Using Dry Needling and Manipulation Techniques to Calm Down Symptoms

At ice, we always recommend down regulation. This is the area where we are potentially not going to dry needle or manipulate directly at the elbow because it's so irritated. Once you get them below that three out of 10, what you're going to look at then is increasing the tensile load. A lot of strength exercises working on speed, how fast and dynamic can they move that wrist and elbow and forearm without provoking symptoms. We really, really want to get these tissues as robust as possible. And that's going to be your plan of care.