Dry Needling in Hilversum
Dry needling is a treatment method whereby a very thin needle is inserted into the skin and muscle. Dry needling is very effective against myofascial pain and triggerpoints. Triggerpoints are tiny areas of hardened tissue in muscles, which can cause radiating pain issues. ‘Dry’ indicates that nothing is injected through the needle; it is only use to puncture the triggerpoint.
Triggerpoints and Dry NeedlingA triggerpoint is a spot in a muscle which hurts when pressure is applied to it, which often also causes pain in other areas of the body besides the triggerpoint itself. The physiotherapist looks for triggerpoints because they are often the head cause of one’s ailments. Triggerpoints can develop in different ways. The most common cause is chronic overburdening of a muscle, for example due to bad posture or unhealthy habits. Acute overburdening of a muscle, such as a sudden wrong movement or an accident, can also create triggerpoints. Sometimes it is apparent to the patient what the cause of their affliction is, but often it is unsure: the affliction has gradually developed and increased in effect. Often, such afflictions are caused by multiple factors; for example, the overburdening of the afflicted muscle and circumstances which worsen this, such as stress, fatigue, lack of sleep, bad eating habits, trouble with relaxation etc. When the patient’s complaints of pain have been documented, the therapist looks for the muscles which could be the source of the pain. In this process muscle length, muscle power and the presence or lack of triggerpoints are taken into account. The triggerpoints are found in a hardened strand of the muscle and can often be felt as a local thickening. Applying pressure to the triggerpoint can be very painful and often causes other recognisable symptons to appear.
Indications and Dry Needling
At Physiotherapy Douma, Dry Needling is carried out by a physiotherapist or acupuncturist as part of the physiotherapeutic treatment. Within this treatment by the physiotherapist the deactivation of triggerpoints may play a role.
During myofascial diagnosis, the application of mild pressure will be used to locate painful spots in the patient’s muscle. Triggerpoints are specifically looked for. Those spots are the points the physiotherapist will puncture to relax the muscles.
Although the method is often experienced as unpleasant, it is very effective to achieve a quick recovery. Immediate relaxation and the return of metabolism in the muscles result in a quick decrease in pain and the recovery of the muscle’s function. If the muscles are sufficiently relaxed, work can be done on the mobility of the patient’s joints and the improvement of muscle power and coordination. Dry Needling, as such, is not a standalone therapy but rather a method which is part of the complete physiotherapeutic treatment.