Dry Needling as a modality is used increasingly more in the treatment of patients and more health care providers are now able to incorporate it within their field. This prompted the authors to update the first edition of this book with up to date evidence and include chapters on the treatment of individuals with different conditions like tendinopathy, enthesopathy and spasticity.
The book, Trigger Point Dry Needling: An Evidence and Clinical-Based Approach by Jan Dommerholt and César Fernández-de-las-Peñas, is divided into three parts with several chapters in each part.
Part One: Basis of trigger point dry needling
This first part covers the concepts of myofascial trigger points and the proposed mechanisms and effects of trigger point dry needling. It further expands on the use of dry needling on scars, tendons and treatment in patients with neurological conditions, the scope of practice and the different professionals using dry needling. The authors also discuss safety guidelines including hygiene, contraindications, precautions, anatomical considerations, procedural adverse events, the importance of patient selection and general principles like patient education, consent and the practical application.
Part Two: Clinical and evidence-informed approach of trigger point dry needling
Part two focusses on the evidence base for the use of dry needling on muscles in different parts of the body. Each chapter introduces common conditions related to the body area and then explains the clinical relevance of myofascial trigger points in syndromes in that area. The deep dry needling of the muscles in that area is then discussed by listing each muscle and explaining the anatomy, function, innervations, trigger point pain referral, the needling technique for that muscle and the precautions to take. Colour images are provided for each muscle to show the hand position, grip, needle angle and the technique used. *The anatomy is described without any anatomy images present, so it is recommended to have an anatomy atlas nearby to reference as needed.
Part Three: Other Approaches
Other dry needling approaches are discussed in detail by providing the current research, clinical application of the techniques and the treatment methods. The following approaches are covered, superficial dry needling, dry needling from a western medical acupuncture perspective, intramuscular stimulation and Fu’s subcutaneous needling.
The authors make reference to the available evidence and mention the limitations where applicable. Where research is lacking and where the authors give their opinion it is clearly stated throughout the book and discussed.
“Dry needling is effective for reducing acute and chronic pain and improving motor performance, range of motion and strength.”
The textbook is recommended for anyone interested in the topic or planning to do dry needling courses, however, it is not a replacement for hands-on training, but rather an excellent companion to training.
This book is great for someone who has done dry needling courses and wants to refresh their knowledge on the techniques for specific muscles, learn about the evidence for the treatment of specific conditions or other dry needling approaches that was not covered in their courses.
Reading about the research supporting this modality and the evidence for use for specific conditions will invigorate any trained practitioner to use dry needling with confidence and to educate their patients using evidence-based explanations.