All color pictures Upper & Lower Quarter Heading Page CHAPTER 1 - INTRODUCTION 1 History 2 International Definitions 4 Introduction to Pain 6 Myofascial Trigger Points 14 CHAPTER 2 - UNDERSTANDING DRY NEEDLING 31 Models of Dry Needling 32 Types of Dry Needling 34 Physiological Effects of Dry Needling 35 Analgesic Effects 35 Biochemical Modulation 38 Mechanical Effects 39 Understanding Needles 43 Handling Needles 44 Practising Needling/Method Of Needling 45 Direction Of Insertion 46 Basic Insertion Techniques 47 Manipulation 47 Order Of Insertion And Removal Of Needles 48 Patient Education 49 Hygiene 49 Material Required 53 Indications 53 Contraindications 53 Precautions 55 Appropriate Selection Of Patient 55 Procedure of Dry Needling 56 Advantages 57 Management Of Adverse Events 57 CHAPTER 3 - TRIGGER POINT DRY NEEDLING (UPPER QUARTER) 60 Supraspinatus 61 Infraspinatus 62 Rhomboid Major And Rhomboid Minor 63 Latissimus Dorsi 65 Upper Trapezius 66 Teres Major 68 Teres Minor 69 Subscapularis 70 Levator Scapulae 71 Deltoid 72 Biceps 74 Triceps 75 Anconeus 76 Brachialis 77 Brachioradialis 78 Supinator 79 Extensor Carpi Radialis Brevis 80 Extensor Digitorum 81 Extensor Carpi Ulnaris 82 Pronator Teres 83 Flexor Carpi Radialis 84 Flexor Digitorum Profundus And Superficialis 85 Adductor Pollicis 87 Opponens Pollicis 88 Abductor Pollicis Brevis 89 Dorsal Introssei 90 CHAPTER 4 - TRIGGER POINT DRY NEEDLING (LOWER QUARTER) 91 Gluteus Maximus 92 Gluteus Medius 93 Gluteus Minimus 94 Piriformis 95 Tensor Fascia Latae 96 Adductor Magnus 97 Adductor Longus 98 Pectenius 99 Rectus Femoris 100 Vastus Lateralis 101 Vastus Medialis 102 Vastus Intermidius 103 Hamstring 104 Sartorius 106 Popliteus 107 Gastronemius 108 Soleus 110 Plantaris 111 Tibialis Anterior 112 Tibialis Posterior 113 Peroneus Tertius 114 Peroneus Longus 115 Extensor Hallucis Longus 116 Extensor Digitorum Longus 117 Extensor Digitorum Brevis 118 Flexor Hallucis Longus 119 Flexor Hallucis Brevis 120 Extensor Hallucis Brevis 121 Adductor Hallucis 122 Abductor Hallucis 123 Flexor Digitorum Brevis 124 Abductor Digiti Minimi 125 Quadratus Plantae 126 Dorsal And Planter Interossei 127 SUGGESTIVE READING 129