2. Also in the series
http://www.slideshare.net/SubhanjanDas/introduction-to-dry-needling
http://www.slideshare.net/SubhanjanDas/2-brief-hisory-of-needling
http://www.slideshare.net/SubhanjanDas/3-superficial-dry-needling
http://www.slideshare.net/SubhanjanDas/4-indications-of-dry-needling
http://www.slideshare.net/SubhanjanDas/6-dangers-of-dry-needling
http://www.slideshare.net/SubhanjanDas/7-physiologic-background-of-dry-needling
http://www.slideshare.net/SubhanjanDas/8-dn-vs-acupuncture
http://www.slideshare.net/SubhanjanDas/9-electroacupuncture
http://www.slideshare.net/SubhanjanDas/10-legalities-involved-in-dry-needling
3. Dry needling poses certain potential risks to the
patient and therapists which are not associated with
traditional non-invasive physiotherapy treatment.
5. DN should be performed with special precautions
around thorax
needling is done obliquely and superficially.
Emphysematous patients have maximum risk.
A pincer grip should be utilised as in the case of the
upper trapezius, or needling over bone to protect the
lung as in the case of the scapula and ribs.
The risk of a pneumothorax is very small if proper
needling techniques are employed
7. The risk of a pneumothorax is very small if proper
needling techniques are employed
8. Clinical features
Sudden and sharp chest pain
Breathing difficulty
Tight chest
Early fatigue
Tachycardia
dimished chest sounds
Low O2 tension
Low BP
9. Blood Vessels
with DN there is a potential of injury to blood vessels.
Palpating for a pulse to locate an artery prior to DN
minimizes the risk.
10. Nerve
with DN there is potential for injury to nerves.
Special consideration needs to be given in relation to
the spine and in the posterior sub occipital area
the brain stem is accessible through the foramen
magnum.
11. Organs
Anatomical knowledge of internal organs is important
as with DN there is potential for
injury to internal organs such as the kidney or
penetration into the peritoneum cavity.
15. rare but serious traumatic complications could be
avoided if practitioners had better anatomical
knowledge, applied existing anatomical knowledge
better, or both (Peuker and Gronemeyer 2001).