Dry Needling and Acupuncture for Trigger Point Pain Relief
Trigger points are a significant factor in a huge percentage of acute and chronic pain conditions. It is critical when first meeting a patient to differentiate between the possible causes of your pain.
Is your pain due to nerve entrapment from inflammation in a small space such as the carpal tunnel? Or is it pain due to nerve entrapment by shortened piriformis muscle irritating the sciatic nerve?
Do you have sciatic pain from a bulging disc? Or is it buttock and leg pain that mimics sciatic pain from a disc, but that is actually due to active trigger points in the quadratus lumborum QL, and the gluteus medius/minimus?
Why Is Diagnosis So Important in Dry Needling and Acupuncture?
Acupuncture and Dry Needling are amazing treatments for all kinds of pain, but especially for trigger point pain. Trigger point pain is often mis-diagnosed as neurological pain by family practice or internal medicine M.D.s.
Sadly they don’t focus on physical medicine, and, like sciatic pain, trigger points have referral patterns that mimic neurological referral patterns.
But trigger point pain is easy to differentiate from nerve pain, which is why a very thorough clinical exam and history is so important in your first visit.
Herniated Disc vs. Trigger Point Pain
It is very important to differentiate between back or leg pain that is due to nerve impingement from a disc bulge, and pain that is due to activated trigger points.
Herniated discs and trigger point pain require different treatments,
What Are Trigger Points?
Active trigger points produce and are associated with the kind of generalized sore, achy, tight muscles that most of us at some point feel in our neck and shoulders from overuse at tasks involving forward translation of our heads, necks, forearms, like typing, reading from a computer screen, driving, etc. All near-vision tasks.
Whereas as hunter-gatherers, we actually evolved to spend large amounts of time gazing out at the distant horizon.
Trigger Points and Shortened Muscles and Fascia
I have found trigger points to be involve in many kinds of pain from TMJ temporal-mandibular joint pain, to esoteric foot pain in ballerinas. When muscles shorten, which is what occurs with trigger points, bad things happen to joints–they tighten too.
Now you have compressive forces working on a joint that should be loose. Staying loose is what athletes always strive for, because when you are loose, which means relaxed, your muscles lengthen.
When your muscle and fascia have a normal legnth, then you are less prone to injury and less sensitive to pain.
How Dry Needling Style Acupuncture Relieves Trigger Point Pain
Dry Needling is such a good therapy for the tight, shortened muscles associated with trigger point pain.
This is because when we insert the a dry needle into an active, tightly coiled trigger point, it deactivates it–and it releases like a coil.
When this happens your muscle and fascia “fasiculate.” This is a Latin word that describe the “muscle/fascia twitch response”. When this happens you will get a rush of very pleasant endorphins, your whole body relaxes, your mind relaxes, you breathe more deeply.
At the same time their is a cascade of anti-inflammatory hormones and muscle relaxing endorphins, and, key point: your muscles lengthen.
And when your muscles lengthen that releases the compressive pressure from the tendons, ligaments, joint capsule, nerves, even arteries and veins–every structure involved in the production of pain.
Your whole body relaxes, dry needling and acupuncture are incredibly relaxing, which is also why it is so fantastic for stress.
Cupping Therapy
Cupping is an important supportive therapy with acupuncture for tight muscles and pain
When I treat trigger point pain I often follow up the acupuncture with some passive joint mobilization from Chinese Medical Massage called Tui-Na, I also use some techniques learned from both Trager Method. I follow this upon with my own method of Chinese cupping using Ayurvedic anti-inflammatory oils like Mahanarayan Oil (Source for Ayurvedic Oil), followed by heat therapy.
Heat relaxes and lengthens muscles, so it combines very well with acupuncture for trigger point pain. If its an acute injury I do not use heat, but will sometimes utilize Moxabustion therapy.
For chronic pain and for recovery from acute injury, I think its really important to learn the correct exercises. I teach them here, both what I have learned from Anthony Carey at Function First, and from Feldenkrais method, but for people who want to take that further, and I am all for it, I love to recommend Anthony and also some local Feldenkrais teachers.
My style of myo-fascial based dry needling and acupuncture for acute and chronic pain whether from trigger points, motor points, or from some other cause is very effective and in the long run actually quite inexpensive. It is an integral part of a natural living, drug-free, green lifestyle.
Pain-killing drugs are just so toxic for the liver, addictive, and generally bad for your health. Whereas Acupuncture is excellent for your health because it places you in the relaxation response, the opposite of the fight or flight adrenalin response with its high blood pressure, insulin, etc.
I ask newcomers to try acupuncture once. I cannot make anything worse. I cannot hurt you. If you don’t like it, you don’t come back, no pressure ever. But if you like it and find it helpful even 20% after 1 visit, that is huge. Try three treatments and in most cases you will have immense relief by then.
Sometimes completely better, sometimes more treatment is needed, but if you are not well on your way to being better by three visits, I usually don’t recommend you continue. Healing is a Process, Not a Pill. Acupuncture is one piece of the puzzle
Thank you!
