Functional Integrated Dry Needling for Pain Management and Functional Rehabilitation is neurophysiological evidence based treatment which is based on the anatomy, physiology, and biomechanics of the human body unlike acupuncture which is based on meridians & energy exchange as per the traditional Chinese technique. Dry Needling involves the insertion of a thin stainless steel needle to stimulate the healing process of soft tissue(Muscle(TrP Points) or Fascial Adhesive Areas(FAA), Tendons & Ligaments resulting in pain relief & restoration of healthy physiology. The FIDN process is based on the fundamental ideas above Trigger points as the updated research supports the involvement of Fascial Adhesions in the human body as the root cause of muscular & fascial tension. This Model of FIDN process is called as FAA Model(Fascial Adhesive Area), which consists of a variety of needling techniques like muscular, retinacula, nerve pain pathway & fascial chain of the human body.
(1) Module1: Peripheral Pain Pathway Model - 6th & 7th Aug 2022
(2) Module 2: Peripheral Radicular Pain Model - 13th & 14th Aug 2022
(3) Module 3: Neuro Connective Model - 20th & 21st Aug 2022
(4) Module 4: Multi Disciplinary Principles for Pain Management (Online Course Free)
(5) Online Exam after completion of all modules
• Muscle Fibers are arranged longitudinally close to one another & the typical arrangements helps them to be quite elastic & exhibit lot of tensile strength, but fails even with slightest shearing force.
• In Peripheral Pain Pathway Model (Module1) we are addressing the fascial bands, trigger bands, which are results of slightest shearing force because the muscle can only withstand longitudinal force & not shearing force.
• The Fascial Adhesive Bands (FAB), Trigger Band (TRB), Fascial Adhesive Areas (FAA), Trigger Point (TRP) sometimes feels like a twisted leather belt or sometimes feels like a water wave near the joint or sometimes feels like a tight knot typically a nut or almond sized, will be explained in detail.
• Ligamental Trigger Band (LTRB), Ligamental Fascial Adhesive Band (LTFAB) can also be found at the insertion of ligament which can be successfully treated with Peripheral Pain Pathway Model (Module1) of FIDN process which release adhesions that occur due to cross linking of the healing fibers.
• Chronic Trigger Bands (CTRB), Chronic Fascial Adhesive Bands (CFAB) are also effectively treated with this process which may involve sever pain because the adhesions should be broken from chronic bands so that it becomes acute bands.
• Peripheral Pain Pathway Model (Module1) the treatment is based on the fundamental idea that the Pathological Trigger Point (PTRP), Pathological Fascial Adhesive Area (PFAA) or Trigger Band(TRB), Fascial Adhesive Band (FAB) or Ligamental Trigger Band (LTRB), Ligamental Fascial Adhesive Band (LTFAB) are Connective Tissue Dysfunction (CTD) which can be restored immediately by reduction of pain in the patient, which helps in restoring muscle strength, muscle mobility & muscle function.
• Peripheral Pain Pathway Model (Module1) addresses successful treatment of the muscles concerned with Low Back Pain (LBP), whichplay major role in forming the multilayer myofascial structure of low back.
• The various Knee Dysfunctional Syndromes (KDS), which involves pain, weakness as well as loss of function, are successfully treated by Peripheral Pain Pathway Model (Module1) by treating the Continuum of the ligament as well as the muscle, whichis Retinacula.This exclusive technique in Peripheral Pain Pathway Model (Module1) is called as Retinacula Stimulation Technique (RST) and is used for variety of knee dysfunctions.
• Peripheral Pain Pathway Model (Module1) helps in bringing out the fear of needling of therapist & introduces him in the world of needling.
• Muscle Referred Pain is a phenomenon that has been described for more than a Century & has been used extensively as a Diagnostic tool in the clinical Setting.
• Typically Pain from the deep Structures such as Muscles, Joints, Ligaments, Tendons & viscera is Described as Deep, Diffuse & Difficult to locate accurately in contrast to superficial types of pain, such as pain originating in skin.
• Peripheral Radicular Pain Model (Module 2) as the name implies is needling on the flow of Peripheral nerves from Proximal to Distal.
• The presence of the Fascial Adhesive Band (FAB), Trigger Band (TRB), Fascial Adhesive Areas (FAA), Trigger Point (TRP) which are results of slightest shearing force because the muscle can only withstand longitudinal force & not shearing force, the Nerves sometimes gets Fixed.
• The Referred Pain can be perceived in any region of the body, but the size of the Referred pain area is variable & can be influenced by changes in Somatosensory Maps.
• The process where Nerve gets fixed is called as Neural Fixation in which the Nerve typically losses its ability to glide & Stretch which results in increase in its Intraneural or Perineural Pressure.
• Peripheral Radicular Pain Model (Module 2) follows the standard principles of Neural Mobility & Neural Functions.
• The process in Peripheral Radicular Pain Model (Module 2) addresses the working of dry needles so as to provide freedom of movement to the Peripheral Nerves to maintain Nerve Conduction, Electromagnetic Conduction, Intraneural Blood Supply, Intraneural Nerve Supply, Local & systemic Responsiveness.
• The Neuro Connective Model (Module 3) Hypothesize that the Human Body has a Neuro Connective Schema (Head to Toe) & FIDN Exactly addresses the Memory of the Schema.
• The Neuro Connective Schema Memory is based on the Natural Movement Sequences; hence working on the Fascia is like working on the Movement Disorder Syndromes (MDS).
• The Neuro Connective Model (Module 3) addresses Fascia & Myofascia which connects Neuro Musculoskeletal, Visceral & Vascular connections. It follows the Sequence where it’s more of Three Dimensional Approach considering the Neurophysiology of Human Body.
• The advanced Neuro Connective Model (Module 3) addresses Fascial Aponeurosis, Ligaments, Myotendinous Junction, Retinacula, Periosteum, and Intermuscular Fibers as a Fascial Connective Tissue which is visible to naked eye but a Forgotten Structure.
• In The Neuro Connective Model (Module 3) it is less important particularly regarding the layer of the body where Fascia is located but the Sequence remains important.
• The Neuro Connective Model (Module 3) addresses Fascia because the Fascia registers the Movement of Muscles & the Supporting Connective Tissue which may be a true Movement or a change in Muscle Tension.
• It is the ability of the Fascia on Perception of Pain that is Nociception is affected & severe Pain is triggered & contributes lot of disturbance on the Locomotor System.
The Neuro Connective Model (Module 3) Especially concentrates on the fact that the Fascia can contract without the influence of the associated Skeletal Muscle & it is possible that the Fascia can go in Relaxation after the Dry Needling Procedure.
• Physical Therapists
• Medical Doctors
PT, MS (USA)
• PT, MPT Sports Physiotherapy, MS Pain Management USA.
• Chief Pain Management Consultant & Sports Physical Therapist at Prizorgo Pain Management & rehabilitation services.
• Chief Pain Management Consultant & Sports Physical Therapist for Standard Chartered Mumbai Marathon (2015).
• EX Physical Therapist for Conditioning camp Delhi Dardevils IPL Team (2016)
• Founder & Chief Instructor of University of MKT (Move Kinetic…Read more
By Dr.Mihir Somaiya | 06/08/2022 - 07/08/2022
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