Foot Focus Podiatry

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Dry Needling / Trigger Point Therapy in Perth

How does trigger point release / dry needling work?

What is dry needling?

Dry needling is a very safe and effective way to remove muscle knots which in turn cause pain and dysfunction. This technique had a very positive effect on relaxing muscles. (see examples below)

Compression techniques (massage) instead of dry needling can also be used for those that don’t like needles. When compression is applied to the trigger point, it acts to ‘jump start’ the muscle and its nerve supply. This usually results in a reflex relaxation of the muscle.

DSC01292_topfootneedle-300x200 Dry Needling Trigger Point Therapy   DSC01267_dryneedle-300x300 Dry Needling Trigger Point Therapy

Dry needling examples: into foot and lower leg using sterile acupuncture needles.

What is a Trigger Point?

A trigger point is a hypersensitive region within a muscle (like those tender ‘knots’ or lumps that you can feel when you are stressed!). When compression is applied or a needle is inserted into the trigger point, it acts to ‘jump start’ the muscle and its nerve supply. This usually results in a reflex relaxation of the muscle.

When do I feel better?

For the rest of the day, your muscles can feel achy and tired, a bit like they have done a big workout at the gym. It is a good idea to drink plenty of water, and rest if tired. Some people feel better straight away while others feel better a day or two later.

“But I’m scared of needles!”

Most people who have it done will see and feel the benefit and tend to be fine and want to come back for more. There is virtually a pain-free superficial dry needling technique that works well at isolating the more severe trigger points that they can be massaged. Should you really not like dry needling there are other ways that we can help with your condition such as trigger point release using the conventional compression technique, fascial release techniques, and stretch and spray techniques using the cold spray. We will use the most effective treatment technique that you are comfortable with to get you back on your feet.

For More Please visit Foot Focus Podiatry to discuss your needs with Brent and his team.

  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.