Yu kin gɛt pen bak ɔltɛm na di sem ples na yu bɔdi? I kin tan lɛk se dɛn dɔn knot wan mɔsul? Yu gɛt smɔl smɔl knot dɛn na yu bɔdi we kin fil tranga insay ɛn we kin at we yu prɛs dɛn wit yu an? Bɔrku pipul kin gɛt dis kayn pen na say dɛm lɛk dɛn sholda, nɛk, ɛn bak. So, tide wi de tɔk bɔt wan spɛshal tritmɛnt we kin ɛp wit dis kayn prɔblɛm, ɛn i de go an to an wit fisiotɛrapi. Dɛn kɔl dis Dray Nidlin.
Fɔ tɔk am simpul wan, wetin na Dray Nidlin?
Dray Nidling na wan we we pipul dɛn we tren fɔ mɛn pipul dɛn we gɛt wɛlbɔdi, lɛk di wan dɛn we de mɛn pipul dɛn we gɛt bɔdi, kin yuz fɔ trit pen na di mɔsul dɛn ɛn di prɔblɛm dɛn we kin mek pɔsin ebul fɔ muv. Nɔto ɔltɛm na tritmɛnt fɔ insɛf. Bɔku tɛm dɛn kin du am as pat pan wan big tritmɛnt plan we gɛt fɔ du wit ɛksesaiz, strɛch , ɛn masaj.
Insay dis tritmɛnt, pɔsin we tren kin put nidul dɛn we rili tan ɛn shap tru yu skin ɛn trit di knot dɛn we de na yu mɔsul dɛn. We wi de tɔk bɔt mɛrɛsin, dɛn kɔl dɛn knot ya myofascial trigger points .
Lɛ wi brok dɔŋ di minin fɔ dis wɔd. ‘Myo’ min mɔsul. ‘Fascia’ min di tin, wayt kכnektiv tisu we de rawnd wi mכsul dεm. So dɛn trig pɔynt ya na dɛn knot dɛn we de fɔm insay yu mɔsul dɛn, usay yu kin fil dɛn. Dɛn rili sɛnsitiv. Sɔmtɛm di knot kin de na di sem ples usay di pen de. Bɔt sɔntɛnde, di knot dɛn kin mek pɔsin fil pen na wan difrɛn pat na di bɔdi.
Fɔ ɛgzampul, imajin se wan trig pɔynt na yu sholda de mek yu an de pen, ɔ yu nɛk de at. Dɛn kɔl dis pen we dɛn kin kɔl rifer . Dis min se di say we di pen de kɔmɔt na wan ples, bɔt dɛn kin fil di pen na ɔda say.
Fisiotɛrapist dɛn kin yuz dɛn nidul ya fɔ lus di knot dɛn we dɛn kɔl trig pɔynt. we dεn put di nidul dεm dis we, di tayt we di mכsul dεm εn di tisu dεm tayt de rεdכks, di bכdi fכ fכlכ na dεn εria dεm de bכku, εn di pen we de na da say de εn di pen we dεn rifer to de rεdכks.
Na rizin de we mek dɛn kɔl am "Dry" Needling. Dat na bikɔs di nidul dɛn nɔ gɛt ɛni mɛrɛsin. I tan lɛk injɛkshɔn, nɔto ɛnitin. Na dat mek dɛn kɔl am "dray." Triga pɔynt injɛkshɔn difrɛn, bikɔs dɔktɔ kin injekt mɛrɛsin lɛk pen kil, na di say.
Okay, naw mek wi si aw dis Dry Needling we de wok.
We yu yuz yu mɔsul pasmak, dat min se we i taya pasmak, i kin gɛt wan kayn prɔblɛm wit ɛnaji. Fɔ tɔk am simpul wan, dɛn mɔsul fayv dɛn de nɔ kin gɛt di blɔd we dɛn nid. we dεn kכt di bכdi, di mכsul nכ de gεt di כksijεn εn di nyutriεnt dεm we i nid fכ go bak to in nכmal rεst stet.
we dis apin, di tisu we de rawnd di trig pכynt de bi asid. Di nɛf dɛn we de na da say de kin rili fil bad, ɛn di wan ol eria kin bigin fɔ at.
