INTEGRATIVE DRY NEEDLING
FAQ- Frequently Asked Questions
Integrative Dry Needling is a highly effective form of Physical Medicine for the treatment of a multitude of musculoskeletal and neuromuscular conditions. It is not appropriate for all conditions or pathologies and the use of the technique will be at the discretion of Dr. Loechinger.
How does it work?
Integrative Dry Needling is NOT Acupuncture (traditional Chinese medicine), it is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems.
A very fine filament needle is inserted through the skin and into the deeper tissues that are considered Trigger Points to your pain. Dry Needling works by causing a micro-lesion within the pathological tissue thus breaking up shortened tissues, inhibiting a reflex arc from the nervous system to the tissue, normalizing the inflammatory response, and centrally mediating the pain. This mechanical and neuromuscular effect provides an environment that enhances the body's ability to reduce inflammation which ultimately reduces pain.
What conditions can be treated?
Conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer's elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms).
Are the needles sterile?
Yes, only single use, Sterile Disposable Needles are used in this procedure.
Is the procedure painful?
No...Generally not.... However every patient is different. The fine filament needle is very thin, solid, and flexible, which allows for the needle to be pushed through the skin versus cutting the skin. This helps reduce any discomfort that may occur with the procedure. Dr. Loechinger strives to make the treatment virtually painless however at times a local twitch response of the muscle may be felt. When the needle is inserted into the pathological tissue the local twitch response sensation is normal and if felt is only felt momentarily. Many patients describe this twitch response as a slight tingle, cramp or an ache sensation. These sensations are perfectly normal and even a desirable response. Dr. Loechinger will make every effort to make your experience comfortable and therapeutic.
How will I feel after the Dry Needling treatment?
Most patients relate, "I feel better"... This will vary and most patients experience immediate relief of their symptoms and an increase in range of motion. Soreness may occur temporarily from the needling but not with all people. Some individuals may experience a mild achiness or a delayed soreness the next day. The soreness, if present, will be mild usually lasting only 24-36 hours.
Use of an ice pack and light massage and movement will be beneficial if soreness occurs. Mild bruising may rarely occur at the needling sites and is more prevalent in certain parts of the body. Larger bruising can occur, but is very rare. Application of ice on the bruise will help with the soreness and the skin discoloration usually only lasting several days but, again is not harmful.
Will I continue to do exercises or receive other treatments?
Yes, your personalized Chiropractic and/or Naturopathic program will still integrate traditional methods including Chiropractic and/or Naturopathic care if prescribed or desired.
How many treatments will I need?
This will depend on the category you fit in, which is determined by the nature and severity of your symptoms and your overall health. Remember, Dr. Loechinger is attempting to cause mechanical and biochemical changes without any pharmacological means. Therefore
Dr. Loechinger is looking for a cumulative response to break the pain cycle. After your initial evaluation and Dry Needling treatment, further treatment if needed, will be discussed based on your individual needs. Generally treatments are completed in as few as 2-4 visits, however, some patients require 6-10 treatments and/or perhaps occasional follow-up visits as needed to control their symptoms in chronic or recurring conditions.
What should I do to prepare for treatment?
- Do not apply oils or lotions after bathing/showering before the procedure
- Do not eat 30 minutes before treatment
- Be well hydrated but empty your bladder prior to treatment
- You will be gowned during the procedure; appropriate body draping will be also used
What should/can I do after treatment, what should I avoid?
Dr. Loechinger's recommendations vary depending on the amount of soreness, you have, if any, and on the individual response to the treatment. Recommendations may include increasing your water intake, applying moist heat or ice over the area, gentle stretches and modifications of activities as well as further Dry Needling prescribed.
Is Dry Needling treatment covered by my insurance?
This is a Physical Medicine Procedure and generally not covered under most insurance plans. However, every insurance plan is different, you may call your insurance carrier to inquire if
"Dry Needling" is covered. Most HSA plans do cover Dry Needling. My office manager may be able to answer your questions regarding coverage.
BWC (Bureau of Worker's Compensation) cases may cover this procedure with pre-authorization.
PI (Personal Injury) cases generally cover Dry Needling for injuries sustained as a result of a MVA (Motor Vehicle Accident).
NOTE: Not all Chiropractic Physicians are trained to perform the Integrative Dry Needling procedure. Dr. Loechinger has advanced training and has been certified through the Integrative Dry Needling Institute.