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Frank Gargano
Instructor
Joined: Feb 14, 2020
Last seen: Aug 1, 2026
Topics: 0 / Replies: 82
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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...

1 year 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...

1 year 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...

1 year 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...

1 year 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...

1 year 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

1 year 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...

1 year 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 ...

1 year 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...

1 year 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...

1 year 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...

2 years ago
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RE: North Carolina Practice Act

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

2 years ago
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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...

2 years 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...

2 years 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...

2 years ago
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