Twitch Dry Needling Video Clip. Episode 18: DRY NEEDLING FOR THE LOWER BACK RED HERRING

This video describes how I apply dry needling to the Lower back followed by a complimentary Manual Therapy technique.

Transcript

Hi. Welcome to The Twitch Dry Needling video training series, where I’ll show you a fantastic dry needling technique, followed by a manual therapy technique to get great results for your patients every time.

These Dry Needling Techniques should only be applied by trained therapists who have completed an accredited course.

Okay, QL., often the red herring with acute or chronic lower back pain, particularly acute.
We will have a look at the lumbar erector spinae but the QL is the important one, and gets you great results with either of those types of conditions.

So, acute or lower back pain have a look at QL muscle and gets you really good results in either case.
Great. What else can we do as a follow up manual therapy technique for stretching out that QL?
Well, MET is very effective at that. So, in the relaxation phase, we stretch that QL out.

How do we do that?

Well, take up a position like this. Okay. We’re going to work on the left QL just underneath here. We’re going to have the hips and knees at 90.

Okay. We’re going to take the legs up to here. Find that barrier for the QL. Of course that’s stretching this left side out.

What we’re going to do is get the patient to contract and push their feet down in this direction against me, but only about 20% or 30% of their maximum contraction.

Okay, so just pushing down for me. Great, all right.

So, as they do that for about ten seconds or so, when they have relaxed, so they’re post-isometric relaxation phase now, we’re going to take it to a new barrier.

So, again for me, contract, only 30% always. They always try to push too hard, think it’s a competition. And ten seconds. And now relax, and we’ll take it to a new barrier like this. That can get great results after you’ve needled the QL muscle for acute or chronic lower back pain. I hope that helps.

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