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    I have a patient that I started treating at 2.5 weeks post-op (he is now right over 6 weeks post- op). His motion is progressing slowly w/ continued tightness and swelling into the ankle foot. I have not brought up needling to him yet because I was airing on the side of caution with it being surgical. His surgeon does not have any hold ups w/ dry needling and usually leaves everything up to my discretion.

    I know that we stated in the course that we would avoid needling directly into any surgical site/area for a minimum of 30 days following surgery; however, would it be OK/recommended to needle in the more proximal muscle bellies of the perneus longus/brevis and gastroc areas sooner or no?

    I treat a lot of post-op patients because I am tied into a Orthopedic surgeons clinic. So any guidance/guidelines recommendations would be appreciated. Thanks!


      I think you are good to go to needle him with a conservative load. Smaller needles to address the edema and certainly proximal needling is warranted. I would also needle into the muscle bellies and it will reduce tension and improve circulation which is exactly what you would want to do at this stage.
      Let us know how it he gets along

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