Trigger Point Dry Needling

Trigger point dry needling

TDN Treatment

Trigger point dry needling (TDN) uses small filament needles to release a trigger point (knots) in a muscle. The goals is to reduce muscle pain, improve restricted movement, and function. Also known as; trigger point therapy, dry needling, Trigger Point Needling, TPDN, TDN, FDN, trigger point dry needling, functional dry needling and IMS (intramuscular stimulation).  Physical therapists/physiotherapists are now using this technique around the world to effectively treat acute and chronic orthopedic and musculoskeletal conditions.

 TDN as a treatment is utilized for muscular tightness and spasm which commonly follows injuries and often accompanies the degenerative processes. 

This muscular tightness and spasm will cause compression of blood vessels and irritation of the nerves exiting the spine and or surrounding the joint. Twenty percent of the bodies blood supply, feeds our nervous system! When the nerves are irritated, they cause a protective spasm or guarding of all the muscles to which they are connected.  This may cause peripheral diagnoses, such as carpal tunnel, tendonitis, osteoarthritis, decreased mobility and chronic pain.  

Hands of physiotherapist doing a dry needling
Neuromuscular Strategies TDN
what i do ?

Small, thin needles are inserted in the muscles at the trigger points.


Mike Kohm PT was in the first level 1 and level 2 trigger point dry needling (TDN) classes in Colorado.  Mike has taught for Kineticore as a TDN assistant instructor. Trigger Point Dry Needling is offered in the Boulder and Denver offices. Along with his wife, Satya Larrea, Mike co-owns Denver Whole Yoga. He is trained in movement assessments through Functional Movement Systems and is the developer and lead instructor for the Yoga Movement Guide.

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Neuromuscular Strategies Physical Therapy
4710 Table Mesa Drive Suite B, Boulder, CO 80305
Call 720-352-0678
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