Dry Needles For Muscle Pain Photo by Katherine Hanlon By Dr Khong Lamvichit July 24, 2024 5min Dry needling is an increasingly popular therapeutic technique used by physical therapists and other healthcare professionals to treat musculoskeletal pain, including neck muscle pain. This technique involves the insertion of thin, filiform needles into specific points on the body, known as trigger points, to relieve pain and improve function. Here's how dry needling helps with neck muscle pain:
Trigger Point Deactivation **Trigger points** are hyperirritable spots in the skeletal muscle that are associated with palpable nodules in taut bands of muscle fibers. These points can cause localized pain or refer pain to other areas of the body. In the case of neck pain, trigger points in muscles such as the upper trapezius, levator scapulae, and sternocleidomastoid can contribute to discomfort and restricted movement. Dry needling aims to deactivate these trigger points. When the needle is inserted into a trigger point, it creates a localized twitch response, which is an involuntary contraction of the muscle. This response helps to release the tightness and reduce the irritation in the muscle fibers, leading to pain relief. Reduction of Muscle Tension and Spasm By targeting trigger points, dry needling helps to alleviate muscle tension and spasms. The mechanical action of the needle disrupts the dysfunctional motor end plates (neuromuscular junctions), which can lead to a reduction in muscle tightness. As the tension decreases, the muscle can relax, which helps to relieve pain and improve the range of motion in the neck. Enhancement of Blood Flow The insertion of needles into the affected muscles can stimulate blood flow to the area. Improved circulation aids in the healing process by bringing oxygen and nutrients to the tissues and removing metabolic waste products. Enhanced blood flow also helps to reduce inflammation, which can contribute to pain reduction and faster recovery. Neurophysiological Effects Dry needling may also produce neurophysiological effects that contribute to pain relief. The insertion of needles can stimulate the release of endogenous opioids (natural pain-relieving chemicals produced by the body) and other neurotransmitters that modulate pain perception. Additionally, the mechanical stimulation of the needle may activate descending inhibitory pathways in the central nervous system, which can help to decrease the sensation of pain. Reduction of Central Sensitization Chronic neck pain can lead to central sensitization, a condition where the central nervous system becomes hypersensitive to pain stimuli. Dry needling can help to reduce central sensitization by disrupting the ongoing input from peripheral nociceptors (pain receptors) and by normalizing the communication between the peripheral and central nervous systems. This can result in a decreased perception of pain and an improved pain threshold. Improving Function and Mobility By alleviating pain, reducing muscle tension, and improving circulation, dry needling can enhance overall function and mobility. Patients often experience an increased range of motion in their neck and shoulders, which can improve their ability to perform daily activities and reduce the risk of further injury. Combining Dry Needling with Other Therapies Dry needling is often used in conjunction with other therapeutic modalities, such as physical therapy exercises, manual therapy, and stretching. This multimodal approach can provide more comprehensive and longer-lasting relief from neck muscle pain. For example, after dry needling releases the trigger points, specific exercises can help to strengthen the muscles and improve posture, further preventing the recurrence of pain. Conclusion Dry needling is a valuable tool in the management of neck muscle pain. By deactivating trigger points, reducing muscle tension and spasms, enhancing blood flow, and producing neurophysiological effects, dry needling can effectively alleviate pain and improve function. When integrated into a comprehensive treatment plan, dry needling can help patients achieve lasting relief from neck muscle pain and enhance their overall quality of life. Back MedicineBy Dr Khong Lamvichit July 17, 2024 5min  Photo by Roman Kraft Chiropractic care, once considered an alternative or complementary approach to health care, has increasingly integrated into mainstream medicine. This integration is driven by a growing body of evidence supporting its efficacy, an increasing emphasis on holistic and patient-centered care, and collaborative efforts between chiropractors and other healthcare professionals.
Chiropractic care originated in the late 19th century with Daniel David Palmer, who proposed that spinal adjustments could cure various ailments. For much of the 20th century, chiropractic care was viewed skeptically by mainstream medicine. However, the latter part of the century saw a shift as chiropractors began to adopt more scientific approaches and as research started to validate the benefits of chiropractic treatments, particularly for musculoskeletal conditions. One of the key factors in the integration of chiropractic care into mainstream medicine is the growing body of evidence supporting its efficacy. Numerous studies have shown that chiropractic adjustments can be effective for conditions like low back pain, neck pain, and headaches. The American College of Physicians, for example, recommends spinal manipulation as a first-line treatment for low back pain, highlighting its effectiveness and safety. In recent years, there has been a significant increase in interdisciplinary collaboration between chiropractors and other healthcare professionals. Many hospitals and healthcare systems now include chiropractors as part of their integrated care teams. These collaborations often focus on musculoskeletal health, where chiropractors can offer specialized skills in spinal manipulation and other manual therapies. This interdisciplinary approach not only improves patient outcomes but also fosters a more holistic approach to health care. The integration of chiropractic care into mainstream medicine aligns with the broader shift towards patient-centered care. Chiropractors often spend more time with patients than other healthcare providers, focusing on comprehensive assessments and personalized treatment plans. This approach resonates with the growing demand for healthcare that addresses the whole person rather than just treating symptoms. By incorporating chiropractic care, healthcare systems can offer a more diverse range of treatment options tailored to individual patient needs. The integration of chiropractors into mainstream medicine is also supported by advances in education and training. Chiropractic education programs have become more rigorous, often including coursework in anatomy, physiology, and evidence-based practice. Many chiropractors now pursue additional certifications and training in specialized areas such as sports medicine, pediatrics, and neurology. This advanced training enhances their ability to collaborate effectively with other healthcare professionals and to provide high-quality care. Regulatory and policy changes have also facilitated the integration of chiropractic care into mainstream medicine. In many countries, chiropractors are now recognized as primary care providers, and their services are covered by health insurance plans. This recognition not only legitimizes chiropractic care but also makes it more accessible to a broader population. Additionally, policy initiatives that promote interdisciplinary care and the inclusion of alternative therapies in healthcare plans have further supported the integration of chiropractic care. Despite the progress, challenges remain in fully integrating chiropractic care into mainstream medicine. Skepticism among some medical professionals persists, and there are ongoing debates about the scope of practice for chiropractors. However, as research continues to validate the benefits of chiropractic care and as more healthcare systems adopt integrative approaches, the role of chiropractors in mainstream medicine is likely to expand. Looking forward, the integration of chiropractic care into mainstream medicine holds great promise for improving patient outcomes and promoting holistic health. By continuing to build on the foundations of evidence-based practice, interdisciplinary collaboration, and patient-centered care, chiropractors can play a vital role in the evolving landscape of healthcare. In conclusion, the integration of chiropractic care into modern medicine represents a significant shift towards a more holistic and patient-centered approach to healthcare. Supported by growing evidence, interdisciplinary collaboration, and policy changes, chiropractors are increasingly recognized as valuable members of the healthcare team, contributing to improved patient outcomes and overall health. |
Tweet What!Dr. Khong Lamvichit DCChiropractic, Physical Therapy, Nutrition, and good Sports Rehab all lead to one thing. Movement-Strength-Stabilization Archives
November 2024
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