Frank Gargano
Instructor
Joined: Feb 14, 2020
Last seen: Dec 24, 2025
Topics: 0 / Replies: 78
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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...

1 year 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...

2 years 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 ...

2 years 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...

2 years 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...

2 years 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...

2 years 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...

2 years ago
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RE: Dry needling for CRPS (Lower extremity)

Purvang, I am not aware of a study that looks at the outcomes, what we have is empirical outcomes only at this time. Needling proximally, segmental...

2 years ago
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RE: Ramsay Hunt syndrome

Yeah, the goal is to reduce the nerve inflammation and we discuss this related to Bells Palsy. Ramsay Hunt has the break out phase and you want to of...

2 years ago
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RE: Peripheral Nerve Stimulation

Hi Sharon, I have not used it but watching the video makes good sense and they are locating it directly near the nerve which makes sense. Let us kn...

2 years ago
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RE: Intradermal needles

Hi Megan, Not sure I have seen a study that uses the intradermal needles at the wrist to stimulate the anterior interosseus nerve for nausea. Lee in 2...

2 years ago
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RE: Stim with TKA

Hi Susan, All the same precautions for electrical stimulation with pads should be followed with Needle stimulation. Of course, we would not touch the...

2 years ago
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RE: Layman’s terms

I think that is fine Rachel- it depends on the depth they really want to go and most patients are happy with what you described. @Susan you can also d...

2 years ago
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RE: Botox

Hi Marisa, I have treated Migraines for a long time and have worked with patients getting Botox for various reasons- I assume based on your question y...

2 years ago
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RE: Can I dry needle someone with a baclofen pump?

Hi Sarah, There is no issue with needling him and based on our research there is benefit to DN for spasticity ( more to come). I would not of course ...

2 years ago
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