us guided and cadaveric dry needling€¦ · us guided and cadaveric dry needling author: césar...
TRANSCRIPT
Ultrasound Guided and Cadaveric Studies in Dry Needling
César Fernández-de-las-Peñas, PT, PhD
http://catedradefisioterapia-tmps.es
@catedrafisio
Trigger Point Dry Needling
http://catedradefisioterapia-tmps.es
Patrón de Dolor Referido. Glúteo Mayor y MedioPOSITIVE aspects of ULTRASOUND GUIDED
Visualization of the TRIGGER POINT
Can the Needle be seen with Ultrasound?
Patrón de Dolor Referido. Glúteo Mayor y MedioVisualization of the LOCAL TWITCH RESPONSE
Understanding of Dry Needling Mechanisms
Potential Sensitive (Dangerous) Areas
Trigger Point Dry Needling Safety Model
Jonhson McEvoy (Ireland)
Jan Dommerholt (USA)
Christian Gröbli (Switerzland)
César Fernández-de-las-Peñas (Spain)
Cont
rain
dica
tions Com
plications
Safety
Indications for TrP-DN
Main IssuesPain
BruisingHaematoma
Nerve InjuryInfection
Pneumothorax
TrP-DN Safety Model
TrP-DN is not a Standalone Therapy
Multimodal Plan
Individualised for Specific Patient
TrP-DN is
1. Skill based2. Knowledge Based3. Clinical Reasoning
Based
Issa T. Jones & Bartlett.2008 ©
ANATOMÍA CLÍNICA MUSCULAR DEL MIEMBRO INFERIORSternocleidomastoid - Ultrasound Guide Dry Needling
http://catedradefisioterapia-tmps.es
Anterior - Middle Scalene Muscles
David G. Simons, MD, Janet G. Travell, MD & Lois Statham Simons “Myofascial Pain & Dysfunc?on -‐ The Trigger Point Manual”, Volume 1, Copyright 1999
Scalene / Braquial Plexus - Ultrasound Guide
http://catedradefisioterapia-tmps.es
http://catedradefisioterapia-tmps.es
Anterior Scalene - Ultrasound Guide DN
2.5cm.
http://catedradefisioterapia-tmps.es
http://catedradefisioterapia-tmps.es
Middle Scalene - Ultrasound Guide DN
2.5cm.
http://catedradefisioterapia-tmps.es
Supinator Muscle - Radial Nerve
David G. Simons, MD, Janet G. Travell, MD & Lois Statham Simons “Myofascial Pain & Dysfunc?on -‐ The Trigger Point Manual”, Volume 1, Copyright 1999
http://catedradefisioterapia-tmps.es
Supinator Muscle - Ultrasound Guide DN
http://catedradefisioterapia-tmps.es
Trapecio
David Simons Academy©
Supinator Muscle - Ultrasound Guide DN
http://catedradefisioterapia-tmps.es
http://catedradefisioterapia-tmps.es
Iliocostalis Muscle - Ultrasound Guide DN
Proper Therapeutic Target: Muscle
http://catedradefisioterapia-tmps.es
David G Simons (2005)
Ultrasound Guided and Cadaveric Studies in Dry Needling
César Fernández-de-las-Peñas, PT, PhD
http://catedradefisioterapia-tmps.es
@catedrafisio