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Writer's pictureKylie

What happens in a consultation and how does Dry Needling work?

Dry needling is a technique used by physiotherapists to treat muscle pain and dysfunction. It involves the insertion of fine, sterile needles into myofascial trigger points. without the injection of any substances. When clients come in for a consultation, they often wonder what to expect, especially if dry needling is part of the treatment plan.


During a consultation, I assess your specific needs, pinpoint areas of concern, and discuss your goals. Understanding what happens in a consultation and how dry needling works can help you feel more confident and informed about your treatment options.


1. Insertion of Needles

  • The physiotherapist inserts fine, solid filiform needles into specific points in the muscles. These points are often trigger points, which are taut bands within the muscle that can cause pain and dysfunction.


2. Mechanical Stimulation

  • The physical act of inserting the needle into the muscle can disrupt the dysfunctional muscle fibres and trigger points. This mechanical stimulation can help in "resetting" the muscle's tone and relieving the tightness.


3. Release of Neurochemicals

  • The needle insertion may cause a local twitch response, which is an involuntary contraction of the muscle. This response can lead to the release of various neurochemicals and endorphins. These substances help to reduce pain and inflammation and promote a sense of well-being.


4. Improvement of Blood Flow

  • Needling can improve local blood flow to the treated area. This increase in circulation helps in bringing nutrients and oxygen to the tissues, which aids in healing and reducing inflammation.


5. Normalisation of Electrical Activity

  • Dysfunctional muscles often show abnormal electrical activity. Dry needling can help to normalize this electrical activity, which can lead to a reduction in muscle spasm and pain.


6. Neurophysiological Effects

  • The insertion of needles can influence the central nervous system. This can result in the modulation of pain perception, potentially altering how pain is processed and perceived by the brain.


How the Process Feels

During the procedure, patients may feel a slight prick when the needle is inserted, followed by a twitch response or a sensation of pressure or ache as the needle reaches the trigger point. These sensations are usually brief and are considered part of the therapeutic process.


Post-Treatment Response

After treatment, patients might experience mild soreness or bruising (less likely) at the needle sites, similar to what one might feel after a workout. These effects typically subside within a day or two.


Check out my FAQ guide to needling here:


If you have any further questions regarding please don’t hesitate to contact me at kylie@thefunctionalphysio.com.au or book online www.thefunctionalphysio.com.au

 

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