Here is a quick video of some pertinent points to remember PRIOR to needling the c spine, excerpted from a seminar I did in Vancouver in May.
Keep on Needling!
The importance of anatomical localization: The Scalenes
When needling, whether it be dry kneeling or acupuncture, precision is key (1, 2). It is often said that "if you don't know where your needle is, you probably shouldn't be there". This is very true and in areas like the apex of the lung field, especially prudent.
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We all know that needling the trapezius can be a great thing, especially with the typical "J" referral pattern working so well for headache and neck pain.
We also know there is much literature to be found regarding its efficacy for: mechanical neck pain (1,2), myofascial pain (2-4), range of motion (5), local blood flow (6), . . .
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It can be hard to hit those obliques. They are especially important since they are king when it comes to saggital and transverse plane stability. Here is an interesting twist on the side bridge I like to use. Thanks to Jason Shane from Shane Physiotherapy for filming and posting this clip from the recent Vancouver Level 1 course in May. . . .
Don't forget about or neglect to use dry needling, as it is a great modality and has been shown, in sone studies, to be as effective as deep dry needling (1-3)!
Enjoy this technique video.It will be part f a growing library of clinical technique tips offered by F.I.R.E.. Check back often for new releases or subscribe to my . . .
I began this piece a while ago as part of a needling atlas that I was going to co author with one of my mentors, Dr Martha Lucas. The project proved to be more of a task than either of us realized, but some great information came out of it and I am passing some of that along to you here. This is a lengthy post, as the . . .