Dry Needling

Wat is dry needling?
Dry Needling is part of physiotherapy treatment and is used in addition to the normal physio- or manual therapeutic treatment.
Dry needling is a relatively new method of treatment of the physiotherapist. By means of a special technique to be punctured muscles and become in this way fast and long lasting relaxation. Dry needling uses a 'dry’ (dry) acupuncture needle, and there is thus no fluid is injected into the muscle.
Dry needling is based on Western anatomical and neurophysiological principles and therefore should not be confused with acupunctuur.Bij acupuncture are often superficial multiple needles put into the body, which remain there for some time and have an effect on the "energy" in the body. When dry needling is usually used one needle, that short-term pricked into the muscle. Dry needling is working on specific points, dezogenaamde 'trigger points' is not the energy treatment.

What is a trigger point (muscle hardening)?
A trigger point is a pressure sore in the muscle, which in addition to the local pressure, often pain at a distance causes. The physical therapist looking to these places because they are often the main cause of your symptoms.
How express trigger points (muscular surfacing) himself?

Trigger points can express themselves in:
PIJN / stiffness locally in the muscle or pain 'distance' (feel pain);
Bewegingsbeperkingen in its joints;
Verminderde muscle strength in question(en);
PIJN evasiveness; you're going to move differently;
Warmte, chills, hoofdpijn, dizziness, E. D.

How could trigger points (muscular surfacing) arise?
Acuut, for example, by a wrong movement or an accident;
Chronisch, by prolonged poor posture;
Langdurige tax, for example arm, shoulder and neck when using computer (RSI/CANS);
Overbelasting and injuries in athletes;
Beschadiging of tissue such as in a meniscus injury or a hernia;
Langdurige absence of movement, for example, by gypsum;
Psychologische factors such as stress and depression;
Voetafwijkingen or difference in leg length, For example, occur after a fracture or surgery;
Te tight clothing or improper wearing a backpack.

What does the physiotherapist?
Dry Needling is part of physiotherapy treatment and is used in addition to the normal physio- or manual therapeutic treatment. Within the treatment by the physiotherapist, as part, the deactivation of active trigger points play a role.
The concept of myofascial diagnosis is through a gentle push to detect recognizable obstacles for the patient. It is therefore sought specifically to the conscious trigger points. Exactly those places the therapist will puncture to relax muscles.
The sterile needles that have been used for dry needling for single use, they are very thin and the same as are used in acupuncture. The therapist feels out where the trigger point is, after which the needle is tapped quickly through the skin into the tube. This is virtually painless. Then the therapist brings the needle through the muscle to the trigger point to.

How does dry needling?
A trigger point always makes creating a tight band that in the muscle, a hardening.
The trigger point is palpable as the most painful point in this tight band. The muscle can not function properly by the local cramping: besides pain may also weakness and loss of coordination arise. By chipping the trigger point with a needle, will become a “Local Twitch Response” (LTR) cheerful. This is an involuntary contraction of the muscle fibers (segmental reflex), which ensures that the muscle relaxes and immediately going to restore the muscle metabolism. This eliminates the painful area that was caused by the trigger point.

How does dry needling?
The sterile needles that are used for dry needling, are very thin. The therapist feels that the first taut and trigger point are. The trigger point is fixedly put between two fingers, after which the needle is quickly tapped by the skin. This is virtually painless.
Then the therapist brings the needle through the muscle to the trigger point to, This is not painful, numbness. If the tip of the needle reaches the trigger point, responds the muscle with a local twitch response, This feels like a jolt. therapist
the needle moves up and down to release of the trigger point fibers as much as possible.
Depending on the muscle where the item is located and the number of trigger points in the muscle,
the twitches can be very violent. The radiating pain can, by the trigger point
is caused, be felt during the treatment.
Another phenomenon that can sometimes occur during treatment is called a vegetative reaction: one is suddenly sweaty or shivery, sick or what woolly in the head.
this reaction, although unpleasant, of passing nature. Because there may be a vegetative reaction, there will always be supine being treated.

What you feel after treatment?
After the treatment, the muscle can be prone, stiff or scholarship ('bruise') feel. Minor bruises can sometimes hitting a blood vessel.
The bruised feeling usually lasts long, at most a day or two.
Thereafter, a noticeable improvement occurs, mainly take the earlier experience radiating pain (lot) of. The movement will actually increase, because muscle is more relaxed. One can also experience improvement in strength and coordination. Other effects mentioned regularly increasing its own energy and a feeling of general relaxation.

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