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Top 6 mistakes clinicians make when using dry needling

What are the top 6 mistakes clinicians make when using dry needling?

Dry needling has emerged as a common technique within the realm of musculoskeletal treatment; however, its safe and effective application necessitates meticulous clinical reasoning, precise anatomical knowledge, and strict adherence to safety protocols. Healthcare professionals often encounter errors in interconnected domains, including inadequate patient screening, anatomical misjudgments, flawed decision-making processes, overuse of the technique, errors […]

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a woman hand checking the lower back of a man on a bed

Scientific Foundation: Microanatomy, Innervation, and Biochemistry of Deep Fascia Pertinent to Steccoโ€™sยฎ Fascial Manipulationยฎ

Scientific Principles of Fascial Manipulationยฎ As proficient clinicians, we acknowledge your dedication to evidence-based practice and innovative interventions. Disregard the superficial and explore the scientific principles underlying Fascial Manipulationยฎ (FM). This is not merely a fashionable method; it is a system grounded in the microanatomy, biomechanics, and mechanotransduction characteristics of deep fascia. By comprehending the

Scientific Foundation: Microanatomy, Innervation, and Biochemistry of Deep Fascia Pertinent to Steccoโ€™sยฎ Fascial Manipulationยฎ Read More ยป

Dry Needling in Concussion

Dry Needling in Concussion Rehab: A High-Impact Skill for Clinicians

Concussion care is evolving, and clinicians need tools that keep pace. One increasingly effective, evidence-informed intervention making waves in concussion management is dry needling. Once seen as a niche modality, dry needling in concussion is now emerging as a frontline technique for addressing neuromuscular dysfunction in patients recovering from mild traumatic brain injury (mTBI). For

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Concussion Care

Advancements in Concussion Care: Insights from the 6th International Conference on Concussion in Sport and the recent NATAโ€™s Bridge Statement on Management of Sport-Related Concussion

ย As we approach the beginning of football season, we must review our EAPs and the recommendations for the care of our high-contact athletes. As athletic trainers and sports medicine professionals, staying current with the latest guidelines and best practices is crucial for providing the highest standard of care. The 6th International Conference on Concussion in

Advancements in Concussion Care: Insights from the 6th International Conference on Concussion in Sport and the recent NATAโ€™s Bridge Statement on Management of Sport-Related Concussion Read More ยป

Disinfecting skin in dry needling

Disinfecting the Skin in Dry Needling: Skin Prep or No Skin Prep?

 As a practitioner and instructor of dry needling, I have continually refined my clinical practice based on emerging evidence and a critical assessment of established protocols. The consistent practice of disinfecting the skin in dry needling before needle insertion has frequently been a topic of discussion concerning dry needling methods. During the Foundations in Dry

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Pediatric Injuries

Dry Needling for Pediatric Injuries| Safe for Kids Ages 12+

One of our most important jobs as parents is to keep our children safe.  However, as any parent knows – kids are going to be kids, and they do occasionally get hurt and sustain pediatric injuries.  Additionally, just like with adults, kids have their own unique personality quirks which can run the gamut from Evel Knievel wanna-be

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Ice Baths

Ice Baths. Powerful Evidence-Based Science or Social Media Fad?

A cold plunge, also known as cold-water immersion or ice bath, is a short dip in cold water, typically around 50ยฐF or colder. This can include a bathtub filled with ice water or the โ€œpolar bear plungeโ€, where you go for a swim in a naturally cold body of water (usually in winter). The duration of a cold plunge varies widely from a recommended 30 seconds when first acclimating to the experience, to up to 20 minutes for experienced plungers.

