History of Dry Needling

DR. SUBHANJAN DAS, PTSubhanjan_82@yahoo.com

+91 8967549104Dry Needling Instructor

MPT (Musculoskeletal & Sports)Assoc. Prof., BIMLS, Burdwan

Also in the serieshttp://www.slideshare.net/SubhanjanDas/introduction-to-dry-nee

dling

http://www.slideshare.net/SubhanjanDas/2-brief-hisory-of-needling

http://www.slideshare.net/SubhanjanDas/3-superficial-dry-needling

http://www.slideshare.net/SubhanjanDas/4-indications-of-dry-needling

http://www.slideshare.net/SubhanjanDas/6-dangers-of-dry-needling

http://www.slideshare.net/SubhanjanDas/7-physiologic-background-of-dry-needling

http://www.slideshare.net/SubhanjanDas/8-dn-vs-acupuncture

http://www.slideshare.net/SubhanjanDas/9-electroacupuncture

http://www.slideshare.net/SubhanjanDas/10-legalities-involved-in-dry-needling

Timeline1828 -Inspired by acupuncture English physician

Churchill tries needling of points of maximum tenderness in “rheumatalgia”, published a book with his findings.

1882-Sir William Osler, professor of medicine at Oxford University describes dry needling for lumbago in his book ‘The Principles and Practice of Medicine’,

He inserted, ‘needles of from three to four inches in length (ordinary bonnet needles sterilised will do). . . Into the lumbar muscles at the seat of the pain’.

Timeline1938- Kellgren injects procaine (LA) directly

into trigger point and deactivates them1940’S- Janet Travel uses the term dry

needling1955- Sola & Kuitert injects saline water in

trigger point, they opine: ‘the use of normal saline has none of the disadvantages often associated with the use of a local anaesthetic but appears to have the same therapeutic value’

1979: Karel Lewit becomes one of the first physicians to employ Dry Needling for pain relief. The use of acupuncture needles is a refinement of the earlier methods which used hypodermic needles. This significantly reduces the risk of haematoma and bruising associated with hollow needles

1980- Frost et al finds out saline water fared better than local anaesthetic

1984: Maryland becomes the first US state to allow needling by PT’s.

SchoolsBecause dry needling originated in various

geographic locations simultaneously, multiple models of needling has developed.

Popular models are Radiculopathy model of Gunn, trigger point model, spinal segmental sensitization,

Neural needling, twitch obtaining IMS

Radiculopathy modelCanadian physician Chan Gunn is the

proponent of the radiculopathy model. In Gunn’s view, shortening of the paraspinal

muscles, particularly the multifidi muscles, leads to disc compression, narrowing of the intervertebral foramina, or direct pressure on the nerve root, which subsequently would result in peripheral neuropathy.

TrP ModelMyofascial pain originates from myofascial

trigger point. Deactivating the trigger points by needling is the management.

SDNPeter Baldry started SDN where the needle is

inserted only a few mm.

Other modelsThe spinal segmental sensitization model and

neural acupuncture involves exclusive use of injections, which are outside the scope of physiotherapy