Download - 5 contraindications of dry needling
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Contraindications of Dry Needling
DR. SUBHANJAN DAS, [email protected]
+91 8967549104Dry Needling Instructor
MPT (Musculoskeletal & Sports)Assoc. Prof., BIMLS, Burdwan
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Also in the serieshttp://www.slideshare.net/SubhanjanDas/introduction-to-dry-nee
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http://www.slideshare.net/SubhanjanDas/7-physiologic-background-of-dry-needling
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From APTA resource paper on DN
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Absolute Contraindications:1. In a patient with needle phobia2. Unwilling patient - patient beliefs, fear etc3. Unable to give consent - age-related,
communication, cognitive4. History of untoward reaction to needling (or
injection) in the past5. Medical emergency
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6. Into a muscle or area in patients on anticoagulant therapy or with thrombocytopenia,
where haemostasis by palpation cannot be carried out appropriately e.g. psoas,
tibialis posterior7. Into an area or limb with lymphoedema as
patients with lymphoedema maybe moresusceptible to infection. In addition it is not
advisable to needle a limb after surgicallymphectomy.
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Relative contraindication1. Abnormal Bleeding Tendency: anticoagulant
therapy, thrombocytopenia2. Compromised Immune System:
1. Immunocompromised patients from disease (e.g. Blood borne disease, Cancer, HIV,
AIDS, Hepatitis, bacterial endocarditis, incompetent heart valve or valve
replacements etc.)2. Immunocompromised from immumosuppression therapy or
on cancer therapy3. Debilitated patients or those with chronic illness etc4. Acute immune disorders (E.G. acute states of rheumatoid
arthritis, current infection,local or systemic etc.)
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3. Vascular Disease4. Diabetes5. Pregnancy: one in four to five pregnancies
may naturally terminate in the first trimester. 6. Frail Patients7. Epilepsy8. Children