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Hi Sue,
I have a patient who is 4 months out from having MPFL and microfracture surgery who presents with a pretty large scar still. I was wondering if you had any suggestions for needling in and around the scar itself and if you have seen that to be beneficial or not. Thank you!Hey Anthony!
Yes for sure! DN can be very helpful for scars. I will typically go on either side of the scar and aim a short needle (1/2 to 1″) under the scar…so pretty superficial insertion. I will then wind each needle in one direction until some resistance is met. I will do that for each needle, as the patient can tolerate. You will notice the other needles moving as evidence has shown up to 4cm of tissue displacement with winding (Langevin). Let the patient “marinate” for 5 minutes and then maybe wind again. You could also do some of the “tenting” (or opposite of pistoning) with the needles once they are wound.Does that make sense? If you took my old class we didn’t go over all that, but if you took my new Foundations class (since Sept 2017) then we went over that and it should sound familiar.
This can either be totally tolerable by the patient or be fairly painful. I have seen it go both ways, so be mindful and monitor your patients tolerance.
Let me know if that makes sense and is helpful?
Sue
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