Integrative Dry Needling Forum - Recent Posts https://staging.integrativedryneedling.com/community/ Integrative Dry Needling Discussion Board en-US Wed, 04 Nov 2026 15:02:04 +0000 wpForo 60 RE: Possible T4 Syndrome/Consistent Left UE Distal Arm/Hand Numbness Case https://staging.integrativedryneedling.com/community/idn-clinical-questions/possible-t4-syndrome-consistent-left-ue-distal-arm-hand-numbness-case/#post-760 Wed, 26 Aug 2026 21:03:39 +0000 test reply for updated site 

]]> DinoD https://staging.integrativedryneedling.com/community/idn-clinical-questions/possible-t4-syndrome-consistent-left-ue-distal-arm-hand-numbness-case/#post-760 RE: test topic - dino https://staging.integrativedryneedling.com/community/idn-clinical-questions/test-topic-dino/#post-759 Wed, 26 Aug 2026 21:02:09 +0000 test reply to forum post.  

]]> DinoD https://staging.integrativedryneedling.com/community/idn-clinical-questions/test-topic-dino/#post-759 test topic - dino https://staging.integrativedryneedling.com/community/idn-clinical-questions/test-topic-dino/#post-758 Wed, 26 Aug 2026 21:00:34 +0000 testing the forums on updated site

]]> DinoD https://staging.integrativedryneedling.com/community/idn-clinical-questions/test-topic-dino/#post-758 RE: Tinnitus, fullness, deep ear pressure. Needling Tensor Veli Palatini. https://staging.integrativedryneedling.com/community/idn-clinical-questions/tinnitus-fullness-deep-ear-pressure-needling-tensor-veli-palatini/#post-757 Sat, 01 Aug 2026 16:25:14 +0000 Hi Dan sorry for the delay I was out of the country.  Sounds like you have done a good job up to this point with your treatment progression but since symptoms remain then TVP is the next option however I would not suggest DN of the TVP- while I agree with you it would likely be helpful it is  not a procedure we teach.  Doing this "blindly" is not recommended and at minimum would require an MSK US unit and even then would be difficult.

That said you are correct the TVP needs addressed and in my craniocervical course I teach the manual release of it.  The TVP can be accessed just past the hard palate into the soft palate so a manual compression with a "sweep" of the finger toward the same side ear can indirectly effect the TVP and I have had good results including teaching the patient how to do it when it flares back up and causes the Eustachian tube type symptoms which are like you describe above.  

How that helps

]]> Frank Gargano https://staging.integrativedryneedling.com/community/idn-clinical-questions/tinnitus-fullness-deep-ear-pressure-needling-tensor-veli-palatini/#post-757 RE: Patellar bursitis https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-756 Sat, 01 Aug 2026 16:14:53 +0000 Yes around it fine - you dont need to "pierce" the bursa and yes I would do it every other day for a few days to gauge the response.  Obviously it has been going on for 5 weeks so DN wil be an adjunct to address the neurochemical issues but will need additional management that you may already be doing and the DN will facilitate you making progress. 

]]> Frank Gargano https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-756 RE: Patellar bursitis https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-755 Sat, 01 Aug 2026 16:11:03 +0000 By "around the area" you mean just throughout, but directly int the bursa? Would the frequency of needling be closer to 1x a week, or would I want to needle at a higher frequency to maintain the anti-inflammatory response? (For reference this is my own knee, so I have some flexibility) 

]]> Caleb Brudi https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-755 RE: Patellar bursitis https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-754 Sat, 01 Aug 2026 16:06:47 +0000 Hey Caleb,

I am assuming there are no open areas or redness that would indicate an infection.  If that is the case yes small gauge 1/2" needles around the area can facilitate an anti-inflammatory effect and assist in fluid movement.  

]]> Frank Gargano https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-754 Patellar bursitis https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-753 Sat, 01 Aug 2026 16:00:22 +0000 Would needling directly into a infra patella bursa decrease the swelling? Been swollen about 5 weeks, slightly warmer than non affected side but otherwise no signs of infection. 

]]> Caleb Brudi https://staging.integrativedryneedling.com/community/idn-clinical-questions/patellar-bursitis/#post-753 Possible T4 Syndrome/Consistent Left UE Distal Arm/Hand Numbness Case https://staging.integrativedryneedling.com/community/idn-clinical-questions/possible-t4-syndrome-consistent-left-ue-distal-arm-hand-numbness-case/#post-752 Wed, 15 Jul 2026 14:30:55 +0000 Hello fellow IDN providers: So I have a more complex case that I would like your input on in terms of possible root cause as well as treatment options for this patient. He is a 38 y.o. male who presents with occasional neck and upper back pain (in between his Left Scapula and Thoracic Spine at the T3-T5 levels) and Left UE numbness/tingling as well only in his left forearm and left hand. He only has the Left UE symptoms when he is in a slumped posture and when he places pressure/weight through his left ulnar side of his forearm which will create an "achiness" and then will cause numbness in his left pinky finger, then his ring finger, and then in his other digits until the entire left hand becomes numb. When he sits with proper posture and ergonomics, then his symptoms improve. I have dry needled cervical spine as well as his thoracic spine, dorsal scapular and suprascapular neurotrigger points, pec major and minor (thinking more TOS involvement), as well as his ulnar, median, and radial nerve pathways. He subjectively reports that he feels 70-80% better since the start of skilled PT with the incorporation of dry needling, trigger point releases, postural correction exercises, and ulnar nerve glides. But I, of course, still want to get to the "root cause" and want to get 100% elimination of symptoms. He has only had 6 sessions of skilled PT thus far and is compliant with HEP. He is fully active with consistent workouts at the gym and does not have any functional limitations. Any advice would be greatly appreciated. 

]]> Joseph Schneider https://staging.integrativedryneedling.com/community/idn-clinical-questions/possible-t4-syndrome-consistent-left-ue-distal-arm-hand-numbness-case/#post-752 Pennsylvania State Board Accepting IDN as part of CEUs https://staging.integrativedryneedling.com/community/idn-clinical-questions/pennsylvania-state-board-accepting-idn-as-part-of-ceus/#post-751 Fri, 10 Jul 2026 18:52:26 +0000 Hello! I am applying for PA licensure and submitted my IDN course work as part of the application. The board said they would not accept this as "they do not license in dry needling therefore they would not accept it". Pennsylvania IS on the list of the IDN approved CEU courses

(https://staging.integrativedryneedling.com/courses/ceu/?_gl=1*17ykbac*_up*MQ..&gclid=Cj0KCQjwqPLOBhCiARIsAKRMPZpADKM2LkwIaW1pCTTsYwZbLFClHRq7G0oedw9oPA3q6jeycdKvkVAaAtj2EALw_wcB&gbraid=0AAAAAB_5TZFOkQQXSbfDSLxBrDvjujj9X)

 

. Anyone have any advice for getting them to allow the IDN courses to be approved by the board?

]]> Eduardo https://staging.integrativedryneedling.com/community/idn-clinical-questions/pennsylvania-state-board-accepting-idn-as-part-of-ceus/#post-751