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DR. SUBHANJAN DAS, PT 
Subhanjan_82@yahoo.com 
+91 8967549104 
Dry Needling Instructor 
MPT (Musculoskeletal & Sports) 
As...
Also in the series 
 http://www.slideshare.net/SubhanjanDas/introduction-to-dry-needling 
 http://www.slideshare.net/Sub...
 From APTA resource paper on DN
Absolute Contraindications: 
1. In a patient with needle phobia 
2. Unwilling patient - patient beliefs, fear etc 
3. Unab...
6. Into a muscle or area in patients on anticoagulant 
therapy or with thrombocytopenia, 
where haemostasis by palpation c...
Relative contraindication 
1. Abnormal Bleeding Tendency: anticoagulant therapy, 
thrombocytopenia 
2. Compromised Immune ...
3. Vascular Disease 
4. Diabetes 
5. Pregnancy: one in four to five pregnancies may 
naturally terminate in the first trim...
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5 contraindications of dry needling

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5 contraindications of dry needling

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5 contraindications of dry needling

  1. 1. DR. SUBHANJAN DAS, PT Subhanjan_82@yahoo.com +91 8967549104 Dry Needling Instructor MPT (Musculoskeletal & Sports) Assoc. Prof., BIMLS, Burdwan
  2. 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. 3.  From APTA resource paper on DN
  4. 4. Absolute Contraindications: 1. In a patient with needle phobia 2. Unwilling patient - patient beliefs, fear etc 3. Unable to give consent - age-related, communication, cognitive 4. History of untoward reaction to needling (or injection) in the past 5. Medical emergency
  5. 5. 6. Into a muscle or area in patients on anticoagulant therapy or with thrombocytopenia, where haemostasis by palpation cannot be carried out appropriately e.g. psoas, tibialis posterior 7. Into an area or limb with lymphoedema as patients with lymphoedema maybe more susceptible to infection. In addition it is not advisable to needle a limb after surgical lymphectomy.
  6. 6. Relative contraindication 1. Abnormal Bleeding Tendency: anticoagulant therapy, thrombocytopenia 2. Compromised Immune System: 1. Immunocompromised patients from disease (e.g. Blood borne disease, Cancer, HIV, AIDS, Hepatitis, bacterial endocarditis, incompetent heart valve or valve replacements etc.) 2. Immunocompromised from immumosuppression therapy or on cancer therapy 3. Debilitated patients or those with chronic illness etc 4. Acute immune disorders (E.G. acute states of rheumatoid arthritis, current infection, local or systemic etc.)
  7. 7. 3. Vascular Disease 4. Diabetes 5. Pregnancy: one in four to five pregnancies may naturally terminate in the first trimester. 6. Frail Patients 7. Epilepsy 8. Children

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