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, 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.
Initially, there were concerns about the employment of solid needles. They were thought to lack the strength and tactile feedback that are provided by hypodermic needles. Solid needles were also thought as being easy to be deflected by dense contraction knots. However, those concerns were determined to be baseless and solid needles also called acupuncture needles are now being used.
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.
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.
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, 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.
Initially, there were concerns about the employment of solid needles. They were thought to lack the strength and tactile feedback that are provided by hypodermic needles. Solid needles were also thought as being easy to be deflected by dense contraction knots. However, those concerns were determined to be baseless and solid needles also called acupuncture needles are now being used.
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.
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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