So, we yu stimulate dat trig point wit nidul, i kin stat fɔ blɔd nɔmal wan bak. As nyu blɔd de kam insay, dɛn kin pul di dɔti we dɔn gɛda na da say de, ɛn di tayt we de na di mɔsul kin kɔmɔt. Apat frɔm dat, di sɛns we di nidul de nak di nɛv fayv dɛn kin wok, ɛn wi bren kin mek sayn fɔ pul kemikal dɛn we dɛn kɔl ɛndɔfin . Dɛn ɛndɔfin ya na natura l pen kil we wi bɔdi de mek. I tan lɛk wi yon ‘painkillers’.
We yu fizik thɛrapist dɔn fɛn di say we di trig de, dɛn go put di nidul dairekt insay de. Sɔntɛnde dɛn go tray fɔ muv di nidul smɔl ya ɛn de fɔ mek wetin dɛn kɔl lokal twitch rispɔns . Dis na we di mɔsul de jɔk wantɛm wantɛm. Dis na gud sayn, we min se di mɔsul de ansa fayn to di tritmɛnt.
Sɔm pipul dɛn kin gɛt pen kwik kwik wan ɛn dɛn kin ebul fɔ muv fayn fayn wan afta dɛn dɔn du Dray Nidling sɛshɔn. Fɔ ɔda pipul dɛn, i kin tek sɔm tɛm fɔ si gud tin dɛn.
Dis tritmɛnt de mek pɔsin fil bad? Wan kwɛstyɔn we ɔlman kin aks.
Fɔ tɔk tru, trig pɔynt na ples dɛn we natin nɔ de mek pɔsin fil pen fɔ tɔch. So, bifo yu gɛt di akupankcha, yu kin fil sɔm pen as yu fizik thɛrapist de prɛs dɛn knot ya dɔŋ.
Sɔm tin kin mek pɔsin nɔ fil fayn we dɛn put di nidul dɛn insay. Di nidul dɛn so smɔl dat sɔntɛnde yu nɔ kin ivin fil dɛn. Bɔt sɔm pipul dɛn kin fil se dɛn kin chuk dɛn smɔl. we di nidul go insay di trig pכynt, i kin pen sכmtεm εn mek da twitch rispכns de we wi bin tכk bכt.
Afta di tritmɛnt, yu kin fil sɔm stif ɔ pen rawnd di say we dɛn put di nidul. Dis na nɔmal tin. Bɔt , i impɔtant fɔ kɔntinyu fɔ muv ɛn strɛch, nɔto fɔ jɔs de stil.
| Kɔndishɔn dɛn we dɛn kin pul bay Dray Nidlin | |
|---|---|
| Di tin dɛn we gɛt fɔ du wit jɔyn | di prכblεm dεm we de fכ di disk dεm bitwin di vεrbra dεm na di spayna |
| Tεndonayt - inflameshn na di tεndon | Maygren ɛn tɛnsiɔn ed pen |
| Jaw ɛn mɔt prɔblɛm (e.g. TMJ dizayd) . | Whiplash bikɔs ɔf aksidɛnt |
| Sik dɛm wae kin kam wae yu de kɔntinyu fɔ du di sem muvmɛnt (e.g. Carpal Tunnel Syndrome) . | Bak pen |
| Pelvik pen we de mek pɔsin fil pen | Nayt kramp |
| Phantom limb pen we yu de fil | Postherpetic neuralgia (nɛv pen we kin apin as kɔmplikeshɔn fɔ chikinpoks) . |
Udat dɛn nɔ fɔ gɛt dis tritmɛnt?
Dɛn nɔ kin fayn fɔ yuz Dray Nidul fɔ sɔm grup dɛn. I kin mek pɔsin fil pen, so dɛn nɔ kin du am pan pikin dɛn we nɔ rich 12 ia yet. Dɔn bak, pipul dɛn we de na dɛn grup ya fɔ rili tɔk to dɛn dɔktɔ bifo dɛn du dis tritmɛnt:
- Uman dɛn we gɛt bɛlɛ.
- Pipul wae gɛt prɔblɛm fɔ ɔndastand di tritmɛnt.
- Pipul wae gɛt pasmak frayd fɔ chukchuk (trypanophobia).
- Pipul dɛn we gɛt wik imyun sistɛm.
- Di wan dɛn we dɛn jɔs du ɔpreshɔn pan.
- Pipul dɛn we de tek mɛrɛsin we de mek blɔd tan.
