Broadly, in Australia and elsewhere the meaning of Dry Needling covers the insertion of needles without injecting any substances, and therefor includes WMA. This modality evolved with the treatment of Myofascial Trigger Points (MTrP’s). needling may be used to treat or help treat other podiatric medical problems including enhancing a local tissue healing effect or reducing the symptoms of neuropathy. Often also you are dealing with an emphasis on resolving pain and improving function.
Overall DN is particularly useful for pain of musculoskeletal and neurological conditions relating to the lower limb for us. You are providing treatment to the actual tissue that is damaged such as joints or tendons or ligaments, combined with helping reduce referred pain and dysfunctional as well. We will cover the adjunctive therapies you will also be using to compound your effectiveness.
A. Podiatrists clearly have the medical competencies required to insert an acupuncture needle safely and determine when it is medically inappropriate to do so. Podiatrists also have the competency to follow the appropriate course of action if an adverse event were to occur. Podiatrists graduate with training in skin penetration, injection techniques, minor surgical training, wound healing skills and lower limb high risk management training.
B. The practical skills can be quickly and easily learnt. The Practical Needling Essentials (PNE1) workshop provides the training required to begin making extensive use of needling techniques and gives you a broad base to build on.
C. There is no requirement to learn or have a belief in traditional theories.
D. Major adverse events are rare. Medical training further improves safety.
E Scientific research** has illuminated the principal mechanisms that explain how acupuncture works. This knowledge helps determine the thrust and tactics of treatment.
- Local to the point of insertion there is a release of peptides that increase blood flow and enhance healing.
- The action potential in the peripheral nerve from the needling will initiate a response at the spinal level in the dorsal horn which causes an analgesic affect in the segment containing that nerve.
- The same action potential also ascends to the mid-brain and initiates a response with descending inhibitory pain control to every level of the spinal cord causing an extra segmental analgesic affect by initiating a release of various neuromodulators.
- Central regulating effects are also initiated with the limbic system responsible for the affective response to pain, a general emotional calming and often-improved sleep as well as stimulating the pituitary to enable the release of hormones such as ACTH and Endorphin.
- When inserted into tender taut bands in muscles known as myofascial trigger points, the acupuncture needle will cause the release of the constriction in that band and its associated symptoms. This technique is known as ‘dry needling’ to denote that nothing has been injected.
DN / WMA needling is a modality that is low technology and cost, it promotes healing, reduces pain and enhances feelings of well being. It is easily used in combination with other modalities to enhance outcomes. It may even replace existing treatments for some conditions. Acupuncture also provides a possible treatment for some conditions that do not have extensive treatment protocols, such as neuropathic pain.
** An Introduction to Western Medical Acupuncture, A. White, M. Cummings, J. Filshie, Churchill Livingston, 2008 **