Physiotherapy

Percutaneous invasive neuromodulation (PNM)

Percutaneous application of an electrical current through a dry-needling needle placed under ultrasound guidance close to a peripheral nerve or a related structure, with the aim of modifying the excitability of the nervous system and altering afferent and efferent transmission.

About this technique

Its aim is to modify nervous system activity to reduce pain, improve neuromuscular function and support the patient's functional recovery.

It acts on the neurophysiological mechanisms involved in transmitting and processing pain, using a low-intensity biphasic pulsed current that can change neuronal excitability, normalise nerve conduction and modulate pain-control pathways at both peripheral and central level.

The procedure is performed under real-time ultrasound guidance, which makes it possible to see the nerve structure being treated and to position the needle safely and accurately. This control optimises the effectiveness of the treatment, minimises risks and achieves highly selective stimulation of the target structure.

Indications

When can it help you?

  • Persistent or chronic musculoskeletal pain
  • Peripheral and central sensitisation
  • Nerve entrapments
  • Tendinopathies with a neural component
  • Muscle activation deficit
  • Arthrogenic muscle inhibition

Team

Professionals who apply it

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