Japanese and American styles which utilize higher gauge needles, the Chinese style makes use of lower gauge needles necessary for precise puncturing of contraction knots. Having a detailed knowledge of channel networks and connections and of the western anatomy is very crucial in most acupuncture styles.

As such, although the IMS does not cover all versions of acupuncture and the two are not the same, the term can be used to specifically refer to some versions of acupuncture. Those forms of acupuncture to which IMS refers to specifically include some versions of Sports Acupuncture, Myofascial Acupuncture, and tendinomuscular Acupuncture. Janet Travell is often credited with coming up with the term dry needling, which she described in her book.

Concerns initially existed about the use of solid needles. They were viewed as lacking in strength and tactile feedback like the one derived from hypodermic needles. They were also viewed to be capable of being deflected by dense contraction knots. However, research later determined that those concerns were unfounded. Therefore solid or acupuncture needles are now in wide use.

In fact, it has been concluded by research that dense muscle knots are penetrated easier and better by acupuncture needles. They also give better tactile feedback and patients experience less discomfort. Acupuncture needle is the official FDA designation for the needles used. However, the technical design term, solid filiform needle, was introduced by practitioners whose scope of practice excludes acupuncture but allows them to offer IMS.

Currently, dry needling does not have any standards. In addition, the practice is filled with claims without a body of proof and evidence. Methods that attempt to determine its efficacy are characterized by the use of methods that making gathering of strong evidence impossible. For instance, small sample sizes, high drop out rates, and lack of randomization are common.

The studies failed to state if the pain the patient felt was solely caused by myofascial trigger points. Additionally, they did not adhere to minimally acceptable criteria that need to be followed to diagnose a myofascial trigger point. Drop out rates in some studies have been as high as 48 percent. However, research studies that continued to the end concluded that IMS can improve function, disability, and mood.

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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