Dry Needling Myofascial Pain And Hypomobility Within A Kinetic Chain

First as a student and later as an assistant instructor dry needling I noticed that there is a certain need amongst students and colleagues for a few clinical and practical examples or cases concerning practicing dry needling (DN). This is the reason why I wanted to write this practical quick guide which hopefully can contribute to develop confidence in effective needling. Dry needling is an innovative clinical successful and reasonable evidence based tool for the elimination of myofascial trigger points and thereby diminishing myofascial pain and movement restriction. It is important that musculoskeletal therapists apply it properly because it can give fast and lasting relief. On the other hand if dry needling and myofascial pain is not thoroughly understood there is obviously not a fast and lasting relief which could lead to frustrations for therapists and patients and could give dry needling a negative appearance. At the same time this practical quick guide wants to be an advocate for using dry needles not only as a myofascial pain syndrome tool but also primarily as a mobilizing tool. Dry needling has a well-known and documented mobilizing quality but this is in general not emphasized as a primary objective in dry needling myofascial pain. Dry needles can be used primarily as a tool to relax muscle fibres in the absence of an obvious myofascial pain pattern. The goal with this is to improve and restore normal mobility in a region and thereby diminishing strain in the whole kinetic chain. When dry needles in the first place are used as a mobilizing tool they fit very well in a manual therapist toolbox where improving of mobility is a main goal. This practical quick guide wants to stimulate musculoskeletal therapists to combine neuro-musculoskeletal therapeutic approaches including dry needling instead of choosing (un)consciously for one approach. For instance the approaches such as the myofascial pain syndrome (Travell, Simons), neuropathy (Gunn), segmental (embryology) neurophysiology and biomechanical (manual therapy). The goal of musculoskeletal dry needling therapy is bringing a swift, lasting, clearly decrease of complaints confirmed by the patient thereby reducing the number of required treatments.This practical quick guide is for musculoskeletal therapists who have successfully finished the basic practical courses for dry needling myofascial trigger points and the myofascial pain syndrome. At this point one should know how to dry needle hygienic and safe. The anatomic knowledge must be excellent. This quick guide is a practical guide and it does not elaborate on psychology, pain physiologic, anatomy or the theoretical aspects of the working hypotheses of dry needling. There are books, course syllabi and articles which explain the neurophysiologic mechanics of myofascial pain and dry needling. This guide is certainly not a substitute for the mandatory practice courses dry needling. The content of this quick guide is based on clinical experience and best evidence. It is not meant to be conclusive, it must be critical reviewed and it hopes to be an aid in stimulating clinical reasoned self-exploration with musculoskeletal dry needling.

The role of the fascia in musculoskeletal conditions and as a body-wide communication system is now well established. Fascia: The Tensional Network of the Human Body constitutes the most comprehensive foundational textbook available that also provides the latest research theory and science around fascia and their function. This book is unique in offering consensus from scientists and clinicians from across the world and brings together the work of the group behind the international Fascia Research Congress. It is ideal for advanced sports physiotherapists /physical therapists, musculoskeletal/orthopaedic medicine practitioners, as well as all professionals with an interest in fascia and human movement. The comprehensive contents lay the foundations of understanding about fascia, covering current scientific understanding of physiology and anatomy, fascial-related disorders and associated therapies, and recently developed research techniques. Full colour illustrations clearly show fascia in context New content based on latest research evidence Critical evaluation of fascia-oriented therapies by internationally trusted experts Chapter outlines, key points and summary features to aid navigation Accompanying e-book version include instructional videos created by clinicians

A pioneering, one-stop manual which harvests the best proven approaches from physiotherapy research and practice to assist the busy clinician in real-life screening, diagnosis and management of patients with musculoskeletal pain across the whole body. Led by an experienced editorial team, the chapter authors have integrated both their clinical experience and expertise with reasoning based on a neurophysiologic rationale with the most updated evidence. The textbook is divided into eleven sections, covering the top evidence-informed techniques in massage, trigger points, neural muscle energy, manipulations, dry needling, myofascial release, therapeutic exercise and psychological approaches. In the General Introduction, several authors review the epidemiology of upper and lower extremity pain syndromes and the process of taking a comprehensive history in patients affected by pain. In Chapter 5, the basic principles of the physical examination are covered, while Chapter 6 places the field of manual therapy within the context of contemporary pain neurosciences and therapeutic neuroscience education. For the remaining sections, the textbook alternates between the upper and lower quadrants. Sections 2 and 3 provide state-of-the-art updates on mechanical neck pain, whiplash, thoracic outlet syndrome, myelopathy, radiculopathy, peri-partum pelvic pain, joint mobilizations and manipulations and therapeutic exercises, among others. Sections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics. The only one-stop manual detailing examination and treatment of the most commonly seen pain syndromes supported by accurate scientific and clinical data Over 800 illustrations demonstrating examination procedures and techniques Led by an expert editorial team and contributed by internationally-renowned researchers, educators and clinicians Covers epidemiology and history-taking Highly practical with a constant clinical emphasis

This Second Edition presents introductory general information on all trigger points and also detailed descriptions of single muscle syndromes for the upper half of the body. It includes 107 new drawings, a number of trigger point release techniques in addition to spray and stretch, and a new chapter on intercostal muscles and diaphragm.

