Ano nga ba ang health benefits ng dry needling?
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00:00 For the continuation of National Physical Therapy Month, this month of October,
00:04 we will know a treatment for pain and movement issues.
00:08 But before that, let's watch this first.
00:11 This October, we celebrate National Physical Therapy Month
00:17 as an acknowledgement of the important role of physical therapists in the treatment of diseases.
00:23 And in the continuation of the development and change in the field of medicine and therapy,
00:27 there are many alternative methods of treatment.
00:31 One of them is dry needling.
00:34 A method where the usual needles are used to improve the health and well-being of the individual
00:42 who needs professional help.
00:45 This is a new and effective method of treatment that gives many benefits to patients.
00:52 So this morning, let's find out what is the important process and benefits of dry needling.
00:58 Here in Rise and Shine Philippines.
01:03 And for us to give more details about this, we will still have the physiotherapist,
01:11 Patrick Dumpit and Daniel Luwinang.
01:14 Good morning and welcome to Rise and Shine Philippines.
01:16 Good morning.
01:17 For those who are not familiar with dry needling, what is dry needling and what are the benefits of it?
01:24 Dry needling is an invasive technique.
01:27 It uses sterilized needles.
01:29 It is different from other physical therapy approaches because
01:35 most physical therapy is non-invasive, more on superficial.
01:40 The benefits of dry needling is more on increasing blood flow in the area.
01:47 It's like I'm comparing it to acupuncture.
01:49 Yes, because it also pierces.
01:51 They are different.
01:52 For acupuncture, it's more of a western approach.
01:56 I mean, eastern approach.
01:58 For dry needling, it's more of a western approach.
02:01 We're more on scientific terms.
02:04 What we're really targeting is for the trigger points.
02:07 So what are the benefits of this to the body?
02:10 Like I said earlier, it's more on increasing blood flow in the area.
02:14 It will apply microtrauma or a small trauma to the area where the needle is hit.
02:20 Then it will send a signal to the brain.
02:23 What will happen is the brain will send blood flow to the area where the needle is hit.
02:31 Then we know that our blood will bring nutrients, oxygen, and there will be an increase in tissue healing.
02:40 For example, we have a patient here who had a vehicle accident.
02:44 He had a shoulder injury.
02:46 If your injury is here, this will be used to put a needle.
02:53 We will first palpate the trigger point and assess it.
02:58 Because later on, we will say that we will screen or assess the injured patient.
03:05 We will check for any precautions that are not allowed.
03:12 We have with us Mariel.
03:14 It would be nice to try this with him.
03:16 Let's talk more about dry needling while we're doing the process with Mariel.
03:23 How does this work?
03:25 Usually, our process in the clinic is that we will use a dry needle.
03:30 I will stand up.
03:32 Okay.
03:33 And a physical therapist should do this or can it be done at home?
03:38 It's better to have a physical therapist and a certified dry needling specialist.
03:43 Okay.
03:44 Hello, ma'am.
03:45 Is that what you're saying?
03:46 That's what's useful.
03:48 Acupuncture is not that painful.
03:51 I personally haven't experienced it.
03:54 It's like a bite of a cockroach.
03:55 That's what they say.
03:56 They describe it as a bite of a cockroach.
03:58 I haven't experienced it but when I look at the people who are getting acupuncture, it's a lot.
04:01 It's painful.
04:02 Are there particular injuries that can be treated with this dry needling?
04:06 And how frequent should this be done?
04:09 Well, for the injuries, usually, people with myofascial pain syndrome,
04:14 people who have trigger points,
04:16 usually, they are called cold people.
04:19 Oh, so it's like a back pain.
04:21 Yes.
04:22 But it's not allowed for patients with cancer, diabetic patients,
04:26 patients with epilepsy,
04:29 and especially for the pregnant women, especially for the first trimester.
04:33 It's not allowed for low back pain because it could lead to miscarriage.
04:36 Those are our precautions.
04:38 So what are we going to do now, Marguer?
04:41 We're going to do a dry needling.
04:43 Our usual practice is,
04:46 we'll introduce ourselves to the patient.
04:49 Hi, I'm Patrick. I'm a licensed physical therapist.
04:51 And I'm a certified...
04:52 Okay, okay.
04:53 I'm just here so that the camera can see you.
04:55 I'm a certified kinesia dry needling therapist.
04:57 And what should I call them?
04:59 Mariel.
05:00 Okay, Ma'am Mariel.
05:01 Today, we're going to do a dry needling.
05:03 We'll explain what a dry needling is,
05:06 what it's for,
05:09 what the benefits are,
05:11 and what you'll feel during and after the dry needling.
