Tendon needling is defined as all those needling techniques that are performed on tendons. Most techniques aim at altering the blood supply and oxygenation in the tendon and therefore inducing the healing process. http://www.ncbi.nlm.nih.gov/pubmed/27535246
TechniqueThe best described technique is the up and down manipulation with the acupuncture needle which resembles closely the peppering technique The acupuncture needle is quickly moved up and down.
Herringbone technique for achilles tendinopathy
Fig. 1
Fig.2
A specific protocol (where the needles left in situ) is the Achilles Herring bone Acupuncture protocol: 12 needles are inserted both vertically and off to the sides of the achilles tendon.
Protocol: Skin marked and steri-strips placed in location for needle insertion at 1/4 , 1/2, 3/4 distance (fig. 1)
Inserting 9 needles at a standardised distance in relation to leg length
Depth- 5-10mm
Stimulating in a thrusting and twisting motion
Needle stimulated for 5 seconds each for total time of 6o seconds every 5 minutes
30 minute treatment session .
The technique is described by Berj Kishmishian and the full PPT to be found here
NeedlesLength: 30-60mm
Diameter: 0,25-0,30mm