Dry Needling EN Archives

The cause-consequence chain describes a state of irritation of the tissues in the musculoskeletal system that is directly related to an injury and has an effect on surrounding structures (a kind of chain reaction).
A general distinction is made between ascending and descending chains. An ascending chain is often triggered by trauma to the lower extremities, such as supination trauma (twisting of the ankle). Thus, there is sometimes a link between an old foot injury and acute hip symptoms.

Accordingly, in sports medicine there are also descending cause-and-consequence chains, such as discomfort or dysfunction in the hip, which can lead to pain in the knee. These are usually triggered by a dysfunction of the temporomandibular joint. This is followed by a protective posture with increased stress on the unaffected structures in order to minimize pain as well as further irritation of the affected structures.

Over a longer period of time, overload symptoms can occur, which are often characterized by local pain. However, these can also manifest globally in adjacent structures. This type of chain reaction can ensure that local therapeutic measures remain unsuccessful, as the actual cause of the pain present is often not included in the treatment planning.

It is therefore even the more important to include surrounding structures such as joints, muscles or ligaments in the initial examination as well as in the treatment and to structure the therapy holistically. Over the long term, better therapy goals can therefore be achieved and the quality of life sustainably improved.

If you have any questions about the cause-effect chain or would like to make an appointment for treatment, please feel free to call us!

Your Michael Boettcher

In our private practice for physiotherapy, we use healing techniques to bring your body into balance in a natural way and free you from pain. Today we would like to introduce the application of Dry Needling to you.

Dry Needling is a form of trigger point therapy in which mainly myofascial points and fasciae are treated. Similar to Chinese acupuncture, Dry Needling uses sterile acupuncture needles to address trigger points in the muscle or musculoskeletal system to release tension and relieve pain. There are two forms of dry needling: intramuscular stimulation (IMS) and superficial dry needling.

In intramuscular stimulation, a sterile needle is inserted directly into the trigger point. This process initially triggers a tension reaction in the muscle, which is often perceived as beneficial. By placing the needles in the myofascial trigger point, the oxygen supply is stimulated and the blood flow in the affected muscle groups is improved. If the tense area shows inflammation or adhesions, these are inhibited by the dry needling application or disappear completely.

In the superficial treatment of pain in the musculoskeletal system, the dry needle is placed diagonally above the trigger point with a puncture depth of 3-4 mm under the skin. This is where the central nervous system comes into play. The superficial puncture triggers various mechanisms in the brain and spinal cord that contribute to pain relief and healing of the affected area.

Which Dry Needling technique is the right one for you depends on many factors, which we will clarify in advance in an anamnesis consultation.

Yours Michael Boettcher