05:15 Then, we'll ask for consent.
05:17 Once the patient agrees,
05:19 we can proceed to dry needling.
05:21 Okay.
05:22 Did you agree?
05:23 Yes, I did.
05:24 Okay, okay.
05:25 Mariel.
05:26 Okay, Ma'am.
05:27 This is the dry needling.
05:29 Or dry needle.
05:30 Then,
05:31 I'll borrow this, Ma'am.
05:32 I'll hold it for them.
05:34 First is inspect.
05:35 We'll look for the trigger points.
05:36 Usually, there are also those on the forearm.
05:38 They're usually...
05:40 They're usually on the computer for a long time.
05:42 They're usually at work.
05:44 Then, we'll place it here.
05:46 Here, Ma'am.
05:47 Does anyone feel pain or click?
05:49 No.
05:50 Okay.
05:51 Once the trigger point is located,
05:53 Excuse me, Ma'am.
05:54 You'll insert the dry needle first.
05:57 Yes, Ma'am.
05:58 Then,
05:59 Before that,
06:00 we'll sanitize or disinfect the area.
06:02 Yes, that's good.
06:03 So that it can be vaccinated.
06:04 Correct.
06:05 Our protocols for doing this.
06:07 I hope Mariel is used to it.
06:09 I hope she's not nervous.
06:11 Is this popular in the Philippines?
06:14 Yes, actually, it's popular in the Philippines.
06:16 Okay, disinfect the area.
06:18 There.
06:19 So, you sanitize it first.
06:20 Make sure that there's no...
06:21 We can remove the wear swatch.
06:24 There's nothing in the way.
06:26 Okay, thank you, Ma'am Mariel.
06:28 Then,
06:29 I'll sit down.
06:30 Mariel is blushing.
06:32 Make sure that the patient is comfortable.
06:34 And of course, the PT should be comfortable.
06:36 Okay.
06:37 Uh-huh.
06:38 So, is this recommended twice a month?
06:44 It depends on the patient.
06:46 Sometimes, it's on a case-to-case basis.
06:47 When it comes to treating with dry needling,
06:50 we usually recommend that there's an interval of 1 to 3 days.
06:53 Ah, okay.
06:55 1 to 3 days interval.
06:57 Okay.
06:59 This is the size of the needle.
07:00 Uh-huh.
07:01 Uh-huh.
07:02 And then, since we've determined that the part of his arm is painful,
07:06 we'll inject the PT.
07:09 For our RSP,
07:11 it's a bit bigger than the acupuncture we usually see.
07:16 Then, we'll isolate the muscle.
07:19 Then, we'll explain it to the patient.
07:21 So, what you'll feel is that there's a sudden pain.
07:27 That's normal.
07:28 Make sure that the patient is relaxed.
07:29 Okay, just a moment, Ma'am.
07:30 Then, make sure that he doesn't move much.
07:34 Ma'am, don't move too much.
07:35 Okay, so, he needs to stay put.
07:36 Or don't sleep.
07:37 Stay put.
07:38 Then, this is the needle.
07:39 Are you ready, Ma'am?
07:40 Okay.
07:42 How are they?
07:43 Oh, there.
07:44 Okay.
07:45 Okay.
07:46 Not yet.
07:47 Okay.
07:48 Okay, so, the difference with acupuncture is that there are many needles.
07:52 This is just one.
07:53 Then, it's on the part that's painful.
07:56 Okay.
07:57 So, is it really done?
07:58 It's like the needle is moving?
08:00 Ariel?
08:01 Yes, Ma'am.
08:02 What's called in the process is the technique of piston.
08:06 There's a piston, there's fishing, they call it.
08:10 They're looking for the trigger point inside the forceps.
08:13 Okay.
08:14 There's no risk involved or side effects.
08:17 Well, for the risk, it's not that bad.
08:21 Usually, patients will experience soreness or heaviness.
08:25 The reaction is normal.
08:26 That's okay, Ma'am.
08:27 How is it?
08:28 After the dry needle, we'll check the patient, of course.
08:32 Then, he's disposed properly.
08:33 Make sure that it's not just thrown.
08:35 It's like he has his own disposable that he's throwing away.
08:40 So, he can't be stabbed by others.
08:42 So, right away, Ariel, what did you experience?
08:45 Did you experience any pain or numbness?
08:47 Earlier, I didn't feel it much.
08:52 Then, when the surgeon moved it slowly, I felt the needle.
08:58 Okay.
08:59 So, right away, can they feel relief?
09:02 Yes, they can feel relief.
09:04 But the usual side effects are normal.
09:06 Just relax.
09:07 The usual side effects that they can feel is they can feel heavy.
