1. Sports Medicine & Orthopedic Physical Therapy
Annie Stoecklein, PT, DPT, LAT

2. Schooling 2004 - graduate of Lakeville High School
First sports medicine class
2009 – bachelor of science from the University of Wisconsin Stevens Point
Major in Athletic Training
Minor in Psychology
2012 – doctorate in physical therapy from the University of Wisconsin La Crosse

3. Advanced Certifications
Level 1 & 2 Functional Dry Needling certified
M1 Graston certified
Credentialed Clinical Instructor
In progress…Orthopedic Clinical Specialist residency through SPTE and Mayo Clinic

4. What does it mean to specialize in Sports Medicine or Orthopedics?
Athletes – high school, collegiate, professional
Recreational athletes - all ages, all ability levels
Who/what you see depends on where you work
Running video analysis (can also do biomechanical video analysis on other sports specific movements, but I specialize in running)
Orthopedics
Post operative patients
Musculoskeletal injuries or conditions (tendinitis, sprains/strains, fractures, etc)
Bracing, orthotics

5. Functional Dry Needling
Active vs. latent trigger points
Spontaneous electrical activity
Biochemical changes Spinal segment
Theories
Energy crisis theory
Motor end plate hypothesis
Radiculopathic model
“Dry needling is a skilled technique performed by a physical therapist using thin filiform needles to penetrate the skin and/or underlying tissues to affect change in body structures and functions for the evaluation and management of neuromusculoskeletal conditions, pain, movement impairments, and disability” – Federation of State Boards of Physical Therapy, May 2015
Tissue

6. Physiologic effects of dry needling
Increase blood flow
Decrease in banding
Decrease in spontaneous electrical activity
Biochemical changes
CNS changes
In other words: decreased pain, better motion, improved muscle activation/strength

7. Graston An intentional mode for inducing controlled microtrauma
Facilitation of connective tissue healing
Release of functional soft tissue/fascial restrictions, entrapments, facilitation of movement, etc.
Acute injury management of edematous soft tissues
Scar management

8. DEMOS! Anybody wanna try Graston?
If you don’t like needles, now is a good time to peace out (or at least sit down and look away)

9. Questions? All images stolen from the internet