Neurologic Dry Needling

Neurologic dry needling is the evolution from needling points (myofascial trigger points) to needling the system. Neurologic dry needling can be used to treat all types of neuromusculoskeletal conditions.  These conditions are not limited to orthopedics but are applicable to any condition where inflammation (neurogenic), reduced blood flow and muscle guarding is present.  The Neurologic Dry Needling system is based on peripheral and central neurologic principles so it is not limited by the traditional trigger point paradigm.  Using peripheral nerve mapping model allows a broader opportunity to deliver treatment locally, segmentally, and most importantly systemically. 

Treatment of acute and sub-acute pain can respond favorably to dry needling that is focused locally i.e. at the site of pain.  However, patient tolerance can be a limiting factor with a solely local approach.  In addition, when the pain transitions to recurrent and/or chronic the treatment has to be expanded beyond site specific needling. Neurologic Dry Needling provides a deeper understanding and a logical approach to targeting expanded areas of nerve entrapment, inflammation and central sites that facilitate and/or maintain the pain.   

Additionally, in our Neurologic Dry Needling courses you are instructed on the administration of the IDN bedside Quantitative Sensory Testing (QST) exam that assists in determining the efficacy of dry needling treatment.  In patients presenting with pain, especially long standing pain, sensitization of nervous system tissue spreads, represented clinically as inflamed sensory nerves (homeostatic points).  The number of positive findings discovered during IDN’s bedside QST indicates the severity of inflammation or sensitization in the body.  The greater the number of positive findings is an empirical estimate of how many dry needling treatment sessions are needed to reduce the systemic inflammation/sensitization and how long the pain relief might last.  

The combination of our neurologic assessment with other important subjective and objective clinical indicators provides a global view of patient condition, prognosis and delivers a clinically efficient and effective treatment plan.

I welcome you to attend one of our Neurologic Dry Needling courses and experience the next generation of dry needling treatment!

Dr. Frank Gargano
Integrative Dry Needling Institute, LLC

The Integrative Dry Needling (IDN) Institute provides unique and original training in the pain management and performance enhancement techniques of Neurologic Dry Needling (NDN).  Neurologic Dry Needling techniques can only be learned in IDN courses and from our text book: Dr. Ma’s Neurologic Dry Needling©