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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.
All color pictures Upper & Lower Quarter Heading Page CHAPTER 1 - INTRODUCTION 1 History 2 International Definitions 4 Introduction to Pain 6 Myofascial Trigger Points 14 CHAPTER 2 - UNDERSTANDING DRY NEEDLING 31 Models of Dry Needling 32 Types of Dry Needling 34 Physiological Effects of Dry Needling 35 Analgesic Effects 35 Biochemical Modulation 38 Mechanical Effects 39 Understanding Needles 43 Handling Needles 44 Practising Needling/Method Of Needling 45 Direction Of Insertion 46 Basic Insertion Techniques 47 Manipulation 47 Order Of Insertion And Removal Of Needles 48 Patient Education 49 Hygiene 49 Material Required 53 Indications 53 Contraindications 53 Precautions 55 Appropriate Selection Of Patient 55 Procedure of Dry Needling 56 Advantages 57 Management Of Adverse Events 57 CHAPTER 3 - TRIGGER POINT DRY NEEDLING (UPPER QUARTER) 60 Supraspinatus 61 Infraspinatus 62 Rhomboid Major And Rhomboid Minor 63 Latissimus Dorsi 65 Upper Trapezius 66 Teres Major 68 Teres Minor 69 Subscapularis 70 Levator Scapulae 71 Deltoid 72 Biceps 74 Triceps 75 Anconeus 76 Brachialis 77 Brachioradialis 78 Supinator 79 Extensor Carpi Radialis Brevis 80 Extensor Digitorum 81 Extensor Carpi Ulnaris 82 Pronator Teres 83 Flexor Carpi Radialis 84 Flexor Digitorum Profundus And Superficialis 85 Adductor Pollicis 87 Opponens Pollicis 88 Abductor Pollicis Brevis 89 Dorsal Introssei 90 CHAPTER 4 - TRIGGER POINT DRY NEEDLING (LOWER QUARTER) 91 Gluteus Maximus 92 Gluteus Medius 93 Gluteus Minimus 94 Piriformis 95 Tensor Fascia Latae 96 Adductor Magnus 97 Adductor Longus 98 Pectenius 99 Rectus Femoris 100 Vastus Lateralis 101 Vastus Medialis 102 Vastus Intermidius 103 Hamstring 104 Sartorius 106 Popliteus 107 Gastronemius 108 Soleus 110 Plantaris 111 Tibialis Anterior 112 Tibialis Posterior 113 Peroneus Tertius 114 Peroneus Longus 115 Extensor Hallucis Longus 116 Extensor Digitorum Longus 117 Extensor Digitorum Brevis 118 Flexor Hallucis Longus 119 Flexor Hallucis Brevis 120 Extensor Hallucis Brevis 121 Adductor Hallucis 122 Abductor Hallucis 123 Flexor Digitorum Brevis 124 Abductor Digiti Minimi 125 Quadratus Plantae 126 Dorsal And Planter Interossei 127 SUGGESTIVE READING 129
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
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.
Master the techniques and problem-solving skills needed to manage spinal and TMJ disorders! Manual Physical Therapy of the Spine, 2nd Edition provides guidelines to manipulation, manual physical therapy examination, and treatment procedures of the spine and temporomandibular joint. Informed by evidence-based research, this text offers detailed instructions for reaching an accurate diagnosis and developing a plan of care. Written by well-known spinal manipulation expert Kenneth Olson, this resource provides the complete information you need to make sound decisions during clinical interventions. - Descriptions of manual therapy techniques include evidence-based coverage of the examination and treatment of spine and TMJ disorders, along with discussions of alternative treatment methods and potential adverse effects and contraindications to manipulation. - Guidelines for completing a comprehensive spinal examination include medical screening, the patient interview, disability assessment, and tests and measures, along with an evaluation of the examination findings and the principles involved in arriving at a diagnosis and plan of care. - Impairment-based manual physical therapy approach includes a review of the evidence to support its use to evaluate and treat spinal and TMJ conditions. - Case studies demonstrate the clinical reasoning used in manual physical therapy. - Guide to Physical Therapist Practice terminology is incorporated throughout the book, using accepted terms familiar in physical therapy settings. - Expert author Ken Olson is a highly respected authority on the subject of spinal manipulation in physical therapy. - A clear, consistent format for explaining techniques makes this reference easy to use in the clinical setting. - NEW! Coverage of emerging topics includes soft tissue assessment, mobilization, dry needling, myofascial pain and trigger points, thoracic outlet syndrome, cervicogenic dizziness, and differentiation of headache types, plus expanded coverage of examination procedures and psychologically informed management strategies for chronic low back pain. - 120 NEW video clips are added to the companion website — over 200 videos in total provide unique 3-dimensional views of exam and manipulation techniques, showing each procedure step by step from frontal, lateral, and cranial perspectives. - NEW! Full-color design and photographs show essential concepts and procedures from multiple angles, illustrating hand and body placement and direction of force. - UPDATED evidence-based research provides the latest thinking on manual therapy of the spine.
