I have a patient with intestinal lymphangiectasia who has swelling unilaterally in the UE, LE, and trunk. She can also get facial swelling. Her GI doctor is in favor of trying dry needling. Are there any special concerns when it comes to dry needling patient’s with lymphatic problems?
We typically don’t recommend needling into the involved limb. I think it would make good sense to start with superficial needling at proximal or contralateral lymphatic drainage areas that you can access for this patient.