Ice Baths. Powerful Evidence-Based Science or Social Media Fad? Read More ยป

dry needling manipulation of dry needle

Needle Manipulation in Dry Needling: Three Techniques, Their Mechanisms, and Clinical Consequences

Dry needling has evolved from a rudimentary technique into a sophisticated manual therapy intervention rooted in a comprehensive mechanistic framework. Among the most therapeutically significant aspects of this technique is needle manipulationโ€”specifically, the movement or rotation of a needle after its insertion into tissue. This blog explores the physiological rationale and evidence that supports diverse

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Dry Needling for Stroke

Expert Consensus on Dry Needling for Stroke Spasticity: A Positive Game Changer?

One of the most frequently posed inquiries I encounter, both in my correspondence and during my dry needling courses, pertains to the effective management of post-stroke spasticity. This condition is multifaceted, and identifying dependable, evidence-based strategies is of utmost importance. Due to this, I was drawn to the recent study, “Expert Consensus on the Application

Expert Consensus on Dry Needling for Stroke Spasticity: A Positive Game Changer? Read More ยป

boy standing near dock

Neuromuscular Control and Rehabilitation

In the dynamic realm of sports, effective rehabilitation is not solely concerned with the healing of injuries; it is also about transforming athletes into elite performers. Drawing from Sue Falsone’s Book, “Bridging the Gap between Rehabilitation and Performance,” this blog explores the critical role of neuromuscular control and rehabilitation in the continuum of recovery and performance. Falsone underscores that a comprehensive approach that comprehends the complexities of the nervous and muscular systems is necessary to transition from rehabilitation to peak athletic performance. In this blog, I will investigate how restoring neuromuscular control facilitates recuperation from sports-related injuries and improves athletic performance, bridging the frequently disregarded gap between rehabilitation and competitive success.

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Performance enhancement banner

The importance of the motion segment in rehabilitation to performance.

In Chapter 4 of Sue Falsone’s book, Bridging the Gap from Rehab to Performance, she discusses many movement issues. I will expand on her discussion of movement assessment, which she touches on in this chapter. Movement is vital to our existence, profoundly impacting our bodily and mental well-being. Movement is essential for our participation in society, encompassing fundamental daily actions like walking and eating to complex athletic feats. The intricacies of the human mobility system are often overlooked, leading to ineffective treatment approaches and persistent musculoskeletal issues. This underscores the essential significance of movement evaluation, which constitutes the foundation of modern physical therapy treatment.

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Bridging the Gap From Rehabilitation to Performance: Chapter 3: Comprehending the Healing Process and Choosing Suitable Treatments.

In January 2025, I announced that my blogs will concentrate on Sue Falsoneโ€™s book, Bridging the Gap from Rehab to Performance. I will focus on Chapter 3, Tissue Healing and Altering Pain Perception, this month. As therapists, we specialize in musculoskeletal rehabilitation, assisting patients in navigating the challenging recovery process post-injury. Our methods extend beyond

Bridging the Gap From Rehabilitation to Performance: Chapter 3: Comprehending the Healing Process and Choosing Suitable Treatments. Read More ยป

Dry Needling in Modulating Pain and Inflammation

Physiologic Perspective on the Local Effects of Dry Needling

Dry needling is a powerful tool that physical therapists, athletic trainers, and chiropractors can utilize to address musculoskeletal pain and dysfunction. While teaching dry needling courses for Structure & Function Educationยฎ, one of the most common questions I get is how dry needling works. Dry Needling is a technique that involves inserting thin, monofilament needles

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Dry Needling the Spine: A Closer Look at Safety and Technique

Thoughts were stimulated by :Williams, Christi L., Sue E. Curfman, Stacey R. Lindsley, Christian R. Falyar, and Ryan C. McConnell. โ€œInferior-Medial Dry Needling at the Thoracolumbar Junction: A Cadaveric Study.โ€ International Journal of Sports Physical Therapy 19, no. 10 (October 1,  https://doi.org/10.26603/001c.123477. When Structure & Function Educationยฎ teaches any technique, we always cover the safety

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the word stop spelled out of sugar cubes in a bowl.