Advanced Techniques in Musculoskeletal Medicine & Physiotherapy is a brand new, highly illustrated guide to the diagnosis and treatment of musculoskeletal disorders. It demonstrates how to safely and effectively use selected minimally invasive therapies in practice. In addition to more well-established techniques such as acupuncture or dry needling, this ground-breaking resource also covers techniques including intratissue percutaneous electrolysis, mesotherapy, percutaneous needle tenotomy, and high volume image guided injections. Other featured chapters include those on specific musculoskeletal ultrasound such as sonoanatomy and ultrasound-guided procedures. Each chapter describes the principles, indications and contraindications, mechanisms of action and detailed outlines of techniques with an emphasis throughout on accessible practical information. Additionally, methodologies, research results and summaries of studies for particular minimally invasive therapies are presented. The book is also supported by a companion website - www.advancedtechniquesonline.com - containing procedural video clips, a full colour image library and interactive multiple choice questions (MCQs). skills-based and clinically-oriented - reinforced by the latest contemporary scientific medical research chapters on outcomes in clinical practice indications and contraindications discussed clinical cases, key terms and key points boxes used throughout companion website - www.advancedtechniquesonline.com - containing procedural video clips, full colour image bank and interactive MCQs
In the last decade several hundred thousand microneedling treatments have been performed in the western world. Yet prior to 2000 it was an unheard of practice mulling around the back pages of dry scientific trials on drug absorption. So what changed? Interestingly in an industry often driven by hype and marketing, it is the results that microneedling can produce that are really setting it apart. 176 pages 2nd Edition 2015
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.
Since the third edition of Grieve's Modern Manual Therapy was published in 2005, the original concepts of manipulative therapy have grown to embrace new research-generated knowledge. Expansions in practice have adopted new evidence which include consideration of psychological or social moderators. The original manual therapy or manipulative therapy approaches have transformed into musculoskeletal physiotherapy and this is recognized by the change in title for the new edition – Grieve's Modern Musculoskeletal Physiotherapy. Grieve's Modern Musculoskeletal Physiotherapy continues to bring together the latest state-of-the-art research, from both clinical practice and the related basic sciences, which is most relevant to practitioners. The topics addressed and the contributing authors reflect the best and most clinically relevant contemporary work within the field of musculoskeletal physiotherapy. With this as its foundation and a new six-strong editorial team at its helm, the fourth edition now expands its focus from the vertebral column to the entire musculoskeletal system. For the first time both the spine and extremities are covered, capturing the key advances in science and practices relevant to musculoskeletal physiotherapy. The book is divided into five parts containing multiple sections and chapters. The first part looks at advances in the sciences underpinning musculoskeletal physiotherapy practice. Here there is commentary on topics such as movement, the interaction between pain and motor control as well as neuromuscular adaptations to exercise. Applied anatomical structure is covered in addition to the challenges of lifestyle and ageing. A new section highlights the important area of measurement and presents the scope of current and emerging measurements for investigating central and peripheral aspects relating to pain, function and morphological change. Another section discusses some contemporary research approaches such as quantitative and qualitative methods as well as translational research. Part III contains sections on the principles of and broader aspects of management which are applicable to musculoskeletal disorders of both the spine and periphery. Topics include models for management prescription, communication and pain management and contemporary principles of management for the articular, nervous and sensorimotor systems. In recognition of the patient centred and inclusive nature of contemporary musculoskeletal practice, there is also discussion about how physiotherapists may use cognitive behavioural therapies when treating people with chronic musculoskeletal disorders. The final part of the book focuses on selected contemporary issues in clinical practice for a particular region, condition or the most topical approaches to the diagnosis and management of a region. A critical review of the evidence (or developing evidence) for approaches is given and areas for future work are highlighted. - Presents state-of-the-art manual therapy research from the last 10 years - Multidisciplinary authorship presents the viewpoints of different professions crucial to the ongoing back pain management debate - Highly illustrated and fully referenced
Manual Therapy of the Extremities presents manual therapy techniques from a variety of perspectives. The presentation of multiple techniques for each joint restriction is a unique feature of this book that provides students with a comprehensive and well-rounded approach to mobilization. The consistent format in the presentation of techniques makes for an easy-to-use resource for students and practicing physical therapists. Additionally, the majority of manual therapy books on the market focus on the spine, whereas this book focuses on the upper and lower extremities.