Important: Please note that if there are any parts of this form you have questions about or do not understand, please ask the therapist before signing this form.
Thank you for choosing to come to Hands on Health Physical Therapy and Wellness to receive Physical Therapy services. We implement evidence-based practice by incorporating clinical research, physical therapist’s clinical experience, and your preference for treatments to provide the best chance for having a success to minimize or stop the problems you are having.
You should know that at any time you have the right to stop or refuse any part of an evaluation or treatment for any session during the entire course of physical therapy.
Dry needling is a form of manual physical therapy in which fine needles are inserted into myofascial trigger points (painful knots in muscles), tendons, ligaments, or near nerves in order to stimulate a healing response in painful musculoskeletal conditions.
Dry needling is not acupuncture or Oriental Medicine; that is, it does not have the purpose of altering the flow of energy (“Qi”) along traditional Chinese meridians for the treatment of disease.
Dry needling is a modern, science-based intervention for the treatment of pain and dysfunction in muscle and bone conditions such as neck pain, shoulder impingement, tennis elbow, carpal tunnel syndrome, headaches, knee pain, shin splints, plantar fasciitis, and back pain.
Drowsiness, tiredness or dizziness occurs after treatment in a small number of patients (1-3%) and if affected, you are advised not to drive.
Minor bleeding or bruising occurs after dry needling in 15-20% of treatments and is considered normal.