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Dry Needling Course Sydney…Left Overs

Dry Needling Courses SydneyNo. This isn’t a post about food or diet. It actually relates to something that I’ve picked up about Dry Needling Therapy and I am going to teach at my next Dry Needling Course in Sydney.

The left overs are what I refer to as the possible left over muscle tension after you successfully elicit a local twitch response.

The analogy I thought of to explain this phenomenon is this:

Your car is filthy. You haven’t washed it for weeks. The sun, dirt & grime has piled up on the paintwork and the car needs a good wash & wax. It looks uniformly dirty, like it’s taken on a new colour, a dirty colour. Even though it’s dirty, it has a a sense of stability about it. It’s dirty but no one notices it really because it’s even in it’s appearance. It’s a bit like a tight muscle, you know it’s tight but you ignore it because it’s been tight for a long time. You’ve got use to it.

If you decide to wash the car, you have to make sure you do a thorough clean. Otherwise you will make it stand out. The uniformity has gone.

This is very similar to when you treat the long term muscle tension, say in the legs or arms. You successfully elicit a local twitch response but not all the knots are removed & not all the local twitch responses are elicited. You haven’t done a thorough clean.

Like the car, you need to remove all the dirt for the balance in the muscle to be restored, otherwise you’ll have a patient who’ll complain about the one knot you’ve left behind. It will stand out like you know what! Your patient will be in pain and what could have turned out to be a great result, relieving them of chronic muscle tension, ends up being an exercise in focussing the patient’s mind on the one remaining area of muscle tension.

This phenomenon probably occurs because the LTR’s you elicit don’t go through a full cycle of contraction & release. You may find that the twitch occurs, the contraction can be seen but the subsequent relaxation doesn’t.

So the key is to make sure you get all the knots out and to palpate the muscle afterwards. If you haven’t got all the knots out then that muscle will sometimes be tighter than it was in the first place.

Dr Wayne

Dry Needling Courses in Melbourne, Sydney, Brisbane, Gold Coast, Adelaide & Perth.

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