Estim with hypoglossal nerve stimulator? - IDN Clinical Questions and Discussions https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/ Integrative Dry Needling Discussion Board en-US Thu, 16 Apr 2026 19:58:46 +0000 wpForo 60 RE: Estim with hypoglossal nerve stimulator? https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/#post-647 Sat, 26 Apr 2025 15:11:15 +0000 Hi Rachel, 

As I am going through the question I see mine must have submitted early so I will clarify.  You never want to needle around implantable devices that have wires as unless you know exactly where they are you avoid the areas.  With an always "on" electrical device i.e. pacemaker/defibrillator I would not include ENS in your treatment- that comes from cardiologist that I spoke with.  Now with a hypoglossal unit that is on or off I think you have more leeway on including ENS in other areas like lumbar and below does not have the same concern but speaking to the neurologist or pain doc is never a bad idea and a way for you to explain how you can help patients with DN/ENS - never a bad time to educate!

]]> IDN Clinical Questions and Discussions Frank Gargano https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/#post-647 RE: Estim with hypoglossal nerve stimulator? https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/#post-635 Sat, 12 Apr 2025 17:36:09 +0000 Yes, I would not needle anywhere near the wires or of course the unit.  Now if you are asking about the arms/trunks/legs then that would be fine to needle - caution with including needle E- stimulation 

]]> IDN Clinical Questions and Discussions Frank Gargano https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/#post-635 Estim with hypoglossal nerve stimulator? https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/#post-622 Mon, 24 Mar 2025 15:50:02 +0000 I am treating someone who has a hypoglossal nerve stimulator implanted. Would this be a contraindication for use of electrical stimulation with dry needling? It is not on during our treatments, she has to turn it on at nighttime with her app. 

Thanks!

]]> IDN Clinical Questions and Discussions Rachel https://integrativedryneedling.com/community/idn-clinical-questions/estim-with-hypoglossal-nerve-stimulator/#post-622