The Top 6 Risks of Dry Needling for Individuals with Diabetes

Dry needling has emerged as a popular intervention for musculoskeletal pain. This technique, involving the insertion of fine needles into anatomic locations around nerves and muscles, aims to alleviate pain and improve function.1โ€“3 However, for individuals living with diabetes, this practice isn’t without its considerations and potential risks.4 Let’s delve into six critical factors that

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HyperIce Venom 2 Back Support

Top 3 reasons to use vibration therapy in rehabilitation

Introduction to vibration therapy’s physiological impacts Vibration treatment works primarily through mechanical stimulation of muscle and neurological components. Whole body vibration (WBV) and focal vibration (FV) therapy are both types of vibration therapy that differ in how they deliver vibrations to the body and have differing effects.1 When administered, these vibrations cause rapid and repetitive

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Learning techniques for the lower back.

Treating Low Back Pain with the Fascial Manipulation Method

This is a comprehensive overview and evidence based practice review for treating low back pain using the Stecco developed model for the Fascial Manipulation Methodยฎ. After giving a brief history on the development pf the Fascial Manipulation Methodยฎ we will discuss the basic principles using in their training methodology and how it can be applied to treating low back pain.

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player lying on field

Advancements in Concussion Management

Insights from the 6th International Conference on Concussion in Sport and the recent NATAโ€™s Bridge Statement on Management of Sport-Related Concussion. As we approach the beginning of football season, we must review our EAPs and the recommendations for the care of our high-contact athletes. As athletic trainers and sports medicine professionals, staying current with the latest guidelines and best practices is crucial for providing the highest standard of care. The 6th International Conference on Concussion in Sport, held in Amsterdam in October 2022, has brought forth significant advancements in concussion management. This was quickly followed up by updates by the NATA through their bridge statement on the management of sports-related concussion. This blog will highlight key changes and offer practical tips for preventing and managing concussions in football.

Advancements in Concussion Management Read More ยป

baseball pitcher on field

Arm Care for Young Athletes for Summer Sports

As the summer winds down its important to remember arm care for young athletes for summer sports, especially for baseball and softball. These sports offer great competition and teamwork for young athletes but they also increase the risk of arm injuries. This is particularly true in young throwers. Understanding the epidemiology and etiology of these injuries is crucial for preventing them and ensuring long-term health and success for our young athletes.

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Combining Multiple Methods To Treat Headaches

As we exit National Headache Month, I want to discuss the need for combining multiple methods to treat headaches for most chronic headache sufferers. A patient can create a comprehensive approach with their healthcare practitioners using dry needling and fascial manipulationยฎ techniques plus combine Stopain Headache products with at home exercises and other lifestyle changes to treat their chronic headaches.

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Treating Headaches with Dry Needling

Headaches present in our clinics in many different fashions ranging from eye pain, tension in the base of the skull, and even accompanied by nausea, vomiting and sensitivity to light. Different types of headaches may require a combination of multiple forms of treatment, but manual therapy and dry needling have been shown to play a diagnostic and effective role in reducing symptoms. The first step in treating various forms of headaches is to identify the type of headache in which the patient presents.

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woman touching her pregnant stomach

Multimodal Approaches to Treating Lumbopelvic Pain in Women

Welcome to Women’s Health Month! This month, we celebrate women’s incredible strength, resilience, and vitality everywhere. It’s a time to prioritize your well-being and take proactive steps toward better health. Women often prioritize the health of those around them, but focusing on their needs is equally important.  One common condition women suffer from is lumbopelvic

Multimodal Approaches to Treating Lumbopelvic Pain in Women Read More ยป

Woman with a migraine

How Dry Needling Can Unlock Relief For Chronic Pain

Chronic pain is a heavy load that can range from fibromyalgia to back pain and frequently prompts people to look for efficient alleviation. Many patients wanting relief for chronic pain still look for complementary therapies that address the underlying source of their pain, even if conventional treatments like medicine and physical therapy have certain advantages. Dry needling has become a viable method in recent years, offering specific pain alleviation to individuals with chronic pain.

