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Designed to be a go-to reference for assessment and treatment planning in the clinic, this is a clear and concise handbook for students and practitioners of dry needling, or medical acupuncture. It includes: · Comprehensive medical illustrations demonstrating trigger point locations and associated pain referral patterns · Easy-to-follow instructions and photographs demonstrating musculoskeletal dry needling points and electroacupuncture techniques · Dedicated section on the acupuncture treatment of tendinopathy · Vital information on palpation and correct needling techniques · Practical guidance on best practice, safety and treatment planning · Overviews of the history and key principles of Traditional Chinese medicine and acupuncture · Up-to-date research on the effect of acupuncture in the treatment of MSK conditions, myofascial pain, trigger points (MTrPS), fascia and pain. The book will be an essential aid for osteopaths, physiotherapists, sports rehabilitators, chiropractors, massage therapists, as well as traditional acupuncturists wishing to understand a Western approach on acupuncture. Other health professionals incorporating, or looking to incorporate dry needling into their treatment programme, will also find this book an invaluable resource.
A major development in the safe and effective treatment of myofascial trigger points and myofascial pain, this book is a concise, comprehensive, and well-illustrated reference on dry needling. John Sharkey—an international authority on myofascial trigger points, myofascial pain, myofascial trigger point dry needling, and neuromuscular therapy as well as an accredited clinical anatomist—draws on his thirty years of experience in bodywork and movement therapy to provide accurate and essential criteria for the identification and subsequent treatment of myofascial trigger points through the exclusive use of a fine, filiform needle. The ideal accompaniment to course notes and the perfect tableside reference guide, this book describes the origin, etiology, and pathophysiology of the myofascial trigger point as well as indications and contraindications for myofascial trigger point dry needling. Instructive illustrations support the text, along with standards and guidelines that ensure safe, effective, and appropriate application. Physical therapists including osteopaths, chiropractors, neuromuscular therapists, soft tissue therapists, physiotherapists, and sports massage therapists will find this guide indispensible. Because Sharkey explains why so many people have unresolved chronic pain and provides clear explanations of how pain is propagated, the book is also an invaluable source of information for patients with chronic pain and their care providers.
This exciting new publication is the first authoritative resource on the market with an exclusive focus on Trigger Point ((TrP) dry needling. It provides a detailed and up-to-date scientific perspective against which TrP dry needling can be best understood. The first section of the book covers important topics such as the current understanding and neurophysiology of the TrP phenomena, safety and hygiene, the effect of needling on fascia and connective tissue, and an account on professional issues surrounding TrP dry needling. The second section includes a detailed and well-illustrated review of deep dry needling techniques of the most common muscles throughout the body. The third section of the book describes several other needling approaches, such as superficial dry needling, dry needling from a Western Acupuncture perspective, intramuscular stimulation, and Fu's subcutaneous needling. Trigger Point Dry Needling brings together authors who are internationally recognized specialists in the field of myofascial pain and dry needling. First book of its kind to include different needling approaches (in the context of evidence) for the management of neuromuscular pain conditions Highlights both current scientific evidence and clinicians' expertise and experience Multi-contributed by a team of top international experts Over 200 illustrations supporting the detailed description of needling techniques
This book examines a special topic, JMMT. Emphasis is on the etiology of trigger points with a critical overview of current concepts. The contributing authors are the most respected myofascial pain research and practice experts. The authors address the etiology of trigger points, the epidemiology of myofascial pain, clinical management of patients, specific treatment issues, and the role of trigger points in various pain syndromes.
