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Dry needling, also known as trigger point dry needling and intramuscular stimulation, [1] [2] is a treatment technique used by various healthcare practitioners, including physical therapists, physicians, and chiropractors, among others. [3]
Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points (key/satellite, primary/secondary), disease, psychological distress (via systemic inflammation), homeostatic imbalances, direct trauma to the region, collision trauma (such as a car crash which stresses many muscles and causes instant trigger points ...
The CPT code revisions in 2013 were part of a periodic five-year review of codes. Some psychotherapy codes changed numbers, for example 90806 changed to 90834 for individual psychotherapy of a similar duration. Add-on codes were created for the complexity of communication about procedures.
Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure.
Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle. In medicine , it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than ...
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Myofascial Pain and Dysfunction: The Trigger Point Manual; Office Hours: Day and Night, The Autobiography of Janet Travell, M.D. Dr. Janet G. Travell, M.D.: "The Mother of MYOFASCIAL - TRIGGER POINT Knowledge" Travell, Janet G. (2003). "A Daughter's Recollection by Virginia P. Wilson". Texas Heart Institute Journal. 30 (1): 8– 12.
Ischemic compression is commonly applied to trigger points, in what is known as trigger point therapy, where enough sustained pressure is applied to a trigger point with a tolerable amount of pain, and as discomfort is reduced, additional pressure is gradually given.