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Re: Dry Needling vs. fascial manipulation

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Dr. ,

I too use fascial techniques on all of my patients. The techniques I use

are an accumulation of Hammer's work, Rolfing, some info from Stecco and

Tom Myers. Fascial densifications actually respond well to needles;

especially when there are many. Don't get me wrong, they respond just as

well to my hands, sometimes better, but when the neuromyofascial system

has decompensated and there seems to be more than 3-4 per fascial

chain/train/etc. Needling helps to make my treatments more efficient and

allows me to resolve some of the compensatory points and help restore

homeostasis so I can use my hands in subsequent visits to resolve the

core neuromyofascial points.

I would like to coin the term " needle-assisted soft tissue therapy "

instead of " dry needling " or 'gasp' " Chiropractic Acupuncture " (I think

this last one is offensive); because this is how I have used needles (in

Colorado with a DO), have been trained to use needles and have had them

work with great success on my own physical issues.

-Tim Irving DC

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I have used the arthrostim on many different areas of the body with great success; following Dr. Freeman's procedures has enabled me to get chiropractic results I hadn't been able to achieve in the past. I have also been using the arthrostim on some fascial distortions to get a rapid vibratory impulse that is impossible to replicate with my hands. It is a tool I use every day. But I still "knead" to use knuckles and elbows..... because I am not Herb Freeman!

Rodney G. , DCTillamook Natural Health Center309 Laurel Ave.Tillamook, OR 97141503-842-6532

Re: Dry Needling vs. fascial manipulation

Dry needling is a technique to treat myofascial points. Finding them can be done many ways, the criteria Dr. mentioned can be used as can palpatory findings and even aberrant functional movement patterns. Stecco's work is kind of a whole system but many of his points lie in fascial chains (osteopathic term) AKA fascial trains (Tom Myers' term). These are functional lines of fascia that often develop densifications which alters tension relationships in the body.Needling points causes a very focal lesion, during the healing process, substances like platelet derived growth factor help the tissue to heal. This same process probably occurs with cross fiber friction, deep tissue work, Graston, similar soft tissue techniques and PRP. This may occur with deep, sustained fascial work but this specific kind of treatment may also elicit a change in the crystalline structure of fascia that occurs with sustained pressure; employing processes like hysteresis and creep.-Tim Irving

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I do a similar technique with Trigger Point Injections with often terrific

results. It's similar in that I am using the needle for greatest benefit,

although I inject a small amount of B12 and local anesthetic each time. SubQ

and deeper injections in a technique specific for the patient.

I believe Chiropractors are at an advantage with our deep understanding of

anatomy and myofascial planes- dry needling is a natural extension of this. I'm

all for it being in our scope.

Had a patient yesterday tell me, " I have an amazing Chiropractor who has

stripped this tendon injury with tools and done great massage, however I came to

you because I need a needle stuck in it! " . I hear that a lot, people say they

just have done everything and they would love a needle stuck in the area. The

needle counts, it induces micro-trauma, subsequent blood flow and improved

healing. I'll use the biggest gauge I think the patient will tolerate:)

Tyna , ND, DC

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

>

> I have used the arthrostim on many different areas of the body with great

success; following Dr. Freeman's procedures has enabled me to get chiropractic

results I hadn't been able to achieve in the past. I have also been using the

arthrostim on some fascial distortions to get a rapid vibratory impulse that is

impossible to replicate with my hands. It is a tool I use every day. But I still

" knead " to use knuckles and elbows..... because I am not Herb Freeman!

>

> Rodney G. , DC

> Tillamook Natural Health Center

> 309 Laurel Ave.

> Tillamook, OR 97141

> 503-842-6532

> Re: Dry Needling vs. fascial manipulation

>

>

>

> Dry needling is a technique to treat myofascial points. Finding them can

be done many ways, the criteria Dr. mentioned can be used as can

palpatory findings and even aberrant functional movement patterns. Stecco's

work is kind of a whole system but many of his points lie in fascial chains

(osteopathic term) AKA fascial trains (Tom Myers' term). These are functional

lines of fascia that often develop densifications which alters tension

relationships in the body.

>

> Needling points causes a very focal lesion, during the healing process,

substances like platelet derived growth factor help the tissue to heal. This

same process probably occurs with cross fiber friction, deep tissue work,

Graston, similar soft tissue techniques and PRP. This may occur with deep,

sustained fascial work but this specific kind of treatment may also elicit a

change in the crystalline structure of fascia that occurs with sustained

pressure; employing processes like hysteresis and creep.

>

> -Tim Irving

>

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