Here are the basic steps of deep dry needling therapy:
1. When using dry needling techniques for the treatment of trigger points, your Podiatrist will palpate the target muscle for a taut band (or area of tense muscles) and identify the spot, thereby confirming the trigger point that needs to be treated.
2. The dry needling in Edmonton is typically in a tube and it is fixed with the non-needling hand against the trigger point using a pincer grip or flat palpation depending on the location and orientation of the muscle. Palpation is when the Podiatrist feels around with their fingers or hands to pinpoint areas of tenderness. With the needling hand, the needle is gently loosened from the tube and the top of the needle is tapped or flicked by the Podiatrist, allowing the needle to penetrate the skin.
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3. When the needle has located the trigger point, as suggested by the local twitch response of the affected muscles, the physical therapist will focus on this specific area or other neighboring areas by inserting more needles if necessary or using some gentle massage.
4. The needle will be directed toward the remaining trigger points until local twitch responses have stopped. The needle will be kept in place for about 60-90 seconds and then withdrawn. If the trigger point still appears to be sensitive after the first round, the needle will be placed in the same area again for 2 minutes.
5. When the needle is withdrawn from the skin, pressure is then applied directly to the skin over the insertion in order to aid in the prevention of possible swelling or soreness.