When you experience a longstanding pain in your elbow, hand, or wrist, and you find it difficult to pinpoint the pain with one finger. Then it can be that this pain is caused by small spasm in the muscle. These spams (also known as trigger points) are effectively treated with the aid of dry needling. Your physiotherapist will treat the trigger point with a small sterile needle relieving you of the referred pain.
Trigger points can arise in situations such as sitting in the same position for a prolonged period of time, or with repetitive movements when doing sports or when playing a musical instrument. Trigger points also commonly develop after wearing a cast. A trigger point refers pain to a certain area; every muscle has its own fixed area of referred pain.
You can try pressing your finger on the muscle that runs over the shoulder blade. It is likely that you will find a painful spot in the muscle that when you press on it triggers a sharp pain. When you continue to press on this point for a prolonged period of time, you will perhaps notice that the pain will radiate to the front of the shoulder. This is an example of referred pain.
For that reason, it can be that you experience pain or a restriction in range of motion in your elbow, hand, or wrist that has an origin that lies higher up, around the shoulder. In the case that your hand therapist expects that the complaints are caused as a result of trigger points, (s)he will be able to treat you with the aid of dry needling. When the needle is in the vicinity of a trigger point, the muscle will shortly contract and relax subsequently. Our hand therapists who will treat you using dry needling have completed a special training and are required to follow yearly classes to keep their knowledge up to par.
In our opinion dry needling is always a part of a bigger treatment plan. It will help reduce pain and creates a condition that will ameliorate recovery. Using a training program and/or alterations in your daily life you can prevent the recurrence of your complaints.
Ultrasound is an imaging examination that can be used to properly visualize tendons, muscles and ligaments. We can also clearly visualize swellings and ganglion’s (a fluid-filled bladder in the wrist).
We use ultrasound at our locations in Winschoten and Groningen to better understand where your complaints are coming from.
Ultrasound is an additional examination. This means that it is a supplement to the physical examination that we perform. If after the physical examination it is still unclear about the diagnosis or the severity of the condition, we use ultrasound.
There are no additional costs associated with making an ultrasound.