Wetin kin apin we dɛn de trit am? Lɛ wi fɛn ɔda tin dɛn stɛp bay stɛp.
Dis tritmɛnt na wan we we dɛn kin du bɔku tin dɛn.
Bifo dɛn trit am
Bifo yu du Dry Needling, yu fyzikal thɛrapist go tek wan kɔmplit mɛdikal histri ɛn du fyzikal ɛgzam. Dɔn dɛn go disayd if Dray Nidlin rayt fɔ yu. If dɛn tink se yu fit fayn, dɛn go ɛksplen di tritmɛnt ɛn ansa ɛni kwɛstyɔn we yu gɛt. I impɔtant fɔ wɛr fayn klos we nɔ gɛt natin fɔ du wit di de we yu de trit yu.
We dɛn de du tritmɛnt
Fɔs, dɛn kin sterilayz di say we dɛn de trit am fayn fayn wan ɛn dɛn kin pripia di nidul dɛn. Ɛni nidul nɔ gɛt stɛriyl ɛn dɛn kin yuz am wan tɛm nɔmɔ ɛn afta dat dɛn kin trowe am. Dɔn, di fisiotɛrapist kin palpat yu bɔdi wit wan an fɔ fɛn di rayt say we di trig pɔynt de. Wit di ɔda an, dɛn kin put di nidul we de insay wan plastic gayd tiub insay di say.
afta dat, dεn kin put di nidul rili jכnt insay di tכp layεr na yu skin (epidamis) εn dεn kin pul di plastic tכb. Di we dɛn we dɛn yuz ya kin difrɛn. Tu men we dɛn de:
- supεrfishal (sכbkutan): na ya, dεn de put di nidul lεk 5-10 milimita oba di trig pכynt, insay di sכbkutan tisu.
- Dip (insay di mɔsul): Na ya, dɛn kin put di nidul dip insay di mɔsul, pas di tisu we de ɔnda di bɔdi.
Dipen pan di we aw dɛn yuz am, dɛn kin lɛf di nidul na in ples fɔ lɛk tu sɛkɔn to lɛk 20 minit. Sɔntɛnde dɛn kin yuz wan we fɔ mek di nidul ɔp ɛn dɔŋ kwik kwik wan insay di tisu.
We yu de du di fɔs tritmɛnt, yu kin jɔs yuz wan ɔ tu nidul. Dipen pan aw yu ansa, dɛn kin ad di nɔmba fɔ di nidul dɛn we dɛn kin yuz insay di sɛshɔn dɛn we go kam afta dat. Fɔ ɛgzampul, we yu de trit bak pen, yu kin yuz lɛk 10-15 nidul.
Afta dɛn dɔn trit am
We di tritmɛnt dɔn, dɛn kin pul di nidul dɛn ɛn chɛk di skin fɔ si if i gɛt ɛnitin fɔ du wit am. Dɛn kin put di nidul dɛn we dɛn dɔn yuz insay spɛshal kɔntena we gɛt mɛdikal shap ɛn trowe dɛn fayn fayn wan.
Afta dat, di dɔktɔ go tɛl yu fɔ grap. If yu fil se yu ed de tɔn, yu kin sidɔm fɔ sɔm tɛm ɛn rɛst. Afta di tritmɛnt, i rili impɔtant fɔ drink bɔku wata . Afta di tritmɛnt, di mɔsul dɛn pen kin go ɔp smɔl, bɔt nɔ stɔp fɔ muv yu bɔdi. Dis pen kin dɔn insay 24-36 awa. Yu kin si smɔl smɔl brus usay dɛn put di nidul dɛn, we kin las fɔ lɛk wan wik so.
Yu tink se Dray Nidlin ɛn Akupankcha na di sem tin? Nɔ, dɛn na tu difrɛn tin dɛn!
Bɔku pipul dɛn kin kɔnfyus Dray Nidlin ɛn Akupankcha as di sem tin. Na tru se ɔl tu di tritmɛnt dɛn na fɔ put nidul dɛn na di skin. Di kayn nidul dɛn we dɛn kin yuz na di sem. Bɔt, di tin dɛn we fiba de dɔn de. Dis na tu tritmɛnt dɛn we rili difrɛn.
