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Trigger Point Therapy - Dry Needling / Medical Acupuncture for treating lateral elbow pain


Lateral Elbow Pain is Often Associated with Trigger Points 

Trigger points are really common in the elbow and forearm muscles; this may well be connected to our increased sedentary and technology-based lifestyles.

Needless to say, as hands-on therapists, we too often get tense and stiff forearm muscles.

Why trigger points? Our body tries to protect us. It wants the trauma to heal and often “switches-of” around “damaged tissue.”

Trigger points are a key part of this protect-and-defend mechanism. However, if a problem isn t managed correctly, it can crescendo and the trigger points become deep seated, causing the host muscle to be shorter, tighter, and less efficient.

In addition, trigger points also add to the cycle of increased sensory input to our peripheral and central nervous system (sensitization), which can lower the threshold for pain.

In other words, if left untreated, trigger points can feed into the nervous system and prevent full recovery.


Lateral and Medial Elbow Inuries


Trigger Point Treatment 

Treatment will often include deep tissue massage therapy, muscle stretching, heat and ice, and kinesio taping. 

When treating trigger points, many practitioners will also apply dry needling (medical acupuncture) and vacuum or static cupping

Tennis Elbow

Tennis Elbow – Lateral Epicondylitis (lateral elbow pain on gripping) can start as an annoying ache but rapidly degenerate into a debilitating problem, with pain on gripping, opening bottles, or even on shaking hands.

Unless they have had it, people simply don t understand how bad it can be. The pain from a tennis elbow is often associated with trigger points in the muscles of the lateral epicondyle of the elbow, especially the Lateral Head of Triceps and the Extensor Carpi Radialis Brevis tendon (1-2 cm distal to its attachment on the lateral epicondyle).

As shown in the video above, trigger points in the extensor carpi unlaris are also often implicated in lateral elbow pain.

LE is more common than Medial Epiconylalgia (Golfer's Elbow) by a ratio of 9:1.

Although mostly referred to as Lateral Epicondylitis, LE is generally NOT an inflammatory condition.

Microscopic evaluation of the tendons does not show signs of inflammation, but rather angiofibroblastic degeneration and collagen disarray.

Light microscopy reveals both an excess of fibroblasts and blood vessels that are consistent with new blood vessels (angiogenesis).

It is most often due to repetitive micro-tears in the zone, especially where the tendon of the muscle meets the bone (musculotendinous junction).

This is because the tendons are relatively hypovascular close (proximal) to the tendon insertion.



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As a manual therapist or exercise professional, there is only one way to expand your business - education!

Learning more skills increases the services that you offer and provides more opportunity for specialization.

Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.

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About Niel Asher Education

Niel Asher Education is a leading provider of distance learning and continued education courses.

Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.

Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.  

Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).

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We are honored to have received the "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.

Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.

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Award Winning Instructors

Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.

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If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.

In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.

There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.

Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below. 

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Niel Asher Technique

Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.

The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.

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Most of our courses are available as either "Printed" or 'Download" editions, wherever you live. Internet connection is required to access online and downloadable material.

When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required. 

When you purchase a "Printed" edition, you will also receive free access to the download edition.

We ship Worldwide from locations in the USA, UK, and Australia. Most items are despatched within 24 hours and shipping is FREE for all orders over US$50.



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We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.

Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.

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