Ep. 062 | Poking into Pain: A Deep Dive into Dry Needling | Barbara Cagnie
Release Date: 03/02/2024
Reframing Chronic Pain: From Structural Faults to Primary Pain with Bahram Jam
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management software. visit https://writeupp.com/physiotutors for more info! Summary In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical. 00:00:00 Introduction...
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Unlocking the Power of Breath: The Techniques Every Physio Should Know with Steven Zwerink
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management software. visit https://writeupp.com/physiotutors for more info! Summary This episode explores the critical role of breathing in health, recovery, and performance, featuring Steven Zwerink, a breathing physiologist. Discover how dysfunctional breathing impacts the body, the importance of CO2 over oxygen, and practical techniques for physiotherapists to incorporate breathing exercises into their practice. Guest Steven is a breathing physiologist and the founder of the Dutch Institute for Breathing...
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Why Cervicogenic Dizziness Is a Misleading Diagnosis with Firat Kesgin
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode, Firat Kesgin, founder of the German Institute for Vestibular Rehabilitation, discusses the controversial topic of cervicogenic dizziness. He challenges the validity of this diagnosis, arguing that dizziness often associated with neck pain and limited cervical mobility should not be considered a distinct disorder. Kesgin references the Barani Society’s stance, which suggests that the connection between cervical...
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Unveiling Fascia: The Body's Hidden Connective System with Karl Jacobs
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode, Karl Jacobs, a renowned anatomist and educator, explores the complex world of fascia—its structure, function, and clinical significance. Discover how fascia influences movement, pain, and tissue adaptability, and learn about the latest research and practical insights for clinicians. Guest Karl is an accredited anatomist, presently working at the Department of Medical Biology, Section Clinical Anatomy &...
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Strength Training for Healthy Aging: Insights from Andreas Delaere
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode of the Physiotutors podcast, Andreas Delaere discusses the critical role of physiotherapy in promoting healthy aging. He emphasizes the importance of prevention, strength training, and power training for older adults, while also addressing common mistakes made in their treatment. The conversation explores the hallmarks of aging, the significance of sleep in rehabilitation, and effective strategies for tracking progress...
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Patellar Tendinopathy with Ebonie Rio
Physiotutors Podcast
Summary In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes. Check out the...
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Conquering Burnout: Strategies for Physiotherapists with WriteUpp
Physiotutors Podcast
Download the FREE Physiotutors App 📲: Get 3 months free of WriteUpp's Practice Management Software. Visit: https://writeupp.com/physiotutors for more Summary In this episode of the Physiotutors podcast, we discuss the pervasive issue of burnout among physiotherapists, focusing on the business and operational challenges that contribute to this phenomenon. Joined by Claire Braham and Anna Bunch, experts in practice management and virtual assistance, the conversation delves into the daily realities of running a physiotherapy practice. They highlight that burnout often stems not just from long...
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(Dutch Episode) When Passion and Reality Collide - Quitting Physiotherapy with Arjan Elshof
Physiotutors Podcast
Note: This episode was recoreded in Dutch and can be listened to in English and other languages on the Physiotutors App. The next episode will be in English again! Summary In this episode, we discuss the journey of Ajan Elshof, a former physiotherapist who transitioned to a care-intensive advisor role. We explore the reasons behind his departure from physiotherapy, including changing perspectives on care, the challenges of practice management, and the relationship between physiotherapists and insurers. Ajan shares insights on the future of physiotherapy, the importance of innovation, and the...
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The role of exercise in oncology with Nele Adriaenssens, Nirit Rotem, Grainne Sheill
Physiotutors Podcast
Summary This podcast explores the critical role of exercise therapy in oncology, highlighting its importance in cancer treatment, rehabilitation, and survivorship. Experts discuss the evolution of exercise in oncology, current practices, and innovative trials that examine the interactions between exercise and chemotherapy. The conversation also addresses the unique challenges faced by patients with head and neck cancer and the significance of tailored exercise programs in improving patient outcomes. This conversation delves into the critical role of exercise in cancer care, highlighting...
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From Core to Kick: The Pelvis as the Missing Link in Hamstring and Groin Injuries ft. Nick van der Horst
Physiotutors Podcast
Summary In this conversation, Dr. Nick van der Horst, a sports physiotherapist, discusses the significant impact of hamstring and groin injuries in football, emphasizing the importance of pelvic control in injury prevention and rehabilitation. He highlights the prevalence of these injuries, the role of eccentric strength training, and the need for comprehensive screening and assessment methods. Dr. van der Horst shares insights on how to modify pelvic posture and control during rehabilitation, providing practical advice for integrating these concepts into injury prevention programs. The...
info_outlineIn this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.
The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.
The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.
Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.
Chapters
- 00:00 Intro
- 00:46 Defining Dry Needling
- 01:49 The Physiology
- 07:26 Difficulty of human studies
- 08:15 Active vs. Latent Trigger Points
- 10:05 Reliability Issues of TP Therapy
- 12:00 Referred pain in Trigger Points
- 15:40 The local twitch response
- 17:50 In-situ vs. winding technique
- 18:36 Research vs. Clinical Practice
- 20:22 Dry Needling for Tendinopathy?
- 23:58 Evidence for MSK Complaints
- 28:01 Contraindications and Risks
- 30:45 Needles vs. Hands
- 32:16 Kai's Dry Needling Anecdote
- 33:06 Are we chasing short-term effects?
- 35:26 Top 3 Reasons to learn Dry Needling
- 40:01 Closing thoughts
- 41:06 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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