lundi 17 octobre 2016

DRY NEEDLING, N°4, Trigger Point-BMN

DRY NEEDLING, N°4, Trigger Point-BMN

Inserting acupuncture needles in carefully selected points, of recognized and logical efficacy, enables on one hand to easily deal with the TPs involved in the painful condition and secondly to act on the various factors initiating and perpetuating the state of active TPs.
·                 Various Acupuncture Points_ APs could be selected: Tender points or “Ah-Shi” points, proximal or remote APs on the meridians and extra-meridians, affecting the area of pain or disharmony.
·                 Various factors could be treated: Mechanical stresses, injuries, nutritional or sleep problems, emotional factors, acute or chronic infections, organ dysfunction and disease…
*-* Acupuncture needles in the Protocol of Dry Needling
Both Acupuncture, oriental medicine and Dry Needling, Western medicine, use very thin and compact or hollow needles, inserted into the skin and the muscle, in many common points seen as Trigger Points or Acupuncture points. 
n    Acupuncture needles are inserted into Acupuncture Points _ APs located in proximal as well as distal areas, connected by meridians described as cleavage planes of connective tissue.
n    Acupuncture needles are inserted into APs often confused with Trigger Points.    
n    The insertion of acupuncture needles into carefully selected points, of recognized and logical efficiency, on the one hand, allows managing easily those Trigger Points involved in the painful condition and on the other hand acts on the various factors initiating and perpetuating the active state of the Trigger Point...

BMN in DN and Wet needling
It is possible to use the BMN both for Dry & Wet Needling as recommended.
 BMN being a hypodermic and Acupuncture needle, its use avoids the controversy on using an acupuncture needle and performing an acupuncture act without being an official Acupuncturist and not using a hypodermic needle as advocated by Travell and Simons in their first book. 
BMN is a disposable device used by Acupuncturists for Acupuncture and Mesopuncture and all Therapists practicing Dry or Wet needling as well as professionals in Mesotherapy. 
It is a hollow acupuncture needle with a diameter identical to current acupuncture needle (0.30 mm) topped with an empty resilient polymer reservoir.
The resilient polymer reservoir located in the handle of the needle, (or rather, topping the hollow needle, the reservoir is used for gripping the needle) is filled by the Therapist with the liquid drug he has previously selected, based on the disease to be treated.
The BMN is of dual identity: It is a hypodermic needle because it is hollow, but it is also an acupuncture needle, as described by the FDA.

Its use is plural if we consider, 
·         First, the multiplicity of TPs confused with APs with, for the latter the need to leave in situ the acupuncture needle while allowing the supine position, the treatment continuing.   
·         The second feature is the ability to initiate or complete the effectiveness
of the DN or Acupuncture treatment resulting from insertion of a metal needle, by injecting a liquid drug chosen for its own therapeutic virtues or its complementary biochemical or mechanical effect, thus performing a Wet Needling or a Mesopuncture session.  
It is thus possible, for the Therapist, to perform with the same BMN inserted in the TP, both Dry needling coupled or not, with Wet needling, facilitating the TPs deactivation and optimizing the therapeutic result of this deactivation.
If from moreover the TP is of common localization with the Acupuncture Point, it would be possible:
·                 To keep the BMN inserted in the Point for about 20 minutes as recommended for an acupuncture treatment.
·                 To Achieve with the same BMN insertion, both versions of Acupuncture: Metal needle therapy (Acupuncture) and treatment with the liquid drug reservoir, injected into the TP (Mesopuncture).
·                 To continue the treatment while the patient is lying on his back, with various BMN inserted in the TPs or APS, located in the back.
·                 To perform, possibly, with the same needle insertion some Mesotherapy points, in the dermis around the AP.

In fact, the BMN leaves, to the Therapist, the complete freedom to choose:

For TPs, the Wet and Dry needling, 
For APs, Acupuncture and Mesopuncture,  
For Allopathic /Homeopathic medicine, the creation of Mesotherapy points by injecting micro doses of liquid drug into the dermis surrounding the APs.

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