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What Is Dry Needling?
Dry needling is an invasive technique, using a very fine needle inserted into the skin to release myofascial trigger points. Trigger points are a hypersensitive region within a muscle that can cause pain and can present as a tight band within the muscle or a nodule, commonly referred to as ‘knots’. These trigger points can cause pain at the area and often refer pain around the region of the trigger point too. Dry needling helps in the release of the trigger point and the pain or discomfort that can be felt because of it.
What to expect from a Dry Needling treatment
What conditions can Dry Needling help?
By using dry needling in conjunction with other treatments, it can help with different conditions in which myofascial tension occurs, such as:
Calvo-Lobo C, Pacheco-da-Costa S, Martínez-Martínez J, Rodríguez-Sanz D, Cuesta-Álvaro P, López-López D. Dry Needling on the Infraspinatus Latent and Active Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized Clinical Trial. J Geriatr Phys Ther. 2016;41(1):1–13. doi:10.1519/JPT.0000000000000079
Cotchett, M., Munteanu, S., Landorf, K., Effectiveness of Trigger Point Dry Needling for Plantar Heel Pain: A Randomized Controlled Trial, Physical Therapy, Volume 94, Issue 8, 1 August 2014, Pages 1083–1094, https://doi.org/10.2522/ptj.20130255
Fusco P, Di Carlo S, Scimia P, Degan G, Petrucci E, Marinangeli F. Ultrasound-guided Dry Needling Treatment of Myofascial Trigger Points for Piriformis Syndrome Management: A Case Series. J Chiropr Med. 2018;17(3):198–200. doi:10.1016/j.jcm.2018.04.002
Gildir S, Tüzün EH, Eroğlu G, Eker L. A randomized trial of trigger point dry needling versus sham needling for chronic tension-type headache. Medicine (Baltimore). 2019;98(8):e14520. doi:10.1097/MD.0000000000014520
Kietrys, D., Palombaro, K.M., Azzaretto, E., Hubler, R., Schaller, B., Schlussel, J.M., Tucker, M. (2013) 'Effectiveness of Dry Needling for Upper-Quarter Myofascial Pain: A Systematic Review and Meta-analysis ',Journal of Orthopaedic & Sports Physical Therapy, 43(9), pp. 620-634.
Kubo, K., Yajima, H., Takayama, M. et al. Eur J Appl Physiol (2010) 109: 545. https://doi.org/10.1007/s00421-010-1368-z
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Shariat, A., Noormohammadpour, P., Hossein Memari, A., Ansari, N., Cleland, J and Kordi, R. Acute effects of one session dry needling on a chronic golfer’s elbow disability. J Exerc Rehab, 2018, 14, 138-142
Lower back pain
One of the most common injuries golfers experience is lower back pain (Robinson et al., 2018). With the repetitive rotation of a golf swing and bent over stance players perform, the stress through the back is high. Torque (rotational force) created through the pelvis and lumbar spine can overload and strain muscles, ligaments and tendons of lower back. Although muscle and ligament injuries are most common, other injuries to the lower back include disc, degenerative arthritis and bone stress fractures. Back injuries are more common in amateur players then professionals and slightly more common in men than women (Batt,1992).
Golfers and Tennis Elbow
A D Murray, L Daines, D Archibald, R A Hawkes, C Schiphorst, P Kelly, L Grant, N Mutrie (2016) 'The relationships between golf and health: a scoping review',Br J Sports Med.10.1136(096625)
A McHardy, H Pollard (2005) 'Muscle activity during the golf swing', Br J Sports Med, 2005;39:799–804.(doi: 10.1136/bjsm.2005.020271).
M. E. Batt (1992) 'A survey of golf injuries in amateur golfers',BrJ Sp Med, 26(1)(63)
P Robinson, I Murray, A Duckworth, R Hawkes, D Glover, N Tilley, R Hillman, C Oliver, A Murray (2018) 'Systematic review of musculoskeletal injuries in professional golfers',Br J Sports Med,10.1136(099572 ).
Running is a great way to stay active and healthy but with an increase volume or intensity in training, injuries can occur. Here are some of the most common running injuries along with some advice on how to help relieve the symptoms and reduce your likelihood of injury in the first place.
What is it?
Often referred to as Achilles tendonitis or tendonosis, Achilles tendinopathy affects the tendon at the back of the leg. The Achilles tendon connects the muscles of the calf (gastrocnemius and soleus) to the back of your heel and helps with plantarflexion (pointing your foot). Symptoms of Achilles tendinopathy usually develop gradually and include stiffness and pain around the Achilles region which is worse in the morning, but it often eases quite quickly. It may be sore when you start activity but quickly reduce as you continue and is often sore the next day. The tendon may be painful to touch and swelling may be present at the area of the Achilles tendon affected.
Why does it occur?
Whilst running, the foot should move through dorsiflexion during heel strike and plantarflexion during the push off phase of a stride. This repetitive movement means the muscles and the Achilles tendon are working constantly, in a spring-like fashion. Runners have a high chance of developing Achilles tendinopathy due to overuse, which disrupts the structure of the tendon and causes detriment to the spring-like mechanism.
Increases in loading are the biggest contributor to the onset of Achilles tendinopathy, whether this be from training or competition. Also, reduced recovery between training sessions, training on different surfaces and poor or different footwear are all factors that can contribute to the development of symptoms.
Predisposing factors for Achilles tendinopathy include gender – it is more common in males - type 2 diabetes and genetic predisposition. Altered lower limb biomechanics such as reduction in range of motion of the ankle joint and restricted flexibility of the calf muscles also contribute to Achilles tendinopathy arising.