jeudi 31 août 2017

Analogies, N°2, between Mesopuncture (1) and Wet Needling (2).

Analogies, N°2, between Mesopuncture (1) and Wet Needling (2).
 (1) Fluid stimulus of the Acupuncture Point_ AP
(2) Injection in Trigger Point_ TP
Two administration modes of liquid drug: Either in the AP or in the TP.           
Publication in THREE parts. Second part.
In a second step, the liquid drug passes into the blood, reaches the liver where it is conjugated. It returns into the blood to reach the injured area a second time.
The injured area receives twice the liquid drug, as well if the liquid is injected directly in the point or in the immediate vicinity of the point: what might explain equal efficienc, it seems, between indirect and direct liquid drug injections.

*      Action Mode of the liquid drug in Mesopuncture and WN
The liquid drug has a dual action dependent on its physicochemical structure:
·         A physical or mechanical action due to the injected volume allows:
- facilitating the treatment of the trigger point in WN.
- obtaining the Acupuncture effect by stimulation of the AP.
·         A therapeutic action, due to the pharmacological properties of the liquid drug injected and described in the pharmacopeia. 
The injection vectors
Once the liquid drug selected it must be injected either in an AP or in a TP, by a hypodermic needle: It allows the selected liquid drug to cross the skin and reach either the TP to deactivate it or the AP to stimulate it. The main problem is the pain associated with the hypodermic needle use.
Compared to the acupuncture needle, the hypodermic needle is supposed to produce a ‘searing pain’, by numerous Patients.
·         It is necessary to ease the inserting pain of the conventional hypodermic needle in a TP already painful, pain accentuated by the various manipulations performed in the TP to deactivate it:
It is necessary, for this, to reduce the diameter of the hypodermic needle to be similar to the diameter of the acupuncture needle whose insertion is much less painful.
·         It is uncomfortable to insert the hypodermic needle into in an AP where a compact acupuncture needle comes to be inserted.
It is judicious, in this case, to use the hypodermic needle inserted into the AP for injecting the liquid drug for the Wet Needling treatment, as an acupuncture needle for the Dry Needling.

**-* The BMN fulfills this dual function.
The BMN is both a hypodermic needle and according to the FDA, an acupuncture needle: Its diameter of 0.30 mm is identical to the classical acupuncture needle. This hollow needle is surmounted by a resilient polymer reservoir with no silicone, no glue and no syringe body.
This deformable reservoir of the liquid drug selected is also used as a handle, essential for gripping the BMN during the acupuncture session, essential feature for the FDA, to qualify the BMN as acupuncture needle.  
Using the BMN needle both hypodermic and acupuncture, optimizes the insertion pain, during the Acupuncture or TP treatment.
 In this first version, the useful needle length is 13 mm allowing, thanks to the resilience of the polymer reservoir, to any medication, whatever its viscosity, to be sucked through the needle for filling the reservoir, by pressing the reservoir with two fingers.
The reservoir may be filled, by the Therapist, with any one of the drugs mentioned above.

The BMN device and Wet needling

Wet needling realized with the BMN, allows performing, according to the depth of the TP into the skin, in the same TP, a mechanical deactivation, by the BMN needle itself, supplemented by a liquid deactivation with the same device, by the volume of liquid drug from the reservoir, injected into the TP, adding by this way, the anesthetic or therapeutic properties of this liquid drug to the double mechanic deactivation, from the needle and the volume injected. 

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