Twitch Dry Needling Video Clip. Episode 21:Dry Needling & Elbow Joint Scoop

This video describes how I apply dry needling for patients  with lateral elbow pain! Then follow up with a great manual therapy technique to get great results for your patients every time.


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, the triceps, who would’ve thought you could use the triceps referral pattern to help patients with lateral elbow pain. Not only does it refer into the lateral elbow, but the posterior upper arm, the posterior forearm, even up into the upper trapezius area, into the back of the shoulder and up actually into the shoulder area here. So it’s very effective at helping patients with pain in all sorts of places.

So, needling the triceps, very straightforward. But what we’re going to do with a follow up technique, nice twitch there, to help somebody after we’ve needled their triceps. Lie on your back for me. Okay, so what we can do is have the patient in this position here, we’re going to grab under the arm just in here, in the upper arm, the back here. And we’re going to stretch out the posterior capsule of that elbow joint where the triceps are going to insert obviously into the olecranon, just in here. We’re going to grab the forearm just in here, and we’re going to do some traction just like this in various degrees of flexion, like this. Get some nice stretch on the posterior capsule of the elbow joint.

You can’t do this … you can’t go past 90 degrees, that’s not going to work, it’s always got to be 90 degrees or less. So just in here, stretching that out. You also need to make sure that you’re not doing this, because that’s going to go straight towards the shoulder and not focus in on the elbow. So you’ve got to actually stop that force going any further than the elbow, by having this arm underneath just in here. And we’re going to stretch out that capsule like that. It can be very effective at reducing pain around that back of the elbow and of course lateral elbow pain after you’ve needled the triceps.

I hope that helps.

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