A pioneering, one-stop manual which harvests the best proven approaches from physiotherapy research and practice to assist the busy clinician in real-life screening, diagnosis and management of patients with musculoskeletal pain across the whole body. Led by an experienced editorial team, the chapter authors have integrated both their clinical experience and expertise with reasoning based on a neurophysiologic rationale with the most updated evidence. The textbook is divided into eleven sections, covering the top evidence-informed techniques in massage, trigger points, neural muscle energy, manipulations, dry needling, myofascial release, therapeutic exercise and psychological approaches. In the General Introduction, several authors review the epidemiology of upper and lower extremity pain syndromes and the process of taking a comprehensive history in patients affected by pain. In Chapter 5, the basic principles of the physical examination are covered, while Chapter 6 places the field of manual therapy within the context of contemporary pain neurosciences and therapeutic neuroscience education. For the remaining sections, the textbook alternates between the upper and lower quadrants. Sections 2 and 3 provide state-of-the-art updates on mechanical neck pain, whiplash, thoracic outlet syndrome, myelopathy, radiculopathy, peri-partum pelvic pain, joint mobilizations and manipulations and therapeutic exercises, among others. Sections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics. The only one-stop manual detailing examination and treatment of the most commonly seen pain syndromes supported by accurate scientific and clinical data Over 800 illustrations demonstrating examination procedures and techniques Led by an expert editorial team and contributed by internationally-renowned researchers, educators and clinicians Covers epidemiology and history-taking Highly practical with a constant clinical emphasis
Upper & Lower Quarter HeadingPage CHAPTER 1 - INTRODUCTION1 History2 International Definitions4 Introduction to Pain 6 Myofascial Trigger Points 14 CHAPTER 2 - UNDERSTANDING DRY NEEDLING31 Models of Dry Needling32 Types of Dry Needling34 Physiological Effects of Dry Needling35 Analgesic Effects35 Biochemical Modulation 38 Mechanical Effects39 Understanding Needles43 Handling Needles44 Practising Needling/Method Of Needling45 Direction Of Insertion46 Basic Insertion Techniques47 Manipulation47 Order Of Insertion And Removal Of Needles48 Patient Education49 Hygiene49 Material Required53 Indications53 Contraindications53 Precautions55 Appropriate Selection Of Patient55 Procedure of Dry Needling56 Advantages57 Management Of Adverse Events57 CHAPTER 3 - TRIGGER POINT DRY NEEDLING (UPPER QUARTER)60 Supraspinatus61 Infraspinatus62 Rhomboid Major And Rhomboid Minor63 Latissimus Dorsi65 Upper Trapezius66 Teres Major68 Teres Minor 69 Subscapularis70 Levator Scapulae71 Deltoid72 Biceps 74 Triceps75 Anconeus76 Brachialis77 Brachioradialis78 Supinator79 Extensor Carpi Radialis Brevis80 Extensor Digitorum81 Extensor Carpi Ulnaris82 Pronator Teres83 Flexor Carpi Radialis 84 Flexor Digitorum Profundus And Superficialis85 Adductor Pollicis87 Opponens Pollicis88 Abductor Pollicis Brevis89 Dorsal Introssei90 CHAPTER 4 - TRIGGER POINT DRY NEEDLING (LOWER QUARTER)91 Gluteus Maximus92 Gluteus Medius93 Gluteus Minimus94 Piriformis95 Tensor Fascia Latae96 Adductor Magnus 97 Adductor Longus98 Pectenius99 Rectus Femoris100 Vastus Lateralis101 Vastus Medialis102 Vastus Intermidius103 Hamstring104 Sartorius106 Popliteus107 Gastronemius108 Soleus110 Plantaris111 Tibialis Anterior112 Tibialis Posterior113 Peroneus Tertius114 Peroneus Longus115 Extensor Hallucis Longus116 Extensor Digitorum Longus117 Extensor Digitorum Brevis 118 Flexor Hallucis Longus119 Flexor Hallucis Brevis120 Extensor Hallucis Brevis121 Adductor Hallucis 122 Abductor Hallucis 123 Flexor Digitorum Brevis124 Abductor Digiti Minimi125 Quadratus Plantae126 Dorsal And Planter Interossei127 SUGGESTIVE READING129
Develop your knowledge of chiropractic and osteopathy with this comprehensive guide to advanced skills and peripheral manipulation techniques. This practical handbook takes into account the latest research, highlighting the neurophysiological effects of these techniques, and providing clear, step-by-step guidance from experienced manual therapists. Covering key topics such as the effects of manipulation on organs, working in sports settings, and motion palpation misconceptions, the book demonstrates how to work with a range of joints with advice on diagnostics, contraindications and safety precautions. This is an expert collaboration between professions and can be used as the go-to clinical handbook for all manual therapists.
