I am having dry needling for tennis elbow. Along with exercising and stretching. And the graston technique. The needling part has been the most effective part of my treatment program. Acupuncturists need to get over themselves and realise it may be the same tool used but it's entirely different procedure.
What a beautiful story.
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Correction... The Leechpit has been selling vintage games and systems for over 10 years. FYI.
Taxation is not the issue. On-line retailers consume no local government services and purchasers are already paying a myriad of other local taxes (looked at your phone bill lately?).
Local retailers have two major advantages over their on-line competitors: instant gratification, and touch/feel/look comparison of alternatives before the sale. I don't buy my hardware on-line, so why can that business succeed when other retailers cannot? I suspect that these other businesses are wasting those advantages rather than leveraging them.
I'm not claiming this is the end-all-be-all truth of the matter, but local retailer sob stories about getting wrecked by web retailers generate absolutely no sympathy from me. As an Army Brat, I was never fortunate enough to spend enough time in a place to "develop relationships" with local companies regardless of where my father's career took me. However, I have always had access to the Internet. I practically begged my parents to buy a computer and pay for dial-up when I was a kid. I've been on the 'net for 20 years. I'm 30 years old, to give you an idea. When I was a kid I traded collectible trading cards and comic books on the web using a dial-up connection, Usenet groups, and trust systems based on references from other traders. As an adult, I now make ALL of my money online, with very little of it coming from local businesses. I work with ONE carefully selected local business as a vendor. The rest of my revenue comes from companies in SFC, NYC, London, and the rest of the world. I'll be the first to tell you they have you outgunned in terms of the marketing budgets they make available to all types of creative professionals. I have never seen the faces or heard the voices of some of the people who employ me, and my relationships with those people mean the world to me. I've worked with web retailers, including some of those named in this article. They support me in my chosen field in ways local businesses have looked at me like I'm stupid for even suggesting. There's a reason you're getting wrecked, local businesses, and it has nothing to do with your customers and everything to do with YOU. If I feel better about the service I get from a call center employee at a big, evil web retailer (who emails me return postage ON THE SPOT and ships the right stuff SAME DAY) than I do about the "service" you provide in your store, you have a HUGE problem. It's not your customers' problem, either. It's YOUR problem. If you refuse to hire smart people to build you a legitimate web presence designed to capture "showrooming" revenue and prefer to bitch about the big, evil web retailers - again - not my problem. In fact, those companies butter my bread in ways you never could. I help build that stuff, and time and time again you and your brethren (local CoS businesses) have indicated you're not interested. Fine. I am not limited by geography like you are. I'm not the one going out of business. YOU ARE. Provide unique experiences, excellent customer service, and great product at great prices in real life and online OR ELSE. ADAPT OR DIE! It's a dog fight, and the Internet has BIG TEETH you can use to your advantage the second you stop sneering at it and invest some real resources in it.
Buy a bike one week; ignored the next. Consistency, or the lack of it; is what harms local stores the most.
Or, the same item IS online for 2/3 the price; and without the horrible experience of being followed around a store like a criminal, or having items that are of no interest shoved into ones hands, or being sold items that simply are inferior to what is available online, or....
"Sometimes you become really angry because of the lack of respect"
Is that when you walk into a Tejon shop; and the staff ignores you for five minutes, eating lunch, talking, or you head towards the register and they look up and then walk away from the register?
Or the know everything have done nothing 20 something that will tell you where not to camp? Really? I'm not supposed to even camp, or hike; in an entire county? Really? And all my gear is worthless? Really? After dozens of seasons? Really?
Really? People go online, or to REI?
For me a big factor is being able to easily find out whether someplace actually stocks the item I want. A few years ago while looking for a specific gift, I drove to five different stores that advertised that they carried the items made by the manufacturer. None had the specific item. Eventually I realized I could just order it online, which I did.
Then a few months later it happened again.
Now I often don't bother. If I can order something online, I will. Five minutes and I'm done. I would prefer going to a local store, but I hate having to hunt like that. I could call the stores, but if the first doesn't have what I want, and the second, and the third, etc, I rapidly run out of patience.
Of course, the stores I visited all could order the specific item I want. But if it has to be ordered, I don't need to be in the store in the first place.
A beautiful review of the Benedictines of Benet Hill Monastery. I stayed in Jesu Rama (Jesus-Joy) for eight months in 1994. This is truly a sacred space, commissioned to be built by Sister Naomi Rosenberger, OSB, then Prioress!!!! Great article, Kristen.
