Neurogenic Inflammation and MRI Diagnosis

Evidence for Increased Magnetic Resonance Imaging Signal Intensity and Morphological Changes in the Brachial Plexus and Median Nerves of Patients with Chronic Arm and Neck Pain Following Whiplash Injury.  JOSPT 2018;48(7):523-32 This is a great research report by Greening et. al. discussing the morphological changes in the median nerve after trauma. This is very relevant to the Integrative Dry Needling (IDN) …

Beyond the Joint: The Role of Central Nervous System Reorganizations in Chronic Musculoskeletal Disorders

This article by Roy et. al provides a very interesting viewpoint on the management of musculoskeletal disorders that traditionally focus on the structural dysfunctions found within the musculoskeletal system, mainly around the affected joint or as we call it a symptomatic point.  While a structural-dysfunction approach maybe effective for musculoskeletal conditions, especially in acute presentations, its effectiveness remains limited in patients with recurrent or chronic musculoskeletal pain.  This …

Treating Golfers with Integrative Dry Needling

Although I have been treating golf-related injuries for over 15 years, it is within the last two years that I have seen dramatic results in recovery and improved performance without pain, using Integrative Dry Needling (IDN) in my physical therapy practice. Before using dry needling, I would rely on the traditional physical therapy tool box of manual and therapeutic skills …

The much anticipated release of our 3rd textbook is here!

Dr. Ma’s Neurologic Dry Needling© (NDN) is the first book presenting a neuroscience-based dry needling approach for pain management, physical rehabilitation and sports medicine. Neurologic Dry Needling systemically targets peripheral neurogenic sensitivity to reduce neurologic burdens, optimize neurologic capability, improve neuro-immune function, and maximize systemic homeostasis to achieve the best clinical results. OUTSTANDING FEATURES: Using the peripheral nervous system as a …

Inflammation / Irritation / Inhibition- The 3 I’s for Dry Needling Treatment

In prior blog posts I addressed the 3 S’s (symptomatic, segmental, systemic) of the IDN system and now would like to link those with the 3 I’s. Acronyms are being used primarily to improve retention of the important considerations when deciding on the how and why to utilize dry needling in clinical practice. Let me explain what I mean. The …

Clinical Dosage of Dry Needling

“How many needles should be used for treating (fill in the blank)?” One of the most common questions we encounter in our IDN seminars. This is valid question and not easy to answer as there are many factors that need to be considered about clinical dosage of dry needling. The current literature is lacking on a definitive and scientific answer and …

Why should I attend an IDN course, I already have DN experience?

We routinely get the question, “If I have already completed a myofascial trigger point dry needling course why should I attend an Integrative Dry Needling (IDN) course?” The best answer is to acquire a more diverse understanding and progress your skill development. The framework that many clinicians have trained and worked under lives in the Myofascial Trigger Point paradigm. Clinicians …

Latent Myofascial Trigger Points are Associated With an Increased Antagonistic Muscle Activity During Agonist Muscle Contraction.

The purpose of this study was to investigate the role of latent neuro-trigger points (LNTP) in the posterior deltoid with an isometric contraction of the anterior deltoid. The influence of LNTP on reciprocal inhibition at the shoulder was in question. The investigators recruited 14 asymptomatic subjects with LNTP in the posterior deltoid for this observational design. Force production of the …

Dry Needling for Ehlers-Danlos Syndrome Pain Management

Dr. Frank Gargano talks about “Dry Needling for Ehlers-Danlos Syndrome Pain Management: Can muscle performance be improved?” His dry needling approach concentrates not ONLY on trigger points, but considers the systemic neurological relationship of pain and tissue dysfunction.

When is it appropriate to use electrical stimulation with dry needling?

There are clear contraindications when it is not appropriate to use electrical stimulation combined with dry needling (DN), but the clinical decision for when it is appropriate may not be so evident. In our courses, it is common for students to question when the use of electrical stimulation with DN is indicated for their patients. To partially answer this question …