Written by widely respected acupuncture expert Yun-tao Ma, PhD, LAc, Biomedical Acupuncture for Sports and Trauma Rehabilitation shows techniques that will enhance athletic performance, accelerate recovery after intensive workouts, and speed trauma rehabilitation after injuries or surgeries. Evidence-based research is used to support the best and most effective techniques, with over 100 illustrations showing anatomy, injury, and clinical procedures. Unlike many other acupuncture books, this book uses a Western approach to make it easier to understand rationales, master techniques, and integrate biomedical acupuncture into your practice. "Finally, a well-referenced, common sense approach to dry needling in sports medicine that discusses maintenance, overtraining, and the effect of the stress response in atheletes. This is a long-awaited book that will leave you feeling comfortable with a technique that is very useful not only for atheletes, but for all patients of your practice." Rey Ximenes, MD The Pain and Stress Management Center Austin, Texas "For any clinician involved with assisting atheletes recover from injury, as well as providing services to enhance physical performance, this text will be indispensable. This book is a major accomplishment in the field of sports injury and treatment of musculoskeletal and neurological pain." Mark A. Kestner, DC, FIAMA, CCSP, CSCS Kestner Chiropractic & Acupuncture Center Murfreesboro, Tennessee - Unique! Explores acupuncture treatments for sports injuries in the acute phase, rehabilitation, and prevention. - Includes acupuncture for performance enhancement and injury prevention, emphasizing pre-event acupuncture used to help increase muscle output, assist with pre-competition stress, and prevent soft tissue injury. - Provides evidence-based research to show the science behind the best and most effective techniques, based on the author's background in neuroscience and cell biology and his 35 years of clinical acupuncture experience. - Offers an overview of the science of biomedical acupuncture including the mechanisms of acupuncture, anatomy and physiology of acupoints, and discussion of human healing potential. - Uses terminology and concepts familiar to Western-trained health professionals, making the material easier to understand and incorporate into practice. - Includes more than 100 illustrations showing anatomy, injury, and clinical procedures. - Covers useful techniques including those that increase muscle force output, joint flexibility and stability; prevent sports injuries like muscle sprain, tendonitis, bone strain, stress/fatigue fracture and bone spurs; reinforce muscle output for specific sports; normalize physiology of dysfunctional soft tissues; predict treatment response; reduce physiological stress; use the new Vacuum Therapy for deep tissue dysfunctions; and balance the biomechanics of musculoskeletal system.
Trigger point therapy is one of the fastest-growing and most effective pain therapies in the world. Medical doctors, chiropractors, physical therapists, and massage therapists are all beginning to use this technique to relieve patients’ formerly undiagnosable muscle and joint pain, both conditions that studies have shown to be the cause of nearly 25 percent of all doctor visits. This book addresses the problem of myofascial trigger points—tiny contraction knots that develop in a muscle when it is injured or overworked. Restricted circulation and lack of oxygen in these points cause referred pain. Massage of the trigger is the safest, most natural, and most effective form of pain therapy. Trigger points create pain throughout the body in predictable patterns characteristic to each muscle, producing discomfort ranging from mild to severe. Trigger point massage increases circulation and oxygenation in the area and often produces instant relief. The Trigger Point Therapy Workbook, Third Edition, has made a huge impact among health professionals and the public alike, becoming an overnight classic in the field of pain relief. This edition includes a new chapter by the now deceased author, Clair Davies’ daughter, Amber Davies, who is passionate about continuing her father’s legacy. The new edition also includes postural assessments and muscle tests, an illustrated index of symptoms, and clinical technique drawings and descriptions to assist both practitioners and regular readers in assessing and treating trigger points. If you have ever suffered from, or have treated someone who suffers from myofascial trigger point pain, this is a must-have book.
The book focuses on the practical application of articulation and mobilisation techniques with clear explanations and visual support of the techniques. Techniques are described for all body regions. Most other books for therapists include only one chapter on these important techniques. This book covers a variety of best practise techniques for all areas of the body. Examples are given to show how to adapt the techniques with the patient in different positions. It also addresses the use of these techniques on children, the elderly and pregnant women. The mechanisms of each technique are explained with reference to the related anatomy and physiology. Information is also given to help the therapist use the techniques safely (for both themselves and their patients) by adapting their own stance and posture to get maximum effect with minimum effort.