WET NEEDLING. N°3. The BMN, both hypodermic & acupuncture needle.
WET NEEDLING. N°3. The BMN, both hypodermic
& acupuncture needle.
Contraindications associated with the needle
insertion and secondary for using drugs are combined: Acute muscular trauma,
allergy to medications used, coagulation disorders, bleeding disorders, anticoagulants
used, local or systemic infection and contraindications for the use of
botulinum toxin, Hyaluronic Acid etc...
WET NEEDLING, action MODE.
precisely by which Wet Needling inactivates the Trigger Point is currently
Several mechanisms of
action have been proposed, each one of which may be relevant with the different
modalities of the Wet Needling.
Mechanisms of action
·Mechanical breakage of abnormal muscle fibers and nerve endings.
·Depolarization of nerve fibers by intracellular potassium released from
the broken muscle fibers.
·Local dilution of nociceptive substances.
·Contra-stimulation similar to the acupuncture effect.
·Focal necrosis of the Trigger Point by the injected drug.
• Interruption of the
positive feedback mechanism that perpetuates pain.
elimination of metabolites caused by the vasodilator effect of local
There is no mention of the role played by the
different functions of the connective tissue stimulated by the signal of the
metal needle implanted (or by the injected volume?) into the AP, currently
considered as a mass of connective tissue, communicating or not, with other
APs, by the meridians, also considered as connective tissue cleavage planes.
The Wet Needling can shorten the needle
insertion pain in the Trigger point already painful, especially when the
insertion must be repeated in several points
The Wet Needling is as efficient and fast as
acupuncture / Mesopuncture or as Dry Needling for certain types of
musculoskeletal pain: Trigger Points newly formed or recurrent or resistant to
conventional treatments or chronic Trigger Points requiring multiple and
frequent injections perhaps caused by:
·Physical factors :
postural stress, repetitive movements, deficiencies of vitamins and minerals...
· Psychological Factors such as stress, tension
Injection of a drug, appreciated by many
professionals, is not required to deactivate, properly said, the Trigger Point,
but it is still positive to add to the therapeutic properties
(anti-inflammatory, anesthetic, vitamins, etc.) of the drug liquid injected to
the mechanical deactivation produced by the volume of the drug injected in this
Trigger Point, used, for example, to reduce and eliminate pain...
The use of extended
elimination drug allows extending the pain relief duration of the Trigger
Wet Needling, an evolving therapy, has much in
common with the technical phase of Mesopuncture. The current trend of including
it in a treatment protocol accentuates this similarity.
In fact, most published studies, very few numerous, have attempted to quantify
the Wet Needling effects as a single therapy for patients with chronic pain was
Painful myofascial syndrome being often multifactorial
and involving, usually, the participation of different groups of muscles, the
Wet Needling cannot be used as a single treatment for chronic muscle skeletal
pain (duration of more than three months), but rather as a complementary
treatment, in the short term, to later facilitate the establishment of other
treatments selected and described in a treatment protocol including: Dry
Needling, Wet Needling, performed with the BMN and the two versions of
Acupuncture, Acupuncture and Mesopuncture as well as rheumatology, physical medicine, general medicine, etc.
It was also suggested that when using Wet
Needling as a first-line treatment, patients could become addicted to pain
relief, which can distract them from having to treat the underlying factors that
cause and perpetuate their pain.