She preferred hypodermic needles because of their strength and tactile feedback: “A 22-gauge, 3.8-cm (1.5-in) needle is usually suitable for most superficial muscles. Travell had access to acupuncture needles but reasoned that they were far too thin for trigger point therapy. Travell preferred a 22-gauge, 1.5-in hypodermic needle for trigger point therapy and used this needle for both injection therapy and dry needling. The two techniques she described are the injection of a local anesthetic and the mechanical use of a hypodermic needle without injecting a solution (Travell, Simons, & Simons, 1999, pp. Travell uses the term "dry needling" to differentiate between two hypodermic needle techniques when performing trigger point therapy. In her book, Myofascial Pain and Dysfunction: Trigger Point Manual, Dr. The origin of the term “dry needling” is attributed to Janet Travell, M.D.
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