09:10 As we said earlier, the blood flow increases in the area.
09:13 That's why it's heavy.
09:14 Or it's like a new vaccine.
09:16 So, for that, just apply a warm compress.
09:20 We'll remind the patient.
09:21 Or if it's normal to feel a little bit, it's normal.
09:25 Just apply a cold compress.
09:27 Then, we'll teach him gentle stretching.
09:29 Don't do strenuous activities first.
09:31 Do some lifting, washing, whatever.
09:33 Then, he can move around.
09:35 Don't be baby.
09:37 Because, it's not allowed to be heavy.
09:42 He can't move.
09:43 He can't be covered.
09:45 There's no blood, right?
09:46 We didn't see anything.
09:47 No.
09:48 From time to time, it's normal to bleed a little.
09:52 You can cover it to avoid any risk of infection or further injury.
09:58 So, the operation itself is just like that?
10:00 Yes.
10:01 Just like that.
10:02 But, you can do it simultaneously.
10:04 You can do it simultaneously.
10:05 If PT can do it.
10:06 If PT can do it.
10:07 But, as much as possible, one at a time.
10:09 One at a time.
10:10 Okay.
10:11 I read something last night.
10:13 Especially, those who are suffering from severe headaches or migraine.
10:17 From what I read,
10:19 it's like the blood flow,
10:21 because the blood is heavy in the head,
10:23 that's what causes the headache.
10:25 But, if you transfer it to someone else,
10:27 for example, you put the needle in the hand,
10:32 the blood flow in the head,
10:38 which causes pain,
10:39 will it go here?
10:40 Not necessarily.
10:41 If it causes migraine,
10:45 it's just a change topic.
10:47 There are others,
10:48 mentioned by Sir Daniel,
10:50 there are MPS,
10:51 myofascial pain syndrome,
10:52 this is the location of the pain.
10:54 Most of the time, they can also feel the headache
10:57 because the nerve is pinched,
10:59 because the muscle is stiff or overactive.
11:03 So, the nerve is also pinched or anything
11:06 that can experience migraine.
11:09 Then, we will use a dry needle for pain relief,
11:14 muscle relaxation,
11:15 the pain relief can be felt there.
11:18 Okay, Ma'am.
11:19 I also want to try this dry needle later,
11:23 especially, it hurts.
11:25 If you see someone like this,
11:27 it's like there's something hurting your back.
11:29 Your body needs it.
11:31 But, I want to test it later.
11:35 Let's test it later,
11:36 if we have an injured cameraman,
11:38 if it will work.
11:40 Marielle, what do you feel now,
11:42 a few minutes after this process?
11:44 Now, it gets heavier.
11:46 Ah, it's like you're vaccinated.
11:48 Yes.
11:49 We will remind the patient
11:52 to apply a warm compress for around 10 to 15 minutes.
11:55 Then, we will teach him gentle stretching
11:58 and he can move around.
11:59 As I said earlier,
12:00 don't make him heavy or strain him.
12:04 What's the downtime?
12:05 Downtime is usually around 24 to 72 hours.
12:08 Ah, it's long.
12:09 But, the relief will come after.
12:11 You will feel it.
12:12 Actually, for the relief,
12:14 usually, the patient will experience
12:16 heaviness and soreness for the first 1 to 3 days.
12:19 And then, the patient will feel much better after that.
12:23 For example, the pain scale of the patient is from 7 out of 10.
12:27 If ever the pain of the patient comes back,
12:29 it would come to 5, 1.
12:32 The pain scale will just play around.
12:34 Okay.
12:35 For our viewers who are interested to try this,
12:39 what is your message to them?
12:41 Those who are interested,
12:43 you can go to clinics
12:47 where there are certified kinesio dry needling therapists.
12:53 And, what we mentioned earlier,
12:56 let's make sure that we are clear
12:59 about the diseases or conditions mentioned by Sir Daniel earlier.
13:03 And, especially those who have fear of needles,
13:08 as much as possible,
13:09 we will not give them those who have fear of needles or phobia.
13:13 Because they will be agitated and they will not be able to focus.
13:17 And, the muscles will be guarded.
13:19 So, we do not recommend those who have fear of needles.
13:22 Alright, thank you very much, Patrick and Daniel.
13:26 And, happy National Physical Therapy Month.
13:28 Thank you, Marielle.
13:29 Especially to those who are in this profession, in this industry.
13:32 And, let's try dry needling.
13:35 So that we can remove the pain and cold from our body.
13:40 Thank you very much, Patrick Tumpit and Daniel Luina.
13:44 Thank you, Marielle.
13:46 - I'm pretty handsome. - I'm not married.