Patricia Ostrander, osb
How do we get on this list? Easter Egg Acres offers milk share program, classes, and eco tourism.
I was in a car accident a year ago and went to physical therapy to relieve my injuries. While PT was making progress on my injuries it was not until I was dry needled did I truly see drramatic results. My mobility increased and the pain decreased and it made the PT that much more effective. For someone in a lot of pain willing to try anything I am so glad I did. It made all the difference in my recovery. I'm so glad to see this technique recognized in the paper so others can learn about it.
Their product is really great! The girls have true talent. I am so happy they finally have a site up too... for the days that I can't make it to the farmers market! http://www.annasapothecary.com/
1) Look at the documented pneumothorax cases between acupuncturists and physical therapists. 2) During my dry needling training (yes I am a PT) there were two lovely acupuncturists in the course. Unfortunately the struggled a lot with palpation and anatomy (Most PTs have far more years of advanced anatomy and cadaver labs). 3) Sticking a needle in someone is the easy part. You could teach a monkey to do that. The skill comes in the clinical reasoning piece. Knowing exactly where you are going (3D anatomy), why you are introducing a needle to that area (clinical reasoning from a thorough musculoskeletal exam), and how it will improve function is key. Physical therapists are movement experts. I've talked to and treated multiple acupuncturists. And each one has told me our philosophy and treatment goals are completely different (although the tool is similar). No one profession can own a tool. A carpenter does not own the hammer. Acupuncture uses similar needles, but its roots are grounded in traditional chinese medicine. Dry Needling by Physical Therapists is entirely different. We are trying to elicit a local twitch response to decrease spontaneous electric activity in that muscle (as evidenced by emg studies), as well as eliminate Substance P, acetylcholine, calcium, etc. It has nothing to do with restoring energy, chi, or acupressure points. I love my fellow acupuncturists and have sent patients to them, but the dry needling done by qualified and skilled physical therapists is ENTIRELY different than traditional acupuncture.
Every day when patients ask me how acupuncture works, I explain to them that for pain, we've found there is an electrical charge built up in that area, and since acupuncture needles are metal, they are helping the electrical current flow through the fascia more normally. There is research (on acupuncture) to support this. And, this is just one of the things that is happening. There is also a release of endorphins which results in short term relief, and it has been "found that adenosine, a neuromodulator with anti-nociceptive properties, was released during acupuncture in mice and that its anti-nociceptive actions required adenosine A1 receptor expression." [http://www.nature.com/neuro/journal/v13/n7…].
Just because some one tells you that "dry needling" isn't acupuncture, and that it is "firmly rooted in Western science," (implying that there is no western scientific explanation for acupuncture and how it works) doesn't make it true. It also sounds like your PT doesn't have a great grasp on the mechanisms behind what he is doing, unlike an acupuncturist who has years of training. Much of what we study is western science, in addition to the traditional theories and classical theories (among others!) for acupuncture practice and application. We use electro-stim devices (both hand held and those that attach to the needles. We regularly deeply needle "ashi" points, which are usually trigger points. I use needles ranging in size from 1/2" to 3" daily, and I have larger needles for certain applications and certain patients. And I am a western trained acupuncturist. Go to China, and they are not messing around. It would make your PT's trigger point needling seem like "snorkeling," as you say. Oh, and that sensation you mentioned? Yep, we call it De Qi. If you don't experience that sensation on certain points during acupuncture, it's likely they're not doing what they're suppose to.
1) The needles used in this video are acupuncture needles.
2) The techniques used in this video are acupuncture techniques.
3) The equipment used in this video are acupuncture needle simulators, for acupuncturists....
Therefore you should not be going to someone who is not an acupuncturist to do acupuncture. Research the difference between a physical therapist's requirement to do dry needling and an Acupuncturist's training; you would go with an acupuncturist.
Didn't a physical therapist in your state just puncture someone's lung? Really, maybe you should stick to methods that don't penetrate the skin.
So, I hate to be the bearer of bad news, but dry needling is acupuncture. The PT community has done a brilliant job of pulling one over on law makers and the public by calling it "dry needling." I was trained in this technique (utilizing motor points) in acupuncture school, and it uses needle manipulation firmly rooted in Chinese medicine tradition. It concerns me that someone with very limited training can practice acupuncture simply by calling it a different name.
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