logo
episode-header-image
Mar 2024
41m 52s

Ep. 062 | Poking into Pain: A Deep Dive ...

Physiotutors
About this episode

In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.

The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.

The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.

Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.

 

Chapters

  • 00:00 Intro
  • 00:46 Defining Dry Needling
  • 01:49 The Physiology
  • 07:26 Difficulty of human studies
  • 08:15 Active vs. Latent Trigger Points
  • 10:05 Reliability Issues of TP Therapy
  • 12:00 Referred pain in Trigger Points
  • 15:40 The local twitch response
  • 17:50 In-situ vs. winding technique
  • 18:36 Research vs. Clinical Practice
  • 20:22 Dry Needling for Tendinopathy?
  • 23:58 Evidence for MSK Complaints
  • 28:01 Contraindications and Risks
  • 30:45 Needles vs. Hands
  • 32:16 Kai's Dry Needling Anecdote
  • 33:06 Are we chasing short-term effects?
  • 35:26 Top 3 Reasons to learn Dry Needling
  • 40:01 Closing thoughts
  • 41:06 Outro

 

Bonus Material

Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.

Download the Free App now

 

Follow our Podcast on:

Spotify | Apple Podcasts

 

Up next
Aug 4
Hamstrings under the Microscope with Jack Hickey
Description In this episode, Dr. Jack Hickey, a leading researcher in hamstring injuries, shares valuable insights into the complexities of hamstring rehabilitation and injury prevention. He discusses the common misconceptions surrounding hamstring rehab, emphasizing the importan ... Show More
1h 1m
Jun 30
Runeasi in Practice: AI Gait & Jump Analysis for Clinicians with Kurt Schütte
Summary In this episode, we explore the innovative world of Runeasi, a company co-founded by Dr. Kurt Schütte, which is revolutionizing the assessment of running and jumping in both clinical and athletic settings. Dr. Schütte shares how Runeasi bridges the gap between lab-based b ... Show More
1h 4m
Jun 3
Breaking Taboos About Pelvic Health With Hedwig Neels
In Episode 77 of the PhysioTutors podcast, we welcome Hedwig Neels, a renowned physiotherapist from Belgium who specializes in pelvic health. Hedwig is a professor at the University of Antwerp and founder of the Pelvic Floor platform, which aims to break taboos and make pelvic he ... Show More
56m 2s
Recommended Episodes
Jan 2016
177. Introduction to Surgical Pathology
In this episode Pathologist, Dr. Tyler Rouse, gives an overview of what Pathology is and how is related to surgery and many other specialties. The objectives include: Who are pathologists? What do they do? How are pathologists involved in patient care? 
9m 50s
Jul 2024
Ep. 179 Decision Fatigue in Medicine: Insights from Dr. Steven Goudy
Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University ( ... Show More
40m 44s
Jun 25
[Case Studies] Achilles repair recovery: the rehab roadmap with Scott Greenberg
In this episode with Scott Greenberg, we explore an interesting case study on a real patient of his - a gymnast who had an Achilles rupture and went down the surgical path. We discuss: How to determine surgical vs conservative managementThe key indicators of success for surgical ... Show More
15m 35s
Apr 2025
Ep 203 Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm
How do you predict which intermediate-risk patients will suddenly deteriorate? What role do risk scores, biomarkers, imaging, and hemodynamics play in decision-making? Should these patients receive anticoagulation alone, or is thrombolysis warranted? When should you consider cath ... Show More
1h 35m
Apr 2024
#3: Dr. Jervis Yau, MD | PRP and Stem Cell Injections, ACL Surgery, Rotator Cuff Tears and More
In this episode, I talk with orthopedic surgeon and sports medicine specialist, Dr. Jervis Yau, MD. We discuss a wide range of topics including hip impingement, rotator cuff tears, PRP and stell cell injections and ACL recontructions. Dr. Yau has a particular interest in minimall ... Show More
1h 7m
Mar 2025
Behind the Knife Rural Surgery Series: Ep. 1 - Rural Surgery Practice 1
Introducing a new series on rural surgery - In this episode, BTK fellow Dr. Cody Mullens sits down with Dr. Bret Autrey, a general surgery attending at Ludington Hospital in Ludington, MI.  Dr. Autrey is a career rural surgeon who discusses, in detail, rural surgery practice, how ... Show More
34m 27s
May 21
[Case Studies] From the pitch to the clinic: a groin injury case study with Dr Stacey Hardin
In this episode with Dr Stacey Hardin, we explore an interesting case study of a 25 year old soccer player who sustained a groin injury during match play. We cover:Subjective historyOn-field examination Differential diagnosis within this body areaObjective historySurgical vs cons ... Show More
20 m
Oct 2024
102: Why Did I Tear My ACL? (Reboot)
Welcome to another episode of Game Plan!  As you might remember from our episode on ACL graft choices, these Game Plan episodes are specifically designed for patients – to hopefully answer some of the questions you have about the most common sports medicine conditions and surgica ... Show More
32m 35s
May 2023
Ep. 110 Intracapsular Tonsillectomy in Children with Dr. Kevin Huoh
In this episode of BackTable ENT, Dr. Shah interviews pediatric otolaryngologist Dr. Kevin Huoh about intracapsular tonsillectomy, including the postoperative benefits of the procedure and his personal techniques. --- CHECK OUT OUR SPONSOR Smith & Nephew ENT Solutions https://smi ... Show More
39m 29s