Be sure to hit all the TP ’hot spots’

By | February 17th, 2016|Dry Needling, Trigger Points|

The local mechanisms for analgesic effects reported after dry needling remain a point of study and discussion and little clarity currently exists in this regard.   Central opioid release may be one mechanism that can be capitised on. In brief,

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Fasciculations, twitches and contractions; terminology does matter…

By | December 2nd, 2014|Dry Needling, Science, Trigger Points|

One of the aspects that keeps dogging the ‘Myofascial Pain Syndrome’ world are inaccuracies; This extends to how we use terms to explain what is observed and ultimately treated. Recently, I came across a study by Rha et al. that

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The Biceps – playing for both north and south

By | July 17th, 2014|Dry Needling, Trigger Points|

The Biceps-‘playing for both north and south’   It is easy to forget the Biceps Brachii when patients present with shoulder and elbow pain. Even a thorough local examination of either joint area is not likely to indicate that the

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Clinical concomitants during and after dry needling- the patient should not be a surprised…

By | July 1st, 2014|Dry Needling, Physicology, Trigger Points|

  Consider for a moment the diagram and its accompanying explanation below: This is a diagrammatic representation of part of a myofascial trigger point showing two motor endplates (MEPs) and juxtapositional contraction knots (CKs). A neurovascular bundle (NB) containing motor

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Trigger point dry needling of the Deltoid muscle- Don’t be fooled

By | June 28th, 2014|Dry Needling, Trigger Points|

The Deltoid muscle often does not get much attention, because its TPs are relatively easy to locate and pain referral is experienced locally. However, two aspects should be kept in mind: The Deltoid lies in the pain referral zone of

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Deep neck muscles and Myofascial Pain Syndrome; are we paying enough attention?

By | June 4th, 2014|Dry Needling, Trigger Points|

In general, muscle spindles are important for the control of movement and posture in mammals as they sense muscle length and changes in muscle length. In humans, the deep muscles of the neck (rectus capitis posterior major, rectus capitis posterior

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