Dry Needling

Dry Needling – GTT Technique

Allegedly 80% of the pain in our body comes from the muscles and muscle fascia. Dry needling is a unique treatment technique for any acute or chronic pain from myofascial origin. Filiform (acupuncture) needles are used to deactivate myofascial trigger points. These trigger points are hyperirritable spots located in a taut band of skeletal muscle. The spots are painful on compression, and they can produce referred pain, referred tenderness, motor dysfunction, and autonomic phenomena. Dry Needling is a hands on technique that eliminates trigger points from muscles.  It is the best way to completely remove trigger points and pain and is more permanent than other therapies and modalities treating myofascial pain.

The Gokavi Transverse Technique (GTT) is a dry needling acupuncture technique which utilizes high frequency electrical stimulation to aid in the treatment and management of chronic myofascial pain release.

Emiliana Blagoeva Professional-AP-2

E. Blagoeva Professional-AP-2

Needles are inserted in a specific transverse direction to form a special circuit enclosing the area of pain. The needles are electrically stimulated at two different high frequencies, resulting in relaxation and analgesia of the targeted muscles. The high frequency electrical stimulation activates low threshold skin and muscle receptors (mediated by the monoamine transmitters) and causes the midbrain to bypass the endorphin system. Analgesia is mediated by enkephalin which causes the release of serotonin and norepinephrine, monoamine neurotransmitters which suppress pain transmission.

Dry needling is then performed transversely. The relaxed muscle (due to the prior high frequency stimulation) can then be lifted and needled through its entire thickness, releasing spasms and trigger points. The increase in muscle length increases mobility and reduces pain, and since the needling is conducted transversely the procedure is more safe than similar procedures. The analgesic effect causes an important and significant improvement in patient compliance and tolerance to the dry needling. When the procedure is performed by qualified hands, dramatic and long term effects can be expected. GTT is especially effective in the treatment of patients suffering from myofascial pain and fibromyalgia.

Conditions treated:

  • Pelvic Pain
  • Pelvic Floor dysfunctions associated with pain and hypertonic (tide) pelvic floor muscles
  • Abdominal Pain
  • Neck/Back Pain
  • Shoulder Pain
  • Tennis/Golfers Elbow
  • Headaches
  • Whiplash Injuries
  • Hip and Gluteal Pain
  • Knee Pain
  • Achilles Tendonitis/Tendonosis
  • Plantar Fasciitis
  • Sciatica
  • Muscular Strains/Ligament Sprains
  • Chronic Pain
  • Athletic Performance

Through a personalized, holistic approach, Emiliana can help you resolve pelvic dysfunction using various aspects of physiotherapy, yoga, acupuncture and more.