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Trigger Point Dry
Needling (TDN)
What is Trigger Point Dry Needling?
Trigger Point Dry Needling (TDN) is a physical therapy treatment technique that utilizes thin filament needles to
make changes in myofascial trigger points. Myofascial trigger points are small, local “knots” in muscles that can
contribute to pain and decreased muscle function. TDN is a very effective component of an overall treatment
plan for managing soft tissue injuries, disorders, and pain.
What can TDN do for you?
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Resolves tough cases, particularly those involving chronic myofascial pain
Allows you to perform daily tasks, attend work, and participate in activities you love, without pain
Positive responses often occur immediately following treatment
Helps to return you to your optimal level of function better and faster
Is this similar to Acupuncture?
The only similarity to acupuncture is the use of an acupuncture needle. TDN directly treats the neuromuscular
system. Electromyographic testing has shown that spontaneous electrical activity at the nerve-muscle junction
triggers adverse muscle tension. This tension or guarding causes pain, and decreased joint mobility, range of
motion, functional strength, speed, power, and agility. TDN provides a sensory stimulus to a local trigger point at
the nerve-muscle junction, causing a quick twitch, followed by a release of the adverse muscle tension. During
treatment, patients often report feeling a cramping sensation followed by an immediate improvement of
symptoms. The goal of TDN is reduce muscle guarding, decrease pain, and restore optimal muscle function.
How can TDN help?
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The rationale for TDN is based on well-established treatment models of neuropathic pain.
Emerging evidence shows that TDN is effective in the management of chronic low back pain and whiplash
associated disorders.
TDN requires a thorough examination of the musculoskeletal system by physical therapists who have received
advanced training, and should be implemented as part of a comprehensive physical therapy plan of care.