Take an eclectic, evidence-based approach to orthopaedic manual therapy. From theory through practical application of soft tissue and joint mobilization techniques—this comprehensive resource delivers the depth and breadth of coverage you need to optimize patient outcomes through informed clinical decision-making as part of a comprehensive intervention regimen.

This book examines a special topic, JMMT. Emphasis is on the etiology of trigger points with a critical overview of current concepts. The contributing authors are the most respected myofascial pain research and practice experts. The authors address the etiology of trigger points, the epidemiology of myofascial pain, clinical management of patients, specific treatment issues, and the role of trigger points in various pain syndromes.

Extensively illustrated and evidence based, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines helps you effectively diagnose and manage musculoskeletal pain. It discusses diagnostic categories and their associated muscle and movement imbalances, and makes recommendations for treatment. Also covered is the examination itself, plus exercise principles, specific corrective exercises, and the modification of functional activities. Case studies provide examples of clinical reasoning, and a companion Evolve website includes video clips of tests and procedures. Written and edited by the leading experts on muscle and movement, Shirley Sahrmann and associates, this book is a companion to the popular Diagnosis and Treatment of Movement Impairment Syndromes. An organized and structured method helps you make sound decisions in analyzing the mechanical cause of movement impairment syndromes, determining the contributing factors, and planning a strategy for management. Detailed, yet clear explanations of examination, exercise principles, specific corrective exercises, and modification of functional activities for case management provide the tools you need to identify movement imbalances, establish the relevant diagnosis, and develop the corrective exercise prescription. Case studies illustrate the clinical reasoning used in managing musculoskeletal pain. Evidence-based research supports the procedures covered in the text. Over 360 full-color illustrations -- plus tables and summary boxes -- highlight essential concepts and procedures. A companion Evolve website includes video clips demonstrating the tests and procedures and printable grids from the book.

Assessment and Treatment of Muscle Imbalance: The Janda Approachblends postural techniques, neurology, and functional capabilities in order to alleviate chronic musculoskeletal pain and promote greater functionality. Developed by Vladimir Janda, respected neurologist and physiotherapist , the Janda approach presents a unique perspective to rehabilitation. In contrast to a more traditional structural view, the Janda approach is functional—emphasizing the importance of the sensorimotor system in controlling movement and chronic musculoskeletal pain syndromes from sports and general activities.Assessment and Treatment of Muscle Imbalance: The Janda Approachis the only text to offer practical, evidence-based application of Janda’s theories. Filled with illustrations, photos, and step-by-step instructions, Assessment and Treatment of Muscle Imbalanceuses a systematic approach in presenting information that can be used in tandem with other clinical techniques. This resource for practitioners features the following tools: --A rationale for rehabilitation of the musculoskeletal sytem based on the relationship between the central nervous system and the motor system --A systematic method for the functional examination of the muscular system --Treatment processes focusing on the triad of normalization of peripheral structures, restoration of muscle balance, and facilitation of afferent systems and sensorimotor training --The role of muscle imbalance and functional pathology of sensorimotor systems for specific pain complaints, including cervical pain syndrome, upper- and lower-extremity pain syndromes, and low back pain syndromes Assessment and Treatment of Muscle Imbalanceprovides an evidence-based explanation of muscle imbalance. The step-by-step Janda system of evaluation is explained—including analysis of posture, balance, and gait; evaluation of movement patterns; testing of muscle length; and assessment of the soft tissue. The text explores treatment options for muscle imbalance through facilitation and inhibition techniques and sensorimotor training to restore neuromsucular function. It also includes four case studies examining musculoskeletal conditions and showing how the Janda approach compares with other treatments. This text combines theory, evidence, and applications to assist clinicians in implementing the Janda approach into their practice. Assessment and Treatment of Muscle Imbalance: The Janda Approachfocuses on the neurological aspects of muscle imbalance that are common causes of pain and dysfunction in sports and occupational activities. By distilling the scientific works of Vladimir Janda into a practical, systematic approach, this unique resource will assist health care providers in treating patients with musculoskeletal complaints as well as exercise professionals in developing appropriate exercise prescription and training programs.