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Danger beyond this point.

Understanding and Mitigating the Risk of Pneumothorax in Dry Needling

Dry needling has become a widely utilized therapeutic technique, offering clinicians a valuable tool for managing various musculoskeletal conditions. Amidst its benefits, it is crucial for clinicians to acknowledge and address potential complications. One such complication that gets a lot of discussion and focus is the risk of pneumothorax in dry needling. The concern around pneumothorax in the context of dry needling, despite its relatively low occurrence, stems from the potential severity of this complication. While pneumothorax may be considered rare, its consequences can be significant and, in some rare cases, even life-threatening if not promptly addressed.

Understanding and Mitigating the Risk of Pneumothorax in Dry Needling Read More ยป

A Man In Blue Shirt Exercising with Supervision

Empowering Patients: The Power of Self-Efficacy in Rehabilitation from Injury

In physical rehabilitation, self-efficacy is pivotal in determining an individual’s ability to recover and regain optimal function after injury. Self-efficacy is one’s belief in their ability to perform specific tasks or achieve certain goals. Self-efficacy has far-reaching clinical relevance in rehabilitation. This blog will explore the significance of self-efficacy in rehabilitation, the psychological and physiological aspects, and the various strategies and interventions that healthcare professionals can employ to enhance self-efficacy, empower our patients, and promote successful recovery.

Empowering Patients: The Power of Self-Efficacy in Rehabilitation from Injury Read More ยป

I agree, english, consent

The Vital Role of Informed Consent in Therapy

Informed consent is a fundamental ethical and legal concept in healthcare. It is a process that empowers patients by providing them with comprehensive information about their medical treatments or interventions, allowing them to make informed decisions regarding their care. In the context of therapy, informed consent is equally crucial. This blog explores the importance and necessity of informed consent for patients and therapists, shedding light on its significance in promoting patient autonomy, ensuring ethical practice, and mitigating potential legal risks. We will draw upon relevant literature and ethical principles to support these arguments.

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Body paint of hand and arm with muscle structure.

The Importance of Anatomy to the Dry Needling Practice

I was recently asked on a podcast a very interesting question. What are the requisite sets of knowledge and skills to be a safe and effective dry needler? It was a very interesting discussion where we discussed practice history, types of educational backgrounds and skills but my very fundamental and first clear line was a strong knowledge of anatomy and an appreciation for your patientโ€™s anatomy.ย  The relevance of anatomy to the dry needling practice is even more important as we start placing needles 3-dimensionally into the body.ย  If youโ€™re interested in this discussion you can check it out on The True North Podcast with Jaime Huestis.

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Stop Hand Sign

Top 3 Common Adverse Reactions When Being Dry Needled

Dry needling is a technique that involves the insertion of fine monofilament needles into anatomic structures to stimulate the healing process, relieve pain, and increase function. While dry needling is generally considered safe and effective, there are some potential adverse reactions when being dry needled that patients should be aware may occur. This blog will discuss the top adverse events that can occur when receiving dry needling.

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dry needling for neck pain

Dry Needling for Neck Pain

Neck pain is a real “pain in the neck”. Recent case studies have demonstrated the use of dry needling for neck pain treatments in patients. In 2016 low back and neck pain had the highest health care spending in the United States, with an estimated $134.5 billion being spent on spinal pain-related conditions. Neck pain is a multifactorial disease with various modifiable and non-modifiable risk factors. There are psychological, musculoskeletal, neuromuscular, occupational, and behavioral factors among these modifiable risk factors.

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man's feet having acupuncture

6 Types of Dry Needling and How to Choose the Right One

If I learned anything throughout my dry needling experiences, itโ€™s this: all needling techniques are not created equal for all patients. These small instruments make a mighty impact on the bodyโ€™s muscular, skeletal, endocrine and nervous systems and, when used properly, can yield incredible results in a short amount of time. However, using needles effectively requires intimate knowledge of anatomy and physiology as well as hands-on experience. To help you use needling as an agent for positive patient outcomes, Iโ€™d like to introduce you to a handful of dry needling techniques and give you guidelines on how to decide which kind is best for each unique patient.

