WET NEEDLING. N°3. The BMN, both hypodermic & acupuncture needle.

WET NEEDLING. N°3. The BMN, both hypodermic & acupuncture needle.

 THE CONTRAINDICATIONS

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.

The mechanism precisely by which Wet Needling inactivates the Trigger Point is currently unknown.

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 include:

·                    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.

And

• Interruption of the positive feedback mechanism that perpetuates pain.

• Increased elimination of metabolites caused by the vasodilator effect of local anesthesia.

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.

RESULTS

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 and anxiety.

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 Point.

CONCLUSION

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 inconclusive.

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.