Myofascial Trigger Point Dry Needling


Trigger Point Dry Needling involves placing a small needle into the muscle at the trigger point which is typically in an area which is tight and maybe tender, with the intent of causing the muscle to contract and then release, improving flexibility of the muscle and therefore decreasing symptoms. It is also known as Medical Acupuncture, however they are two different techniques. In Chinese acupuncture, the needles are inserted along meridians to treat diseases. Whereas, when Dry Needling the needles are inserted right into the myofascial trigger points which are knots in muscles.


Decreased pain both locally and into referral sites

Improved muscle function (ability to contract and relax appropriately)

Decreased muscular tension and improved myofascial flexibility

Improved ability to move and function for daily activities


Like any treatments, there are possible complications, however they are very rare. The most serious risk of Trigger Point Dry Needling is accidental puncture of a lung (pneumothorax). If this were to happen, it may require a chest x-ray and no further treatment as it can resolve on its own. As the needles used are very small and do not have a cutting edge, the likelihood of any significant tissue trauma from Dry Needling is unlikely.


Drowsiness may occur after treatment, if affected, you are not advised to drive

Fatigue after treatment

Possible minor bleeding or bruising 

Possible pain during treatment especially under the foot 

Existing symptoms can get worse after treatment, if so, inform the therapist

Fainting can occur in certain clients, particularly the first treatment


Drink loads of water to reduce soreness

Use ice for any soreness

If you don’t like ice, you can use a heat pack to alleviate any discomfort

Avoid Strenuous exercise activities to the treated muscles


Back Pain

Shoulder Pain

Neck Pain

Tennis Elbow 

Golfer’s Elbow

Gluteal Pain


Knee Pain

Achilles Tendonitis

Plantar Fasciitis

Forward Head Posture


Forward Head Posture – Neck Pain

There is a lot of information out there on neck pain and the main causes. The one I want to look at on this blog is Forward Head Posture, as it is one of the causes of neck pain. This is for you office workers and everyone else who spend long periods of time hunched over your computers, phones or any other gadgets you love to use.

What’s Forward Head Posture
Forward head posture is when the neck moves forward, placing the head in front of the shoulders rather than directly above. This actually increases the weight of your head which in turn causes neck & back pain, headaches, migranes and other health problems. If you spend a lot of time on a computer, tablet or smartphone you are most likely to end up adopting this poor posture. 

How to fix forward head posture.

  • Reorganise your work station – adjust your chair, your elbows should be at a 90º angle when you rest your arms on your desk. Feet should be flat on the floor and the top third of your screen should be at eye level.
  • Take regular breaks – move around and stretch your neck every few hours.
  • Avoid carrying heavy bags – to reduce strain on your neck.
  • Soft Tissue Mobilisation – to release trigger points.
  • Neck Muscle Stretch – to improve range of movement.
  • Chest Muscle Stretch – to improve upright posture by moving the head and shoulders back.
  • Resistance Training – to activate the muscles that run from the shoulder blade to the neck and skull.

Osgood-Schlatter Disease

What is Osgood-Schlatter Disease?

Osgood-Schlatter disease is not as bad as it sounds. It is characterised by the inflammation of the area just below the knee cap at the bony bump at the top of the shin bone (tibial tubercle). This is where the knee tendon (patella tendon)  attaches to the  top of the shinbone (tibia). The condition was named after Robert Osgood, an American orthopaedic surgeon and Carl Schlatter, a Swiss surgeon who described the disease. 

Osgood-Schlatter disease is a common cause of knee pain in active adolescents. It is an overuse injury, thus, it is caused by repetitive actions that put too much stress on bones and muscle. Osgood-Schlatter Disease can affect one or both knee.

Who gets Osgood-Schlatter Disease?

Osgood-Schlatter’s disease usually affects children who are having a growth spurt, between the ages of 9 and 16 years. It usually affects children that are involved in sporting activities particularly running and jumping sports. However, children who do not participate in sports can also suffer from Osgood Schlatter Disease. 

Signs and Symptoms

  • Anterior knee Pain
  • Swelling
  • Pain increases with activities
  • Pain decreases with rest
  • Pain is typically over the the bony bump at the top of your shin bone (tibial tubercle

Physical Therapy Treatment 

  • Applying Ice to the area to reduce pain and inflammation
  • Modification of sporting activities depending on the severity of the pain
  • Stretching Exercises
  • Strengthening Exercises

If you think your child might be suffering from Osgood-Schlatter Disease, Seek advice from your GP or a therapist for proper diagnosis and rehabilitation.