Flow Flemingsburg, PLLC, 213 W. Water Street, Flemingsburg, KY (2025)

06/05/2025

Baseball season is over and school is out. Which means my availability to dry needle has returned to normal. If you’ve got aches and pains and want to give dry needling a try, call (606) 748-0094 to get on the schedule!

03/25/2024

⚾IT'S BASEBALL SEASON⚾
Which means appointment availability from now through May is a little more limited than usual. There will be limited availability posted in the online scheduler, however, if there is a certain day/time you are looking for with a dry needling appointment, please call (606) 748-0094 and I'll do the best I can to make it work.

12/18/2023

One of the most common exercises I recommend for those with lower back pain is the "Prone Press Up", pictured below. Whether you have chronic back pain, or relatively new back pain from an injury, this exercise typically has good potential for providing relief and improving your mobility. Plus, it's simple and easy to do!

If going all the way up as pictured below creates pain, you may "find the sweet spot" for pain relief by only going partially up as pictured in the 2nd picture below.

Typically, you'll find that one of two scenarios gives you better results. So, you may need to experiment.

You can try a prolonged hold in this position for 20-30 seconds and repeat that 5 times. Or, you can hold for just 2-3 seconds and repeat that for 2-3 sets of 10. Play with it to see what you like better.

*A word of warning* This won't necessarily be good for everybody with lower back pain. If either of these exercises makes you feel worse, don't do them. As always, you should seek advice from a physical therapist or physician to determine if this exercise is good for your specific situation.

When combining exericises and dry needling, you have a very good chance at seeing a relatively quick reduction in your back pain.

When you come in for your dry needling session, I'll go over some simple exercises you can start doing to supplement the dry needling sessions.

Call today to schedule and start with a 3-pack of treatments for just $150!

12/07/2023

🎉Client Testimonial 🎉

11/15/2023

Some say “sitting is the new smoking” 🚬

That statement may be an exaggeration, but it does bring up a good point when it comes to your lower back pain.

In today’s world, prolonged sitting can be unavoidable for many folks.

In my experience, prolonged sitting can be an absolute killer for those with lower back pain. One reason is if you’re not actively strengthening your back muscles, prolonged sitting will just lead to weakness.

Perhaps even more importantly, prolonged sitting can lead to increased tension of the psoas muscles, also known as your hip flexors.

Don’t let the term “hip flexors” fool you though. These muscles have direct attachments to not only your lumbar spine, but also to the discs in between the bones of your lumbar spine.

When the psoas muscles get tight, it can lead to abnormal strain on your lower back. Eliminating this tension is a critical part of overcoming lower back pain.

One way to do this is by dry needling from a side approach to directly hit those psoas muscles.

When you get a needle into a tight psoas muscle, it can produce a deep achy sensation in to the hip. That’s normal when you are stretching a tight muscle. You’ll have to endure some achy sensations during the treatment, but the results of decreased pain and increased mobility will typically occur right after treatment.

This is actually a treatment I’ve had done to myself and every time I’ve done it, I’ve had immediate improvement. I’m always happy I toughed out the achy sensation because on the other side of it was my pain relief.

Keep in mind, dry needling is just one piece of the puzzle. But don’t worry, I’ll fill you in on some simple exercises to supplement the dry needling when you are here.

Purchase a 3-pack of treatments for just $150 when you call to schedule.
(606) 748-0094

11/06/2023

For those who suffer with arthritic knee pain, the "genicular nerves" can play a huge role in the intensity of the pain you feel.

You can take two people with the same amount of knee joint degeneration (i.e. "bone-on-bone") and note that one person may have severe pain, while the other deals with just a mild ache.

Chances are, the person with the severe pain is not only dealing with knee joint degeneration, but is also dealing with more inflammation of the genicular nerves compared to the other guy.

Our dry needling knee pain protocol takes the genicular nerves into account during your treatment. We set up the needles to not only provide stimulation to the joint surfaces and muscles around the knee, but also hit key points to stimulate healing of the genicular nerves and get them to chill out a little bit.

If you know somebody dealing with arthritic knee pain, it's worth giving our knee protocol a chance at pain relief. Take advantage of the 3-pack deal and get 3 treatments for just $150 and give it a try!

10/24/2023

These are collagen fibers. Collagen is the building block for your muscles, tendons, ligaments, and cartilage.

To heal from an injury or chronic inflammation of tissue, you need to heal the collagen fibers.

Electro Dry Needling has been shown to accelerate the healing of collagen fibers. To read abou this, you can look at this article:
https://osteopractor.wordpress.com/2018/01/30/dry-needling-in-tendon-injuries-wound-care-physiology-and-evidence/

Most people need about 6-10 dry needling sessions when treating pain or injury.

You can purchase a 3-pack of treatments for just $150.
At that price, it's a no-brainer to go ahead and give it a try for your pain/injury.

Call (606) 748-0094 to schedule and mention the 3-pack deal to get the best price!

10/19/2023

🦶❗️PLANTAR FASCIITIS ❗️🦶

If you’ve ever stepped on a lego, I’m sure the idea of dry needling your foot sounds like torture. I get it.

BUT - I can tell you from personal experience that dry needling the foot does not feel all that bad. More importantly, your foot / heel pain will probably feel a little better immediately after a dry needling treatment.

