Pie crust (Dry Needling) release of tight ligaments

Josephine

NURSE DIRECTOR EMERITUS
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My surgical report said my IT band was very tight and had to be released using the, "pie crust technique." Apparently they put pin holes in the IT band to release it. That might explain a lot of my early lateral pain.
Not actually. These procedures shouldn't add to the post-op pain over-much.

The so-called “pie crusting” technique using multiple stab incisions is a well-established procedure for correcting tightness of ligaments, also known as needling. The soft tissue is progressively stretched using multiple needle punctures into the tense fibres, while applying a continuous stress. Every 5 to 10 punctures, the balance is reassessed until the appropriate result is achieved. Usually, this occurs progressively after 15 to 35 punctures, depending on the severity of the tightness.

pie crust.JPG
 

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