Ebook Dry needling for manual therapists: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Dry needling for manual therapists: Part 2
Ebook Dry needling for manual therapists: Part 2
Part IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2 fossa, the supraspinatus runs along and underneath the acromion, attaching onto the greater tubercle of the humerus. Palpate the spine of the scapula as your landmark and move upwards into the fossa; the fibres of the supraspinatus run parallel to the spine.Pain referral pattern: The supraspinatus Ebook Dry needling for manual therapists: Part 2will primarily refer pain to the anterior portion of the shoulder and to the lateral epicondyle region; there are secondary referral sites in the postEbook Dry needling for manual therapists: Part 2
erior shoulder and upper arm.Needling technique: With the patient prone, palpate for areas of pain. The needle should be inserted near the supraspinatPart IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2e patient should ideally be prone or side lying. Needle length between 1 inch and 1.5 inches.Clinical implications: This technique, whether used with the patient prone or side lying, will take the needle towards the front of the scapula, and expose the risk of passing into the intercostal space and Ebook Dry needling for manual therapists: Part 2towards the pleural cavity.The lung in a thin person lies 0.5-1 inch under the skin and there is the danger of pneumothorax if the needle is insertedEbook Dry needling for manual therapists: Part 2
too deeply. Il is advised to use perpendicular needling techniques for areas close to the lungs, and in some cases it is also advised to grasp the musPart IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2aspinatus sits within the infraspinatus fossa, with the bulk of the muscle being superficial to palpate: its insertion is on the greater tubercle of the humerus. Palpate the spine of the scapula as your landmark and move downwards into the infraspinatus fossa; the fibres run laterally towards the gr Ebook Dry needling for manual therapists: Part 2eater tubercle of the humerus and sit underneath the bulk of the deltoid.Pain referral pattern: The infraspinatus will primarily refer pain to the antEbook Dry needling for manual therapists: Part 2
erior portion of the shoulder and to the ar ea of the mid-thoracic, the medial border of the scapula. '1 here are secondary points in the cervical spiPart IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2as of pain, rhe needle will be placed directly into that point within the muscle belly in a perpendicular direction towards the scapula.Adaptations: The patient should ideally be prone or side lying. Needle length between 1 inch and 1.5 inches.Clinical implications: Due to its location sitting above Ebook Dry needling for manual therapists: Part 2 the bulk of the scapula, as long as there is no compromise within the scapula allowing the needle to penetrate through, there are no clinical implicaEbook Dry needling for manual therapists: Part 2
tions.Figure 11.2 Infraspinatus trigger pointsDeltoidPalpation: The deltoid sits in a triangle shape at the top of the shoulder, split into three sectPart IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2, acromion and spine of scapula. Insert into the deltoid tuberosity, which is also the same insertion point for the trapezius.Pain referral pattern: The deltoid will primarily refer pain very locally, to the anterior and posterior shoulder girdle. There are secondary sites in rhe anterior and poster Ebook Dry needling for manual therapists: Part 2ior forearm.Needling technique: Ideally sit the patient upright; then you can needle all the sections of the muscle from the anterior, medial and postEbook Dry needling for manual therapists: Part 2
erior. If this is not possible, then you will need to move the patient from supine to needle the anterior and medial, and to prone to affect the postePart IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2 needles from 1 inch to 2 inches depending on the musculature of the patient.Clinical implications: None.SubscapularisPalpation: The subscapularis sits within the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder joint.Pain referral pa Ebook Dry needling for manual therapists: Part 2ttern: The subscapularis will refer pain very locally around the location of the muscle. It has also been shown to primarily refer pain into the carpaEbook Dry needling for manual therapists: Part 2
l tunnel area of the forearm.Needling technique: To gain access to the bulk of the muscle, have the patient supine, place the arm above the patient’s Part IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatus Ebook Dry needling for manual therapists: Part 2n 2 inches and 3 inches.Part IVNEEDLING TECHNIQUESKHOTHUVIEN.COMChapter 11MusclesTechniques and Clinical ImplicationsSupraspinatusPalpation: Sitting within the supraspinatusGọi ngay
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