The use of needling on the musculature for the treatment of trigger points.
The dry needling performed by the physiotherapist is a safe technique, which consists of puncturing the musculature, specifically the trigger points, with very fine needles commonly used in the treatment of acupuncture.
Dry needling for the treatment of myofascial trigger points is very important in treatments such as bruxism or tension headaches, but which requires a certain specialization due to the anatomy of the head and neck.
In many cases, both chronic cervical pain and chronic orofacial pain are associated even with a deficit in motor control of movement and stabilizing muscles, so it is necessary to perform specific exercises to work specifically these muscles.
How does dry needling work?
The physiological mechanisms that explain the benefits of dry needling are related to the modulation of pain at the brain level, which is where the stimuli that come from the musculature are analyzed and it is determined if they should be painful, it definitely allows us to have pain.
Changes in pain modulation have been observed both peripherally and centrally (Nervous System). After many investigations, it is postulated that the dry needling acts through neural signaling, with the possible participation of brain substances and sensitive areas in the central nervous system have been identified.
In the last decade, scientists began to investigate with functional Magnetic Resonance and saw that with real dry needling (not placebo) there were changes in the modulation of activity in specific areas of the brain, including somatosensory cortices, limbic system, ganglia Basal, brainstem and cerebellum.
Dry needling is effective in the treatment of musculature:
The guidelines of the American Academy of Orofacial Pain on temporomandibular dysfunction, recommend the use of dry needling for the treatment of pain and the improvement of joint function.
There are numerous scientific articles, such as meta-analysis and systematic reviews that support its use in the treatment of orofacial pain and temporomandibular dysfunction (ATM treatment and mandibular musculature), as well as the treatment of other head and neck pathologies such as be headaches and migraines. By treating the cervical musculature with other manual therapy techniques, and by dry needling, we managed to eliminate certain stimuli that were generating the painful sensation in the head and neck areas.
Therapeutic education in management pain.
Controlled exercises for cervical stability
Manual Therapy in TMJ
Improvement of TMJ biomechanics.