What you need to know about the Gokavi Transverse Technique ( GTT) dry needling for muscle release?
This treatment is not for everyone. It is an invasive treatment where tiny holes are made in the skin going through muscle and other soft tissue. It is a way to break down and release tight muscle, adhesions and scar tissue. It works best to decrease pain caused by tight tissue and improve movement. It can change muscle, soft tissue and connective tissue that has been tight or thickened for years after the original injury or a surgery. People chose to try this treatment if they have found chiropractic, massage, acupuncture or acupuncture like dry needling does not work or results do not last.
- Results are quick and longer lasting than other manual muscle release techniques.
- One to three treatments are generally needed per problem area.
- The first session includes assessment and treatment ~ 60 min.
- Following treatments are 30 -45 min.
- Time between treatments can vary from 2 weeks to 4 weeks or longer.
Gokavi Transverse Technique of dry needling is very effective in treating:
- Chronic myofascial pain syndromes
- Chronic neck and back pain related to trauma
- Head/Neck injury symptoms such as dizziness, loss of balance, headaches
- TMJ restrictions secondary to injury or after dental work
- Post surgical muscle pain and related scar tissue restrictions
- Orthopaedic conditions such as: Sciatica, tennis elbow and plantar fasciitis
How does it work ?
When we have an injury or surgery, muscles and other soft tissue are damaged by being stretched and torn. The tissue then tightens to protect it self putting pressure on blood vessels and nerves. When soft tissue and muscle tighten blood circulation is decreased and pressure is put on the nerves so we feel pain. Dry needling, the insertion of a needle in and out of the injured area, causes the muscle and soft tissue to release. This allows the blood to flow freely in the area and the pressure on the nerves goes away. This results in decreased pain and faster healing.
Does it Hurt?
Yes, this not a pain free treatment. If you come to your first treatment in a lot of pain you will usually leave feeling better. If you come feeling pretty good you will feel sore when you leave.
During the needling you may feel a sharp pain that can last 1-2 seconds, a weird sensation (numbness, tingling, prickling) or nothing. After treatment the area may feel heavy and tired. Most people say they feel like they have been beat up. General itchiness and soreness in the area is common.
75% of people feel mild discomfort after treatment. 20% moderate discomfort or pain up to 48 hours after treatment. 5% experience severe pain after but usually they have nerve involvement or have long standing chronic pain already.
What do I wear?
Neck or shoulder area. Long hair put up. For women if the treatment area is between the shoulder blades a sport bra is not as convenient for treatment.
For treatment below the waist loose clothing or shorts if you need work done at your knees or above the knees.
How often do I need treatment?
Time between treatments can vary from 1 week to 4 weeks or more. For smaller areas one treatment can be enough but most problems take up to 3 treatments; chronic conditions up to 6 treatments. You can also come for one or 2 treatments to be released and then continue with massage or chiropractic treatments that are not as invasive.
Prior to your first treatment
Try to be well rested. Always have something to eat prior to treatment. Take no alcohol, barbiturate or tranquilizer for four hours before treatment (unless they are prescribed and taken regularly.) If you are experiencing any flu like symptoms or extreme tiredness you should postpone your first treatment. Avoid smoking or caffeine drinks one hour before treatment.
Optional: Taking1000mg of Vitamin C for three days prior to treatment can decrease residual pain and bruising. Arnica Montana can also be taken prior to treatment to reduce bruising if you bruise easily.
After your first treatment.
If you feel pretty good after treatment you can resume all regular activities for the day. You may be limited by tired muscles or some soreness.Use heat for the first 12 hours to increase blood flow to the area. Use ice on needled areas that are swollen bruised. If you feel really good the following day still maintain your regular activities but do not do anything you would not normally do like lots of lifting ,cleaning, painting, or shoveling of snow.
If you have lots of pain or discomfort
Plan to go home and rest for a few hours. If you already have problems with fatigue this treatment may make you very tired. Avoid smoking for one hour after treatment. Do not take alcohol and caffeine for two hours after treatment. You will experience some stiffness and soreness that may last 24-48 hours.
Use heat for the first 12 hours to increase blood flow to the area. If you experince a lot of pain after resting do gentle stretching and movement exercises in a warm bath or hot shower. Soaking in Epson salts can relieve muscle discomfort.
Use ice on needled areas that are swollen bruised. Tylenol or ibuprofen can be used to address general discomfort. Start with short periods of light activity progress gradually to regular activities.
Notice of increase in Fees March 1st, 2017
65.00 Assessment including treatment ( 45 min. - 1 hour).
50.00 Follow up treatments (30 minutes)
Treatment may include GTT dry needling , acupuncture, cupping, laser, ultrasound, exercise program or manual treatment or a combination.