Dry Needling

Improve muscle mobility

Improved Mobility

Myofascial trigger-point dry needling is an invasive procedure within the scope of physical therapy where a solid filament needle, or acupuncture needle, is inserted into the skin and muscle. It targets myofascial trigger points, which are hyperirritable spots palpated as nodules within a taut band of skeletal muscle. Dry needling can be performed at either a superficial or deep tissue level.

Trigger points form due to the development of a taut band within the muscle. This band is caused by excessive acetylcholine from the motor end plate in combination with the inhibition of acetylcholinesterase and up-regulation of nicotinic acetylcholine receptors.

Taut bands initially form as a protective physiological response to actual or potential muscle damage. These bands are proposed to develop in reaction to unaccustomed eccentric or concentric loading, sustained postures, and repetitive low-load stress. As trigger points persist, chronic myofascial pain can develop.

Dry needling works by producing a local twitch response which is an involuntary spinal cord reflex of muscle fibers within the taut band. Producing a local twitch response is a key component of inactivating trigger points, as it confirms that the needle was accurately placed in the triger point. This response can reduce the concentration of chemicals found in the immediate environment and results in increased blood flow and oxygen levels.

When dry needling is utilized in combination with manual (hands-on) therapy and a comprehensive exercise program there can be a significant decrease in pain and improvement in overall function.

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"As a patient, there’s a big difference between ‘feeling listened to’ and ‘feeling heard.’ Jamie falls 100% in the “I feel heard” camp. He carefully listens and asks questions of clarification that you know aren’t generic ones he asks everyone. There’s also a big difference between a medical professional who uses “medical speak” to explain what’s going on and someone who uses “human speak.” Jamie has the most amazing ability to speak “human” — to explain things in an accessible, easy-to-grasp ways that helps you not only understand what’s happening in your body, but also why the specific treatments and exercises he recommends will make a difference. I’ve always come away feeling smarter and more empowered after working with Jamie — not overwhelmed and frustrated. Simply put, he’s the best of the best."

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