Dr. Edo Zylstra, PT, DPT, a leader in the development and teaching of dry needling techniques, joins host Phil Plisky for a deep dive into one of the most debated modalities in rehabilitation. Phil and Edo revisit decades of clinical experience, challenge assumptions in the research, and explore why dry needling may succeed—or fall short—depending on how and when it’s applied. Together, they discuss the gap between controlled trials and clinical practice and offer you a compelling neurological lens for rethinking musculoskeletal care. If you’ve ever wondered why the literature on dry needling is all over the map, this conversation is for you.

Learning Outcomes

• Analyze the evidence around how to improve clinical effectiveness with dry needling and other manual therapy tools
• Apply evidence-based, practical strategies to address patient symptoms by assessing and treating underlying mechanisms
• Solve patient case scenarios involving the integration of a neurological lens in orthopedic assessment and intervention

Timestamps

• (00:00:00) Welcome
• (00:00:05) Introduction to dry needling
• (00:05:17) Understanding dry needling: physiology and mechanism
• (00:08:12) Clinical applications and considerations for dry needling
• (00:21:30) Research insights: efficacy and limitations of dry needling
• (00:32:50) Case study: practical application of dry needling
• (00:38:24) Common misapplications of dry needling
• (00:45:45) Key takeaways and final thoughts on dry needling

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