The Fascinating Technique of Intramuscular Electrical Stimulation Dry Needling
Introduction
Intramuscular electrical stimulation dry needling (IMESDN) is an advance therapy technique that is widely used by physical therapists to manage musculoskeletal pain. IMESDN involves the insertion of a fine needle into the trigger points of a muscle to stimulate a twitch response and release muscle tension. The technique can be performed using a simple needle or an electro acupuncture machine that delivers electrical stimulation through the needle. This article aims to explore the concept of IMESDN, its differences from dry needling, its effectiveness, side effects, benefits, parameters, and contraindications.
What is Intramuscular Dry Needling?
Intramuscular dry needling (IDN) is a technique that involves the insertion of a dry needle into a muscle trigger point to elicit a twitch response and release muscle tension. The technique is used to manage musculoskeletal pain, including myofascial pain syndrome, fibromyalgia, and other conditions that cause muscle tightness and pain. IDN can be performed with or without electrical stimulation.
Does Dry Needling and Electrical Stimulation Work?
Dry needling with electrical stimulation (DNES) has been shown to be effective in managing musculoskeletal pain. A study published in the Journal of Orthopaedic & Sports Physical Therapy found that DNES was more effective than dry needling alone in reducing pain and improving function in patients with myofascial pain syndrome. Another study published in the Journal of Bodywork and Movement Therapies found that DNES was effective in reducing pain and improving function in patients with plantar fasciitis.
Side Effects of Dry Needling with Electrical Stimulation
Like all medical procedures, DNES carries some risk of side effects. Common side effects of DNES include bruising, bleeding, soreness, and pain at the needle insertion site. Patients with bleeding disorders or pacemakers should exercise extreme caution (preferably exclude from this type of treatment) when considering this technique. DNES should only be performed by a qualified practitioner to minimize the risk of adverse events.
What is Dry Needling with Electrical Stimulation?
Dry needling with electrical stimulation (DNES) is a technique that involves the insertion of a dry needle into a muscle trigger point to elicit a twitch response and release muscle tension. Electrical stimulation is then delivered through the needle to further stimulate the muscle fibers and enhance the effects of the dry needling technique. DNES can lead to increased muscle relaxation, improved blood flow, and a reduction in pain.
Dry Needling Electrical Stimulation Parameters
The parameters for DNES can vary depending on the patient’s condition and the practitioner’s preference. Some practitioners may use a low frequency and high-intensity electrical stimulation, while others may use a high frequency and low-intensity electrical stimulation. The duration of the electrical stimulation can also vary, with some practitioners using a brief pulse and others using a continuous pulse. The parameters used for DNES should be tailored to the patient’s needs and adjusted as needed to optimize treatment outcomes.
Benefits of Dry Needling with Electrical Stimulation
Benefits of dry needling with electrical stimulation may include increased muscle relaxation, improved blood flow, and reduced pain. This technique can also enhance recovery after injury or surgery, and may be effective in treating musculoskeletal pain, including trigger points and myofascial pain syndrome. However, patients should be aware of potential side effects and contraindications, and should discuss any concerns with their healthcare provider before undergoing treatment.
Contraindications for Dry Needling with Electrical Stimulation
Although dry needling with electrical stimulation is generally considered safe and effective, there are some contraindications that patients and practitioners should be aware of. For example, patients who have a bleeding disorder or are taking anticoagulant medications (blood thinner) may be at increased risk of bleeding or bruising at the needle insertion site. Patients who have a pacemaker or other implanted electronic devices should also exercise extreme caution (preferably exclude from this type of treatment) when considering this technique, as electrical stimulation may interfere with the function of these devices.
Dry needling therapy should be avoided in certain circumstances due to absolute and relative contraindications. Absolute contraindications include patients with needle phobia, unwillingness or fear, inability to provide informed consent, medical emergencies or acute conditions, areas with lymphedema, and cases where the therapy is deemed inappropriate. Relative contraindications involve patients with abnormal bleeding tendencies, compromised immune systems, vascular disease, diabetes, pregnancy, children, frailty, epilepsy, psychological issues, allergies, specific medications, or any other unsuitability. Careful consideration of these factors is crucial in determining the appropriateness of dry needling therapy for each individual patient.
Conclusion
Intramuscular electrical stimulation dry needling is a technique used by physical therapists to relieve muscle pain and improve function. It involves the insertion of a fine needle into a muscle trigger point to elicit a twitch response and release muscle tension. Dry needling with electrical stimulation involves the use of a dry needling stimulator to deliver electrical stimulation through the needle during dry needling. This can lead to increased muscle relaxation, improved blood flow, and a reduction in pain.
Although dry needling with electrical stimulation is generally considered safe and effective, there are some potential side effects and contraindications to consider. Patients should discuss any concerns with their physical therapist/healthcare provider before undergoing treatment. Overall, dry needling with electrical stimulation can be an effective treatment for musculoskeletal pain, but it should be used in conjunction with other therapies and under the guidance of a qualified practitioner. Further research is needed to determine the optimal parameters for dry needling with electrical stimulation and to compare its efficacy to other treatment modalities.
QUICK GUIDE TO YOUR QUESTIONS
Is IMS-DN a painful procedure?
The level of discomfort experienced during IMS-DN (Intramuscular Electrical Stimulation Dry Needling) can vary depending on individual sensitivity and the targeted areas. The insertion of the dry needles and application of electrical stimulation may cause a brief sensation of discomfort, often described as a mild ache or muscle twitching. However, the discomfort is usually tolerable for most individuals. Skilled practitioners strive to minimize any discomfort by using appropriate needle techniques and adjusting the electrical stimulation intensity based on the patient’s comfort level.
Are there any specific precautions or contraindications for IMS-DN?
Yes, there are certain precautions and contraindications to consider for IMS-DN (Intramuscular Electrical Stimulation Dry Needling). Precautions may include avoiding IMS-DN in areas with compromised circulation, open wounds, or active infections. Contraindications may include individuals with bleeding disorders, pacemakers, or a history of adverse reactions to needling. It is important to consult with a qualified healthcare professional or IMS-DN practitioner to determine if IMS-DN is suitable for your specific condition and any precautions or contraindications that may apply.
Are there any side effects or risks associated with IMS-DN?
While IMS-DN (Intramuscular Electrical Stimulation Dry Needling) is generally considered safe, there are potential side effects and risks to be aware of. These can include temporary soreness or bruising at the needle insertion sites, mild bleeding, or localized muscle twitching during the procedure. In rare cases, there may be a risk of infection or nerve irritation. It is important to have IMS-DN performed by a qualified practitioner who follows proper sterile techniques and understands the anatomy to minimize risks and address any potential complications.
How is electrical stimulation applied during IMS-DN?
During IMS-DN (Intramuscular Electrical Stimulation Dry Needling), electrical stimulation is typically applied by connecting electrodes to the dry needles inserted into the targeted muscle trigger points. The electrical stimulation device generates low-frequency electrical currents that pass through the needles and into the muscle tissue. The intensity and frequency of the electrical stimulation can be adjusted by the practitioner based on the individual’s comfort level and treatment goals. The electrical stimulation aims to enhance the therapeutic effects of dry needling by further stimulating the muscle and promoting muscle relaxation or contraction, depending on the desired outcome.
Disclaimer: This article is intended for informational purposes only and should not replace professional medical advice. It is crucial to consult with a healthcare provider for accurate diagnosis, treatment recommendations, and personalized care for migraines.
Last reviewed on May 11. 2023 by Ahmad Rezvnai, Registered PT
