Hi Catherine, One of the great things that dry needling does is increase blood flow and most would say you want to give a couple days to allow t...

Hi Chris, Sorry I missed this one and yes there is a ton of research using DN with and without MSKUS showing a change from a hypo echoic looking ten...

Hi Michelle, In your example of supra scapular homeostatic point- you are literally needling the infraspinatus muscle for this point. each of the h...

Hi Michelle, Perineural needling is often categorized as a specific needling technique, similar to other methods such as superficial needling, basic...

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...

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...

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...

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

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

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...

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...

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...

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...

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...

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