Frank Gargano
Instructor
Joined: Feb 14, 2020
Last seen: Jun 18, 2025
Topics: 0 / Replies: 72
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RE: Private DN Services

Hi Matthew, I am not an attorney so I provide this as informational only not advice 🙂 We are in OH and did the services for years in various loca...

1 month ago
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RE: Estim with hypoglossal nerve stimulator?

Hi Rachel, As I am going through the question I see mine must have submitted early so I will clarify. You never want to needle around implantable ...

2 months ago
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RE: Bunion pain

Hi Lauren, Bunion pain is interesting because the big toe can be (deep) fibular on top, saphenous on the side and tibial underneath so that is the p...

2 months ago
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RE: Burning after needling trigeminal nerve points

Hi Kendra, I have needled literally thousands of faces and not had a sensation last more than a day maybe 2 but resolution always occurs. If the se...

2 months ago
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RE: Dry Needling Face Patches

Seirin makes a Pyonex patch needle that I use on the face and ears. There are also patches that have a "BB" on them that the patient can use to stimu...

2 months ago
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RE: Estim with hypoglossal nerve stimulator?

Yes, I would not needle anywhere near the wires or of course the unit. Now if you are asking about the arms/trunks/legs then that would be fine to ne...

2 months ago
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RE: Patient education form

Susan, That is already done on our consent form that was published and is in a word doc located on your IDN dashboard under forms and charts. it cle...

2 months ago
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RE: DN for Upper Abdominal and Chest Pain

Hey Tara, I'm actually writing a case study that is "similar" looking at the neurology of visceral somatic referral here's a couple excerpts fro...

2 months ago
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RE: Common Fibular homeostatic neurotrigger point s/p knee replacement

remember post total knee or hip there is a major concern for bacterial infection so post surgical joints have a greater "fear" from surgeons as bacter...

2 months ago
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RE: Florida Licensing for DC

Hi Celeste, when did you submit your application? I can try to find out more with the date. Frank

3 months ago
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RE: Recommendations for Metal Handle Starter kits or type of needles?

Hi Sean, Any of the starter kits will work but there are not metal handles in those kits ( good idea to include a few). Of course you just connect t...

3 months ago
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RE: Silent State Question

Hi Jamie, I think that is up to you, but I personally don't think it is necessary. Silent does not mean you cannot perform it- only if they say it ...

3 months ago
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RE: Dry Needling and Steroid Injections

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...

4 months ago
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RE: Chronic Achilles tendiopathy

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...

4 months ago
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RE: North Carolina Practice Act

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

6 months ago
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