Dray Nidling na tritmɛnt we de bays pan Wɛstinian mɛrɛsin ɛn wi bɔdi in anatomi. Di men tin we i want fɔ du na fɔ pul di pen bay we i de rilaks di tin dɛn we kin mek pɔsin fil pen. Akupankcha na wan ol tritmɛnt we dɛn mek wit Istan mɛrɛsin we gɛt fɔ du wit fɔ balans di bɔdi in ɛnaji we de flɔ.
Wi kin ɔndastand dis difrɛns klia wan frɔm di tebul we de dɔŋ ya.
| Tin | Dray Nidlin | Akupankcha we dɛn kin du |
|---|---|---|
| Fawndeshɔn | Wɛstinian Mɛdisin, Pen Pɔtn, ɛn Bɔdi Strukchɔ (Anatomy) . | Istan (Chaini) Mɛdisin, Ɛnaji Path dɛn na di Bɔdi (Meridians) . |
| Men gol | Deaktiv trig pכynt dεm na di mכsul dεm εn rεdכks pen. | bεlεn di bכdi in εnεji fכ fכlכ (Qi - "chi"). |
| Udat dɛn kin du am? | Fisiotɛrapist ɛn dɔktɔ dɛn we dɔn gɛt spɛshal trenin fɔ dis. | Akupankcha dɛn we gɛt laysens. |
Wetin na di risk ɛn sayd ɛfɛkt dɛm?
Di sayd ɛfɛkt we kin apin we pɔsin dray nidul na pen we i de du ɛn afta di tritmɛnt.
Ɔda sayd ɛfɛkt dɛn kin bi smɔl smɔl. Dɛn tin ya na:
- Di stiffness we pɔsin kin gɛt
- Brus na ɔ rawnd di say we dɛn put am
- Fɔ mek pɔsin spɛl
- Taya / Taya
Risk de bak fɔ gɛt di sik, so i impɔtant fɔ mek shɔ se di pɔsin we de trit yu tren fayn fɔ dis.
Siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm. Bɔt if blɔd de kɔmɔt na di say we dɛn put di nidul, ol di say tranga wan ɛn kɔl yu tritmɛnt ɔ dɔktɔ.
Di tin we impɔtant pas ɔl: If di tritmɛnt bin de na di chɛst eria, ɛn yu gɛt prɔblɛm fɔ blo, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).Na sכm tεm we dip pankshכn wund na di chεst kin mek di lכng kכllaps (nyumothorax). Dis na wan sik wae nɔr kin bɔrku bɔt wae kin siriɔs wae pɔrsin nid fɔ go to dɔktɔ kwik kwik wan.
Dray Nidling na tritmɛnt we rili sef, we nɔ de mek pɔsin fil pen, ɛn bɔku tɛm i kin rili wok fɔ di wan dɛn we dɛn dɔn pik fayn fayn wan. Bɔku pipul dɛn dɔn si se dis tritmɛnt dɔn rili ɛp dɛn fɔ liv bɛtɛ layf. Bɔt mek shɔ se yu tɔk to yu dɔktɔ bifo yu du dis tritmɛnt. Pan ɔl we i nɔ bad, bikɔs i min fɔ injɛkt sɔntin na di bɔdi, yu dɔktɔ kin tɛl yu fɔ yuz am fɔ tritmɛnt we simpul fɔs.
Mɛsej we dɛn kin kɛr go na os
- Dray Nidlin na tritmɛnt we de tɔch di say dɛn we tayt ɛn we de mek pɔsin fil pen (trig poɛnt) na di mɔsul dɛn.
- Dis rili difrɛn frɔm akupankcha, we dɛn kin yuz fɔ mɛn pipul dɛn na di Wɛst.
- Na fisiotɛrapist ɔ dɔktɔ we dɔn gɛt spɛshal trenin fɔ am nɔmɔ fɔ du dis tritmɛnt.
- Na nɔmal tin fɔ gɛt sɔm pen, stif, ɔ brus afta tritmɛnt, we fɔ stɔp insay wan ɔ tu dez.
- Dray Nidling na pat pan wan kɔmplit tritmɛnt plan, bɔku tɛm dɛn kin jɔyn am wit ɛksɛsayz ɛn ɔda tritmɛnt dɛn we pɔsin kin gɛt wit in bɔdi.
- Mek shɔ se yu tɔk bɔt dis tritmɛnt wit yu dɔktɔ bifo yu go to tritmɛnt fɔ no if i fayn fɔ yu.
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