Ultrasound Guided Tendon Dry Needling

What is Dry Needling?

• Dry needling is an alternative method used to treat chronic tendinopathy. Under ultrasound guidance, a needle is used to apply local anaesthetic to the area being treated. The needle is then repeatedly passed through the abnormal tendon; this encourages local bleeding which is thought to stimulate fibroblasts which are cells involved in the natural healing process. The symptomatic benefits are usually felt in the following weeks. Sometimes this procedure would need to be repeated.                   
  
  Physiotherapy is also advised post procedure in order to aid the recovery process.  
  Please note that we are unable to perform the dry needling procedure if you are on an anticoagulant. This would need to be discussed with your referrer first.
  

Risks of the procedure?

• Dry Needling is considered a safe procedure generally as ultrasound guidance is used throughout the procedure to minimise risk. The injection is also performed in an aseptic manner using sterile equipment.  
  
  However, there is a small risk of infection (approximately 1 in 10, 000) following an injection. If you experience symptoms such as unexpected pain, warmth or redness around the area or develop a temperature, you should immediately consult your GP or attend A&E. Please explain that you have recently had an injection, as this could potentially be serious.

• Other risks include:
• Temporary increase in pain (usually within the first 24-48hours post procedure)
• Bruising at site of injection
• Tendon damage / rupture
• Damage to surrounding vessels or nerves
• Failure of the procedure

Post Procedure Care?

• The local anaesthetic will last between 4-6 hours and the area may start to feel uncomfortable and heavy afterwards. We advise caution of the affected area for 48 hours and to avoid any strenuous activity for 7-10 days. We advise arranging a friend or close family member to accompany you in clinic or drive you home afterwards.