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Frank Gargano
Instructor
Joined: Feb 14, 2020
Last seen: Nov 12, 2024
Topics: 0 / Replies: 56
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RE: Dry Needling past 3 weeks direct access in MI

Hi Alyssa, MI is a grey state for DN so not sure how the partial direct access applies. This is of course an important legal question that needs to...

1 week ago
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RE: Dialysis

Cody, Dialysis is not a contraindication for DN for LBP- follow our 2:2 rule of course. Vascular disease is general by design as each case is diffe...

1 month ago
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RE: Infection risk of DN for patient with autoimmune disorders?

Hi Andrew, I am not aware of the type of research you mention- the fact is infection is almost a non- factor. That said, when you have a immunocomp...

1 month ago
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RE: Iron Bra Syndrome

Maxine, I routinely see breast cancer patients post-surgically and post-radiation. Early intervention is better, but they can be treated anytim...

2 months ago
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RE: QL

Hi Marisa, Yes QL is covered in the advanced course and 2 different techniques are discussed One is in prone and one in sidelying-

4 months ago
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RE: peripheral neuropathy, lymphedema and dry needling

Gopi, Dry needling has minimal effect on lymphedema based on the mechanism of dry needling so would not say it would make a big difference there but...

4 months ago
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RE: DN use for nerve transplant and/or quadriplegic patients

Hi Gerald, I am not aware of a study on that specific topic so generalizing to the physiologic effects of appropriate DN to the entire nerve innerva...

4 months ago
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RE: Radial nerve palsy

Hi Krista, There isnt' a specific study on that topic except one on Radial tunnel syndrome that showed benefit of dN. The result also depends on th...

4 months ago
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RE: Is there clinical evidence of negative impact from long term dry needling?

Hi Sharon, No there has not been a study stating long term use of DN has a negative impact. the fact is needling triggers many physiologic response...

4 months ago
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RE: Guillain-Barre syndrome

Hi Jodi, Sounds like you did a very low dose of needling which is warranted as a first exposure for a patient like you describe. I have not had an i...

8 months ago
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RE: Headaches

Hi Dan, What you did was fine but missed 50% of the treatment which is the trigeminal distribution (supra/infraorbitals in particular) combine that ...

10 months ago
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RE: Testicular pain/ Varicocele

Hi Mamta, I would needle the TL paravertebrals s corresponding with testicular innervation. I would also needle the ilioinquinal, genitofemoral cut...

10 months ago
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RE: Headaches

Ok just did not want to miss an intracranial presentation or one that is the result of an Upper Motor neuron issue. All peripherally based HA benefit...

1 year ago
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RE: Headaches

Hi Amy, Can you clarify what you mean by neurologic HA- in my mind they are all neurologic HA's so want to understand what you are referring to spec...

1 year ago
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RE: Silicone butt injection

Hey Eugene, Well this is an interesting case. I would not needle anywhere near the implants and in fact would recommend she get it removed consider...

1 year ago
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