David G. Simons Academy DGSA

David G. Simons Academy DGSA Dry Needling and Manual Trigger Point Therapy Courses – A Better Quality of Life for Your Patients
The David G. Simons Academy, DGSA®

26/07/2025

Triggerpoints in the extensor carpi radialis longus or ECRL muscle can cause pain in the lateral ellbow, sometimes a sharp pain⚡️combined with less strenght in graping 🤝 and lifting somehing 🥛 .

⛔️This can be very restrictive in everyday life.

The treatment of the muscle with dry needling can reduce the pain and bring back the strenght, as the muscle can work again as it should 😊💪.

The sternocleidomastoid muscle is one of the major headache and face-pain muscle🤯😣. In addition, trigger points can prov...
23/07/2025

The sternocleidomastoid muscle is one of the major headache and face-pain muscle🤯😣.

In addition, trigger points can provoke a lot of different symptoms like pressure in the ear👂️, redness of the eye👁️, dysphagia🥤or fatigue🥱.

if you want to needle the sternocleidomastoid muscle, you have to be avare of a lot of precautions⚠️:
the brachial plexus, the vagus nerve, the carotid, the internal and external jugular vein, the phrenic nerve, the vertebral artery, the nerve roots and the lung🫁.

With the pincer grip👌, you can avoid most of the precautions except the external jugular vein.
👉️To identify the external jugular vein, you must add the Valsalva manoeuvre in case the vein is not visible by eye.

Here are some anatomical facts about an important muscle: 👉️the sternocleidomastoid muscle.It's a a strong muscle🏋️ with...
18/07/2025

Here are some anatomical facts about an important muscle:
👉️the sternocleidomastoid muscle.

It's a a strong muscle🏋️ with two heads: as the names imply, the clavicular head comes from the medial fourth of the clavicle and the sternal head from the sternal manubrium. Both heads together insert on the mastoid process and on the superior nuchal line📍.

The sternocleidomastoid muscle is innervated by the accessory nerve (XI)⚡️.

The multiple functions of the sternocleidomastoid muscle are:
Unilateral: rotation of the head to the opposite side / lateral flexion to the same side.
Bilateral: depending on the position of the head: flexion of the neck and/or prevention of extension of the neck / stabilization of the cervical spine / accessory respiratory muscle. 💪

15/07/2025

Superficial dry needling can also be applied with Pyonex needles - 👉️you can use them with your patients and yourself.

📍You therefore can place them on trigger points, on sensitive areas (as well over muscle insertions) and as shown in the last post, for scars.⁠

Like that you can prolong the effect of for example dry eedling, superficial dry needling or manual trigger point techniques✔️💪.

👉️The superficial dry needling technique (also called SDN or SAS), can be applied not only over triggerpoints and sensit...
10/07/2025

👉️The superficial dry needling technique (also called SDN or SAS), can be applied not only over triggerpoints and sensitive spots, but also for scars:
e.g for scars that are still very sensitive 🪶after two or three months or the connective tissue has a lot of adhesions🪢.

You then can place multiple needles from both sides of the scar.⁠

💡🤓This and a lot more of great techniques for your daly work and your patients you learn at our DGSA Dry Needling courses💪.

As a physiotherapist, I love🩷 working with my hands🤲☺️.That's why I use a lot of manual trigger point therapy techniques...
07/07/2025

As a physiotherapist, I love🩷 working with my hands🤲☺️.

That's why I use a lot of manual trigger point therapy techniques in my daily therapy routine – often in combination with dry needling and other techniques.

The effects of manual trigger point therapy are amazing😊, and combining it with dry needling and other techniques is a huge benefit for your patients!

So let's try it👍️

04/07/2025

Oh no! 😩Every day, the same thing happens – sitting in the car and reaching for the seatbelt – and the pain shoots into the shoulder⚡️.⁠

👉️If your patient describes this or a similar movement and the associated pain, check 🔎the dorsal part of the deltoid muscle for trigger points.⁠

As trigger points in the deltoid muscle can usually cause localized pain through out the shoulder – without radiating to the arm👈️

👆️In contrast to the flat grip, the pincer grip must be used, if there is any precaution structure ⚠️underneath the taut...
26/06/2025

👆️In contrast to the flat grip, the pincer grip must be used, if there is any precaution structure ⚠️underneath the taut band, that has to be avoided🛡️.⁠

Be sure, that the taut band and the trigger point that you want to needle is between your fingers. Then move your fingers slightely to the side to be able to needle the trigger point while keeping them on the taut band.⁠

Like that, you get perfect access to the trigger point✔️👍️.

21/06/2025

On our courses we teach you everything you need to know for safe dry needling. This includes anatomy, landmarks, precautions and danger zones 💪

Let's dive into it and expand your kowledge 🤩

❗️Remember: The flat grip used, when the taut band can be needled directely and when there is no structure underneath th...
13/06/2025

❗️Remember: The flat grip used, when the taut band can be needled directely and when there is no structure underneath the muscle, that has to be avoided⚠️.⁠

Place the index and middle finger on the taut band, so that the trigger point is between the two fingers.⁠
The palpation fingers should be as close as possible to the trigger point- but not to close, as the fingers should not touch the needle✔️.

09/06/2025

👉️As you know, landmarks are very important for safety 🦺in Dry Needling - as here for the iliopsoas muscle distal of the inguinal ligament.

If you want to learn 🤓more about this region, whach our video 📹️on youtube:
Palpation of the iliopsoas muscle - distal to the inguinal ligament
https://www.youtube.com/watch?v=dpQhV-pCG3Q&t=13s

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