304: Dry Needing For Spasticity With Chris McElderry, PT, DPT, NCS

In this episode host, Erin Gallardo, PT, DPT, NCS speaks with Chris McElderry, PT, DPT, NCS about how dry needling can be used in neuro rehab, particularly for people post-stroke. Chris explains why he pursued dry needling, how using it in PT differs from acupuncture, and walks through what a typical session looks like, including safety, side effects, and billing considerations. He shares clinical examples of using dry needling to address spasticity, hypertonicity, pain, and range of motion limitations, and discusses current research on short-term effects for spasticity and pain reduction. Erin and Chris also clarify the differences between spasticity and hypertonicity, touch on contracture management, and highlight where dry needling can be a useful adjunct—not a standalone cure—in helping neuro clients move and feel better.

Follow Chris McElderry, PT, DPT, NCS @theneuroguy_dpt

Ebrahimzadeh M, Nakhostin Ansari N, Abdollahi I, Akhbari B, Dommerholt J. Changes in Corticospinal Tract Consistency after Dry Needling in a Stroke Patient. Case Rep Neurol Med. 2024 Sep 14;2024:5115313. doi: 10.1155/2024/5115313. PMID: 39309410; PMCID: PMC11416164.

Fakhari Z, Ansari NN, Naghdi S, Mansouri K, Radinmehr H. A single group, pretest-posttest clinical trial for the effects of dry needling on wrist flexors spasticity after stroke. NeuroRehabilitation. 2017;40(3):325-336. doi: 10.3233/NRE-161420. PMID: 28222554.

Fernández-de-Las-Peñas C, Pérez-Bellmunt A, Llurda-Almuzara L, Plaza-Manzano G, De-la-Llave-Rincón AI, Navarro-Santana MJ. Is Dry Needling Effective for the Management of Spasticity, Pain, and Motor Function in Post-Stroke Patients? A Systematic Review and Meta-Analysis. Pain Med. 2021 Feb 4;22(1):131-141. doi: 10.1093/pm/pnaa392. PMID: 33338222.

Núñez-Cortés R, Cruz-Montecinos C, Vásquez-Rosales P, et al.
Effectiveness of dry needling in the treatment of spasticity in stroke patients: A systematic review. J Body Mov Ther. 2020;24(3):113-122.

Suputtitada A, et al. Emerging theory of sensitization in post-stroke muscle spasticity: Implications for dry needling and other interventions. Front Rehabil Sci. 2023;4:1169087.

Valencia-Chulián R, Heredia-Rizo AM, Moral-Munoz JA, Lucena-Anton D, Luque-Moreno C. Dry needling for the management of spasticity, pain, and range of movement in adults after stroke: A systematic review. Complement Ther Med. 2020 Aug;52:102515. doi: 10.1016/j.ctim.2020.102515. Epub 2020 Jul 16. PMID: 32951759.

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Episoder(100)

323: Before We Left for Phoenix: Our World Parkinson Congress 2026 Preview

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322: Find Work-Life Balance With Alignment, Not Productivity Tools

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321: How To Use AI Tools To Get Time Back Even When You're Not Techy With Shanté "Movement Maestro" Cofield, PT, DPT, OCS

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320: AI Documentation As A Game-Changer For Neuro Rehab: How-To

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1 Jun 46min

319: How And Why You Should Train Neuro Clients In More Positions With Dr. JJ Mowder-Tinney, PT, PhD, NCS

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25 Mai 40min

318: Using RTM With Neuro Clients For Increased Revenue, Motivation, And Data Metrics To Justify Therapy

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18 Mai 50min

317: Maximize Progress In Neuro Rehab Using Rhythmic Auditory Stimulation With MedRhythms

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11 Mai 41min

316: Proven Fall Prevention Strategies To Implement Today With Dr. Tiffany Shubert, PT, PhD

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4 Mai 44min