
ADVANCED DRY NEEDLING
Advanced Dry Needling is a skilled intervention that introduces a dry (no solution injected) monofilament needle into a specific tissue to create a change in pain, blood flow, and muscle tightness. It is a highly effective therapy to treat muscular tension and spasm which commonly accompanies arthritis, nerve irritation, muscular strain, ligament sprains, and spinal disc herniation.

INITAL EXAM
STEP 1
Patient offers specific information leading up to the physical complaint of injury/pain. The physician does a thorough exam to determine what actually needs to be done, and discusses with patient prior to procedure being performed. This requires hands-on soft tissue testing.
INSERTION
STEP 2
Dry needling refers to a procedure in which a fine needle is inserted into the skin and muscle at a site of myofascial pain. The needle may be moved in an up-and-down motion, rotated, and/or left in place for as long as 15 minutes. The intent is to stimulate underlying myofascial trigger points, muscles, and connective tissues to manage myofascial pain. Dry needling may be performed with acupuncture needles or standard hypodermic needles, but is performed without the injection of medications (e.g., anesthetics, corticosteroids). Dry needling is proposed to treat dysfunctions in skeletal muscle, fascia, and connective tissue. Diminish persistent peripheral pain, and reduce impairments of body structure and function.
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In addition to dry needling, e-stim can enhance the treatment's long-term pain-relieving effect. E-stim will not only help by stimulating blood flow, it can also provide analgesic effects to help numb the pain.

START HEALING
STEP 3
The process seems simple enough, but wound healing is actually quite complicated and involves a long series of chemical signals. Certain factors can slow or prevent healing entirely.
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One of the most dramatic factors is reduced or inadequate blood supply to the wound. The oxygen and nutrients that new blood carries to the wound are essential to successful healing. A wound that is not getting enough blood could take at least twice as long to heal if it heals at all. By some estimates, as many as 6.5 million people in the United States suffer with wounds that are not healing well. These are called chronic wounds, which are more common in elderly people or people with diabetes, high blood pressure, obesity, or other vascular disease.
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If you have a wound that is not healing in a reasonable time frame, make an appointment with TBP today!.