Guide to HPE Functional Dry Needling

HPE Functional Integrated Dry Needling  

The advance approach in Clinical and Sports Dry Needling 

Dry Needling - the Advance Approach in Pain Management.

well not really advance, it is based on the science of acupuncture, the only difference is the terminology and site of its insertion. while in acupuncture, the insertion of needles is on the reference point/meridian points.
 in DN, it's at the source of pain or in Functional DN at the physiological system.

The only reason why dry needling technique was discovered or invented, was to basically to eliminate pain arising due to muscle knots often referred to as 
tender spots / trigger points.

HOW HPE FUNCTIONAL DRY NEEDLING 
More Superior to traditional DN?

Traditional Dry Needling is an outdated concept now and earlier it was practiced to eliminate knots present in muscle and fascia and its associated pain. 

Functional Integrated Dry Needling targets all physiological connective tissue in the human body, not just restricting to muscle. 
the physiological system that HPE focuses more on are 
SKIN, SUPERFICIAL  FASCIA, DEEP FASCIA, MUSCLE, TENDON, LIGAMENT, BURSAE and CARTILAGE, and their associated Injuries and Symptoms.


 HPE FUNCTIONAL DRY NEEDLING 

Helps in?

• Reducing Pain.
• Reducing Contracture.
• Reducing Muscle tightness.
• Increasing muscle strength in case of weakness.
• Increasing the Flexibility in Ligament, Tendon, Fascia, and Muscles.
• Increasing proprioception.
• Increasing Flexibility in Joints.
• Reducing the Swelling in case of an acute condition.

HPE Functional Dry Needling Protocol - target the sensory Mechanoreceptors present in the connective tissue to influence the motor output,  to improve the FUNCTION, 
in other words, it is called 

"SENSORY - MOTOR TRAINING"

Influencing the mechanoreceptors in various different connective tissue helps the physical therapists to achieve the goal in all the above-listed indications.

Functional Dry Needling crafted and created with advance recent based evidence protocol by HPE UK physical therapist in London, UK. This approach integrates a variety of dry needling techniques during a single session. Unlike acupuncture or trigger point release therapy,  which traditionally selects points along meridians, functional dry needling targets anatomical structures that are the underlying cause of musculoskeletal conditions. 

WHAT IS INVOLVED?

During a typical treatment, thin filament needles are inserted into various targets that have been determined to be the underlying cause of the painful condition. They are left in from several seconds to 20 minutes. Typically there will be 10 or more needles used for most conditions. Different strategies are used for acute injuries and chronic pain conditions that make this a highly effective treatment modality for soft tissue injuries.

Physiology

Inserting the needles through various connective tissue cause macro trauma leading to more inflammatory changes that release a chemical to cause dilatation of terminal capillaries to heal the tissue. 

" bringing good oxygenated blood to remove the bad toxicated harmful metabolic waste product/residue of inflammation process"

" Peripheral Mechanism of Pain relief"

Piercing the Needles through the skin also stimulate sensory mechanoreceptors in the skin to create a Central Mechanism of Pain Relief  via 

"presynaptic and postsynaptic inhibition"

Keeping the Needles in the Affected Area influence metabolic changes causing the release of hormones and various chemicals to promote and accelerate healing 

" Cytokines, Nitric oxide, Fibroblast, and interleukin"

HPE Approach

Using the lower skin resistance channel, the Physical therapist applies electrical current (micro Current) that helps stimulate the mechanoreceptors of the connective tissue to bring all positive changes.

Needles Used in Dry needling Procedure are the same that are being used in Acupuncture, the only difference is the Dry Needling technique reaches up to the depth of the connective tissue.

 "however acupuncture approach is more superficial"

The Needles Comes with different Dimension and Sizes, choosing the size of the needles is the physical therapist task to know the exact muscle's surface anatomical landmark.

"it varies with patient size and muscle bulk"

HPE Approach

HPE Dry needling Instructor will teach you in-depth about various clinical and Sports condition and its application by using 

Stages of Conditions.

Surface anatomical landmark often referred to as "PALS".

Targeted Physiological System.

Clinical Outcomes

Maintenance and rehabilitation with Needles

USEFUL IN

Orthopedic 

Sports

Neurological 

Circulation Deficit

Lymphatic 

Post Operative 

HPE Procedure

Explain the cause and condition to the patient
Take Consent 
Assess the patient
Target the Physiological System
The treatment area should be well lit and free of clutter.

The part should be exposed

Clean the exposed part

Choose specific needle no and dimension

Warm the tissue

Insert the needles at a specific angle and for the specific duration

Ideal therapeutic duration is 10 -15min

Discard the used Needles
Sterilize the part

Post-treatment Icing is recommended

Perform Stretch movement or Resistance training.

Contraindication

Open wound

Super Acute Stage

Fever

DVT

Cancer

Varicose Veins

Renal Disorder

Electrical Functional Dry Needling

HPE Electrical Dry Needling - greatly enhances the clinical efficacy of DN in some cases if properly used. 

Difference between EDN and Tens / SSF Pads?

the surface electrode is placed on the skin so the effect of stimulation is quite superficial. however, conducting the current via needles help the Electrical stimulation to reach deep to the tissue

In electrical DN, Pair of Metal Needles serves as electrodes. as the 2 needles are inserted into the tissue and are surrounded by interstitial fluid and blook leaked from blood vessels, the resistance between the needles is extremely low. 

Benefits

1. sensitized peripheral sensory nerve which conveys the pain sensation.

2. abnormal muscle fiber including intrinsic fiber contracture.

3. microcirculatory pathology.

4. Edema.

5. Atrophic muscles.

6. Tissue adhesion. 

7. Bio Mechanic imbalance of the joint. 

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HPE FUNCTIONAL DRY NEEDLING Has trained over 1000 Students and practitioners in INDIA and London, UK

 Learn the basic and advance course with HPE UK Healthcare and Education LTD with International Certification and transcript

more info on the course available on 

www.hpeindia.in/dry-needling

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