Good morning everyone. I will be doing an eval with a patient who is 10 months post cervical laminectomy and she is excited to see what dry needling can do to help her. I know that I will need to choke up on the needle length but does that look like 1/2” needles? I imagine in this case less is more. Without the laminate is there increased caution/concerns with TENS? I’m gonna do some research today and post my findings for others knowledge but wanted to start here and see if anyone else has some quick input. Thanks and have a great week!
Hi Jason!
I think you are on the right track. You no longer have that bony backdrop in the case of laminectomies, so a superficial needling technique should be utilized (1/2"). You also have the option of performing deep needling above and below the laminectomy, which should have a good clinical affect due to the recurrent branches above and below each segment. If you decided to go that route, you need to be pretty confident with your palpation skills.
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