Analogies, N°3, between Mesopuncture (1) and Wet Needling (2).

Analogies, N°3, 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. Third part.

Two Wet Needling versions

Both versions of liquid drug injection are described according to the depth at which the liquid drug is injected.

-      The Wet Needling Trigger point injection, or direct wet needling, involves fluid injection directly into the TP located in the taut muscle band.

-      The indirect wet needling in which fluid is injected into the skin or subcutaneous tissue over the TP.

.It is the most commonly used option for the treatment of TPs by WN performed with the BMN, especially if the TP is deep because,  in the current version, the needle of the BMN is of 13mm long.

The BMN allows performing Wet Needling according to two ways:

If the TP is superficial, the BMN will complement the treatment by performing Dry Needling also.

 If the TP is deep, the Wet Needling, performed with an anesthetic by the BMN, will be followed by a mechanical treatment by the Therapist.

The BMN device and Mesopuncture

Mesopuncture is an acupuncture treatment version in which the AP is stimulated by a liquid drug chosen by the Therapist

Mesopuncture or stimulation by a liquid drug of the AP completes the historical AP stimulation by metallic needle.

Usually Mesopuncture accompanies the metal stimulation or classical Acupuncture, preceding or following it, becoming perfectly integrated in the conduct of the consultation without downtime and without preventing the decubitus, as with the BMN:
A specific disposable device, avoiding the double needle insertion, traditional stimulus by metal needle and fluid stimulus by a hypodermic needle, particularly uncomfortable when this double insertion is repeated with two needles inserted, although with a single BMN inserted into the AP, the Therapist can perform Acupuncture and Mesopuncture.

The fluid stimulus of the Acupuncture Point AP or Mesopuncture is another stimulus mode of the AP, in addition to the metal needle stimulus, proposed by the Chinese Medicine.

Inserted into the AP, the BMN needle performs a metal stimulus or classical acupuncture: The needle handling is soft and suave; it does not seek to deactivate a muscle knot but to stimulate, carefully, an AP: it is the metal Acupuncture effect.

A few drops of liquid drug from the reservoir are deposited into the AP, they stimulate the AP mechanically by their volume or physicochemical structure or both,  it is the fluid acupuncture effect or MESOPUNCTURE.

The pharmacological activity of the selected liquid drug is preserved: It is the pharmacological effect.

Conduct of the Mesopuncture

The BMN needle or an acupuncture needle is inserted into the AP to perform acupuncture.
A few drops of liquid drug from the BMN reservoir or few drops of a liquid drug contained in a syringe are injected into the AP: The liquid drug acts both by the volume injected and its pharmacological properties.

It will have been realized with the Mesopuncture performed by a metallic needle:

A metal stimulus due to the inserted metallic needle.
A fluid stimulus due to the volume injected.
A pharmacological effect by preservation of the therapeutic properties of the liquid drug injected.

·         We find the same classification as in WN

Direct Mesopuncture.
The liquid drug is injected directly into the PA localized in the connective tissue by the BMN needle.

Indirect Mesopuncture. 
The liquid drug is deposited on the skin to reach the PA by iontophoresis: indeed the PA starts at the epidermis and ends in the connective tissue…

It can be emphasized the role of massage in the AP stimulation and TP relaxation.

Conclusion

This article highlights the deep analogies in the treatment of trigger points and acupuncture points, between Wet Needling and Mesopuncture.