Tuesday, April 12, 2016

For The Best Specialists In Dry Needling Pennsylvania Should Be Prioritized

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 style of tendinomuscular acupuncture carefully palpates Ah Shi points which correspond to motor points as well as trigger points in myofascial tissue. The Chinese style is different from the American and Japanese style because it uses lower gauge needles while the former use higher gauge needles. The use of lower gauge needles ensures precision in puncturing contraction knots. Most styles of acupuncture need practitioners to be very knowledgeable about channel networks and connections as well as the western anatomy.

As such, even though not all forms of acupuncture are covered under IMS and the two practices differ, some forms of acupuncture can be referred to specifically using the term IMS. Those forms include versions of Sports Acupuncture, tendinomuscular Acupuncture, and Myofascial Acupuncture. The term dry needling was first described in a book by a woman named Janet Travell. Thus, she is credited with coining the term.

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, research has found that acupuncture needles penetrate dense muscle knots better and easier and they also offer better tactile feedback. They are also easy to manage and patients feel less discomfort. Acupuncture needle is an FDA designation, but the name solid filiform needle was introduced by some practitioners who offered IMS but their scope did not include acupuncture. Solid filiform needle is a technical design term.

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.

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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