IDN: Ankle Sprains may not be what you think!

We can do more for your ankle sprain than just RICE (Rest/Ice/Compression/Elevation). Utilizing #integrativedryneedling as a part of your early ankle rehab can help with immune response and nerve pain sensitivity. #dryneedling can also be beneficial for people with chronic ankle instability. Researchers have explored a proposed nervous system mechanism where needling can be used to help improve the sensorimotor function in the …

**IDN ARTICLE: The effectiveness of superficial versus deep dry needling or acupuncture for reducing pain and disability in individuals with spine related painful: a systematic review with meta-analysis.

JOURNAL OF MANUAL & MANIPULATIVE THERAPY. (2019)   https://doi.org/10.1080/10669817.2019.1589030 Authors: David Griswold, M. Wilhelm, M. Donaldson, K. Learman and J. Cleland We recently had a systematic review with meta-analysis comparing superficial to deep dry needling or acupuncture for orthopedic spinal conditions published in JMMT.   Deep needling (>10 mm) was found to be more beneficial with regard to pain reduction than superficial …

A randomized clinical trial comparing non-thrust manipulation with segmental and distal dry needling on pain, disability, and rate of recovery for patients with non-specific low back pain.

JOURNAL OF MANUAL & MANIPULATIVE THERAPY.   https://doi.org/10.1080/10669817.2019.1574389 Objective: The purpose of this study was to examine the within and between group effects of segmental and distal dry needling (DN) without needle manipulation to a semi-standardized non-thrust manipulation (NTM) targeting the symptomatic spinal level for patients with non-specific low back pain (NSLBP). Methods: Sixty-five patients with NSLBP were randomized to receive either DN …

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 …