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, 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 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, no standards for dry needling exist. There is also no body of evidence to indicate its efficacy in managing the medical conditions it claims. Most of the studies that were conducted on this technique were crowded by a lot of issues that made it impossible for any strong evidence to be gathered. For instance, sample sizes employed were small, drop out rates were high, and studies lacked randomization.
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.
IMS is a treatment that is practiced and taught in many places worldwide. The teaching and practicing is done by various medical professionals including acupuncturists, physical therapists, doctors of osteopathic medicine, naturopathic physicians, doctors of medicine, and chiropractors among others. The scope of practice of acupuncturists, and Doctors of Medicine and Osteopathic Medicine covers IMS.
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, 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 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, no standards for dry needling exist. There is also no body of evidence to indicate its efficacy in managing the medical conditions it claims. Most of the studies that were conducted on this technique were crowded by a lot of issues that made it impossible for any strong evidence to be gathered. For instance, sample sizes employed were small, drop out rates were high, and studies lacked randomization.
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.
IMS is a treatment that is practiced and taught in many places worldwide. The teaching and practicing is done by various medical professionals including acupuncturists, physical therapists, doctors of osteopathic medicine, naturopathic physicians, doctors of medicine, and chiropractors among others. The scope of practice of acupuncturists, and Doctors of Medicine and Osteopathic Medicine covers IMS.
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