about trigger point dry needling
Eliminate pain and Enhance muscle function
Myofascial trigger points are one of the most common musculoskeletal dysfunctions. Trigger points are hyperirritable knots or tight bands of muscle fibers that can cause pain, restricted range of motion, and referred pain to other areas of the body. Research has shown that trigger points have both mechanical and chemical properties that contribute to their ability to cause pain. Trigger points may result in a phenomena known as “referred pain,” in which pain is perceived in a separate location, away from the involved area (for example, trigger points in the upper trap muscles can be perceived as a headache). Trigger points do more than simply cause pain, they also have negative effects on the function of the muscle: they can cause spasm, weakness, inhibition and muscle imbalance. Trigger points can also contribute to nerve pain. Trigger points can develop with repetitive overuse, trauma or stress. Trigger points may occur on their own, but they can also be associated with certain medical issues such as endometriosis, irritable bowel syndrome, painful bladder syndrome, prostatitis and dysmenorrhea (painful periods).
Trigger point dry needling is a technique to eliminate trigger points, which involves insertion of a thin, sterile filiform needle through the skin and into the trigger point. The needle does not deliver medication, nor does it draw blood, hence the needle is “dry.” The intention of dry needling is to elicit a “ local twitch response,” which is an involuntary contraction of the muscle, followed by a relaxation response. This process helps to release the tension and normalize the function of the muscle. The insertion of the needle also stimulates sensory nerves, which can have an analgesic effect by interrupting pain signals and promoting the release of endorphins, the body's natural pain-relieving chemicals. Additionally, TPDN may improve blood flow to the treated area, facilitating the delivery of oxygen and nutrients while removing metabolic waste products.
TPDN is primarily used for musculoskeletal conditions such as myofascial pain syndrome, tension headaches, neck and back pain, fibromyalgia, and sports-related injuries. It aims to reduce pain, improve range of motion, enhance muscle function, and promote overall physical well-being.
Trigger point dry needling is a commonly used modality amongst physical therapists worldwide and is within the scope of practice for physical therapists in the state of Colorado. At Apto Physical Therapy, we have undergone education and training consistent with Colorado State Law.