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									chest wall pain - IDN Clinical Questions and Discussions				            </title>
            <link>https://integrativedryneedling.com/community/idn-clinical-questions/chest-wall-pain/</link>
            <description>Integrative Dry Needling Discussion Board</description>
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							                    <item>
                        <title>RE: chest wall pain</title>
                        <link>https://integrativedryneedling.com/community/idn-clinical-questions/chest-wall-pain/#post-335</link>
                        <pubDate>Wed, 11 Dec 2019 21:30:04 +0000</pubDate>
                        <description><![CDATA[Hey Thomas,

I really love cupping over these areas.  If palpation / compression is noxious give it distraction.  This is most likely residual irritation of the anterior emergent point of th...]]></description>
                        <content:encoded><![CDATA[Hey Thomas,

I really love cupping over these areas.  If palpation / compression is noxious give it distraction.  This is most likely residual irritation of the anterior emergent point of the anterior primary rami.   I would assess the lateral emergent point as well near the mid axillary line.  Cupping or gentle skin stretching at this area should work well in these thinner areas. 

For needling, I would trace back and needle the associated thoracic paravertebral level (posterior primary rami).]]></content:encoded>
						                            <category domain="https://integrativedryneedling.com/community/idn-clinical-questions/">IDN Clinical Questions and Discussions</category>                        <dc:creator>Dino Admin</dc:creator>
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				                    <item>
                        <title>chest wall pain</title>
                        <link>https://integrativedryneedling.com/community/idn-clinical-questions/chest-wall-pain/#post-103</link>
                        <pubDate>Wed, 11 Dec 2019 20:34:33 +0000</pubDate>
                        <description><![CDATA[I had a pt sent to me by a PM&amp;R doc. Wants me to DN and cupping for chest wall pain. Pt had CABG in April 2019 and continues to have pain in L pecs lateral to sternum. Very tender to pal...]]></description>
                        <content:encoded><![CDATA[I had a pt sent to me by a PM&amp;R doc. Wants me to DN and cupping for chest wall pain. Pt had CABG in April 2019 and continues to have pain in L pecs lateral to sternum. Very tender to palpation.No pain at incision. Cleared by cardiologist. Pt bends forward to relieve pain. I know I can do the 25 to 50 mm laterally at the Lat Pec homeostatic point. Any other thoughts, suggestions, advice? Needle size, angle?]]></content:encoded>
						                            <category domain="https://integrativedryneedling.com/community/idn-clinical-questions/">IDN Clinical Questions and Discussions</category>                        <dc:creator>thomasjohnson</dc:creator>
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