Now, I’m not saying that having needles in your foot feels like sipping a pina colada on the beach. But, it’s really not bad. Just slightly uncomfortable.

The good news is that I’ve seen excellent results using dry needling for foot and heel pain when combined with some basic stretching and strengthening exercises.

Typically, twice per week for 3-4 weeks should be enough to get you over the hump and then you can maintain that progress by focusing on your home exercises.

Call (606) 748-0094 to schedule your appointment.

When you come in for dry needling treatment on your foot, I’ll also show you some basic stretching and strengthening exercises to perform at home and to supplement your dry needling treatment. I’ll also take a look at your foot type and let you know if arch supports are good for your situation or not.

10/12/2023

❗TENSION HEADACHES❗

Tension headaches, also called "cervicogenic headaches", can turn your day into absolute misery. When your tension headaches ramp up it can be hard to focus and put you in a bad mood, ready to snap at the next person who looks at you the wrong way!

GOOD NEWS - These types of headaches are easy to treat!

Tension headaches are primarily caused by an increase in tension of the deep neck muscles located in the back of your head, just below your skull. These muscles tend to get tight due to poor posture and/or stress.

You see those yellow thingies near the muscles?

Those are nerves. When those deep neck muscles get tense, that tension can also put tension on the nerves which run right next to them.

The nerves wrap up the back of your head towards the top of your head. So even though you may have headaches in the back and top of your head, the true source of these headaches is in the upper part of your neck.

SO, HOW DO WE GET RID OF THE HEADACHES?

Dry needling works really well in this situation. By getting the needles into these deep neck muscles, we can reduce muscle tension and headache pain.

When you combine dry needling with a good postural strengthening program and getting rid of bad postural habits (I'm talking to the "slouchers" out there!), you can expect a reduction in pain within a week or two if you are consistent.

My experience has been dry needling twice per week for 3-4 weeks can do wonders for this situation when combined with strengthening.

Call (606) 748-0094 to schedule, or schedule online at https://flowflemingsburg.com/

You'll save $15 per session ($45 total savings) when you purchase a 3-pack of treatments, but there's nothing wrong with trying it out a couple of times before committing to a 3-pack!

10/06/2023

When people think of dry needling, most people consider the effects it has on tight muscles. One thing you may not be aware of is that research has shown dry needling is also effective with treating arthritis.

By placing needles deep enough to be close to the bone, cartilage, or joint line, dry needling has been shown to be very effective in treating pain associated with knee arthritis.

If you'd really like to geek out and read about how dry needling can help with knee arthritis, check out this link:

https://osteopractor.wordpress.com/2017/09/26/periosteal-electric-dry-needling-for-knee-osteoarthritis-effectiveness-mechanisms/

If you have knee arthritis and want to give it a try, call (606) 748-0094 to schedule. I'd recommend buying the 3 pack to save some money and to give dry needling a fair shot at helping you with your arthritis pain.

10/03/2023

What does cotton candy have to do with your pain?

I often get asked "Why do you spin or wind the needles?"

To answer this question, I usuallly use an analogy of cotton candy. When you go to a fair and watch the vendor make that colorful, melt-in-your-mouth deliciousness, you'll notice that they take a stick and spin it around the tub. The cotton candy attaches to the stick and keeps accumulating on the stick the more the vendor spins the stick in the tub.

Throughout your body, you have gobs of a connective tissue called "fascia". Fascia is intertwined throghout your muscular system. I like to describe fascia as a stronger version of a spider web or cotton candy. It's a thin, wispy tissue.

When I spin the needle, it's basically the same effect as cotton candy. The fascia will stick to the needle as I spin the needle. The more I wind the needle, the more your fascia will stick to the needle. The "achy" sensation people feel when the needle is spinning is basically due to a deep stretch of the fascia and the muscles the fascia connects to.

The end result is a deep stretch to muscles and tendons that traditional exercise may not be able to reach by itself. This comes in very handy when you have muscle or tendon fibers that have adhesions or scar-tissue sitting on them (which is more common than you think). This is also why many people will note that they feel more mobile and fluid after a dry needling session.

Curious to try it out? Call 606-748-0094 to schedule. Take advantage of the discounted price when you purchase a 3-pack of treatments!

09/29/2023

What better way to spend your Saturday than to get some needles poked into your nagging, painful areas? 🤪

There are a few spots open this Saturday September 30th if you want to see if dry needling may help your aches and pains. (There's also one more opening for today, September 29th). Call (606) 748-0094 to schedule!

The obvious question is "Does it hurt?".

Typically, you don't feel the needle going in. Once the needle is in, I will "spin" or "wind" the needle. If the needle is in a spot that is irritated, this winding of the needle can create an achy sensation which will fade away after I stop winding the needle. Then, we'll ususally hook the needles up to electrical stimulation which can produce a relaxing, pulsing sensation.

You can also schedule online here: https://flowflemingsburg.com/

Pictured below is one of the protocols we use for shoulder pain.

Flow Flemingsburg, PLLC

06/05/2025

03/25/2024

12/18/2023

12/07/2023

11/15/2023

11/06/2023

10/24/2023

10/19/2023

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10/03/2023

09/29/2023

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