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

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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327: Hope, Connection, And Care Coordination: Russell Meyerowitz On The Parkinson's Wellness Fund And Raya Health - Tools For Today

327: Hope, Connection, And Care Coordination: Russell Meyerowitz On The Parkinson's Wellness Fund And Raya Health - Tools For Today

What happens to a family when "wellness" stops meaning saunas and cold plunges and starts meaning keeping the lights on? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Russell Meyerowit...

20 Juli 46min

326: Why Standard Heart Rate Formulas Fail People With Parkinson's With Cielita Lopez-Lennon, PT, DPT, NCS

326: Why Standard Heart Rate Formulas Fail People With Parkinson's With Cielita Lopez-Lennon, PT, DPT, NCS

Are the heart rate formulas we've been using actually working for our patients with Parkinson's? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, discuss with Cieli...

13 Juli 42min

325: Falls Training For Parkinson's: Why Patients Are Demanding It With Naomi Casiro, BSc., MPT

325: Falls Training For Parkinson's: Why Patients Are Demanding It With Naomi Casiro, BSc., MPT

What would it look like if your patients stopped fearing the floor?  In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, discuss with Naomi Casiro, physiotherapist and...

6 Juli 39min

324: When Robots Amplify Mistakes To Drive Recovery: Error Augmentation In Neuro Rehab With BioXtreme

324: When Robots Amplify Mistakes To Drive Recovery: Error Augmentation In Neuro Rehab With BioXtreme

In this episode, host Erin Gallardo, PT, DPT, NCS interviews BioXtreme CEO Eyal Samuel Shachar and researcher Dr. James Patton, PhD about BioXtreme's robotics-based neurorehabilitation devices, with a...

29 Juni 41min

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

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

In this episode hosts, Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS share their excitement and plans for attending the 2026 World Parkinson Congress (WPC) in Phoenix, Arizona, a unique ...

22 Juni 35min

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

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

Is work-life balance an elusive concept you have yet to master while running your life and neuro biz? In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss the top...

15 Juni 39min

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

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

Dive into AI tools in your personal life, work life and business by learning what to use, how to use it and how NOT to use it. In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT,...

8 Juni 42min

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

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

Has your clinic adopted AI for documentation yet? If not (or if so!) check out this episode to learn about how it can transform your time and allow you to do your job unfettered. Hosts Erin Gallardo, ...

1 Juni 46min

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