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She’s certified in dry needling! Find out how Jill uses dry needling in her clinical practice.

Jill Wosmek has completed the dry needling certification and have received the SFDN designation! She has been part of our community for a long time and is dedicated to her work. She currently works in an integrated sports medicine clinic within Sports Academy and is part of the leadership to help influence and grow the clinic.

She’s certified in dry needling! Find out how Jill uses dry needling in her clinical practice. Read More ยป

Jennifer Hallquist posing with her dog

How does Jennifer use dry needling in her clinical practice?

Jennifer Hallquist has been a physical therapist in Arizona since 2002 and has worked in a variety of settings. During her years of practice, she found that she really enjoyed and thrived in outpatient orthopedic settings the most. While working full time at an outpatient clinic, she started a private practice in 2014 called Lift

How does Jennifer use dry needling in her clinical practice? Read More ยป

SFDN Certified - David Ehrmantraut

Dr. David Ehrmantraut completed the dry needling certification program and is SFDN Certified!

He’s officially SFDN Certified! This month Dr. David Ehrmantraut has completed all of the requirements for our dry needling certification program, including multiple courses, case studies and exams, and has obtained the SFDN designation! Learn about Dr. Dave and how he uses the S&F Pentamodal Method in his practice and why he chose to get certified with

Dr. David Ehrmantraut completed the dry needling certification program and is SFDN Certified! Read More ยป

Leslie Churchill

How Dr. Leslie uses dry needling and the Pentamodel Method.

Dr. Leslie Churchill is a Chiropractor in Omaha, Nebraska at Mid City Chiropractic, a private clinic that she opened in 2006. She focuses on the treatment of musculoskeletal pain of the spine and extremities, with an emphasis on soft tissue manipulation, especially IASTM and dry needling. She treats a wide variety of different ages and

How Dr. Leslie uses dry needling and the Pentamodel Method. Read More ยป

Rachel Lambros

Learn more about Rachel and how she uses dry needling in her practice.

Rachel Lampros has been part of the S&F family for many years. Last February she the Advanced Dry Needling Concepts: Comprehensive Approach to the Lumbo-Pelivc-Hip Complex (SFDN-LPH) course and is working on her last case study to get SFDN Certified!  She has been practicing physical therapy for 12 years and currently work at Massachusetts General

Learn more about Rachel and how she uses dry needling in her practice. Read More ยป

man's ankle having accupuncture

Injury: Syndesmotic (High) Ankle Sprains Without Diastasis

In athletic and military populations ankle sprains are a common occurrence that could result in significant time loss due to injury. The National Electronic Injury Surveillance System (NEISS) estimated that between the years 2002 and 2006 that 3,140,132 ankle sprains reported to Emergency Departments in the United States. [1] It is estimated that the annual

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accupuncture on man's neck

Treating Cervicogenic Headaches with Dry Needling and Manual Therapy

Cervicogenic headache refers to a headache of cervical origin1. The International Headache Society (IHS) has classified headaches as primary, where there is no other causative factor, or secondary, where the headache occurs in close temporal relationship to another disorder to which it is attributed2. A cervicogenic headache is a secondary headache caused by a disorder

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man's hand having accupuncture

Trigger Finger: Using Concepts of Mechanotransduction to Guide Your Treatment Approach

Trigger Finger Trigger finger is one of the most prevalent causes of hand disability 1. About 2.6% of the population will suffer from trigger finger across their life span2. Although trigger finger is considered a mild hand pathology, it has a wide-ranging impact on hand functioning, daily activities and quality of life 3. It can be caused

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Why S&F?

My mom hates that I go by the name โ€˜Sueโ€™. My entire family calls me Susan. And like everyone else, when I was really in trouble, it was first and middle name. I was Susan Ann.

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