Trigger point dry needling AKA intramuscular stimulation (IMS) or intramuscular manual therapy (IMT)
TDN is a technique that is only taught to, and utilized by, experienced orthopedic physical therapists. TDN is an advanced treatment for musculoskeletal pain. TDN is performed by placing a small, thin, solid, dry filament needle into a muscle to release the trigger point(s). TDN speeds the restoration of physical performance by reducing pain and optimizing muscular function.
TDN will help you move better and have less pain! TDN or IMS (intramuscular stimulation), is an advanced treatment for muscular tightness, spasms, poor flexibility, tendonitis, arthritis, sports injuries, headaches, and chronic pain. These conditions commonly follow injuries and often accompany the degenerative processes. Muscular tightness and banding causes compression and irritation of the nerves exiting the spine. When the nerves are irritated, they cause a protective spasm of all the muscles to which they are connected. This may lead to diagnoses such as, carpal tunnel, tendonitis, osteoarthritis, decreased mobility, and chronic pain, just to name a few! The thin needle is inserted into the muscle tissue, releasing the trigger point and immediately helping to restore normal pain free motion patterns.
It is not uncommon to have bruising after treatment; some areas are more likely to bruise than others. Some common areas are shoulders, base of neck, head and face, arms and legs. Large bruising rarely occurs, but can. Use ice to help decrease the bruising and if you feel concern please call your treating therapist.
It is not uncommon to feel tired, nauseous, emotional, giggly or “loopy”, and/or somewhat “out of it” after treatment. This is a normal response that can last up to an hour or two after treatment. If this lasts beyond a day contact your treating therapist as a precaution.
There are times when treatment may actually make your typical symptoms worse. This is normal. If this continues past the 24 hour – 48 hour window, keep note of it, as this is helpful information and your treating therapist will then adjust your treatment plan based on your report if needed. This does not mean TDN cannot help your condition.
It is highly recommended that you increase your water intake for the next 24 hours after treatment to help avoid soreness.
It is recommended that you soak in a hot bath or hot tub to help avoid post treatment soreness.
After treatment you may do the following based on your comfort level, if it hurts or exacerbates your symptoms then stop;