Per a mi, com a infermera i després de 18 anys d’experiència a urgències, aquesta tècnica ha estat un abans i un després en la meva manera d’entendre i abordar el dolor, des d’una metodologia no farmacològica.

La formació va ser molt enriquidora i em va donar noves eines per poder ajudar les persones d’una manera diferent i oferir-los noves possibilitats davant del dolor.

Després d’un any aplicant-la en la meva pràctica professional, puc dir que ha estat un descobriment molt valuós, tant a nivell professional com personal.

Sens dubte, recomanaria aquesta formació a qualsevol professional de la salut que vulgui ampliar la seva mirada i adquirir noves eines per ajudar els seus pacients.

Entonces un día volvió después de hacerse la PMS en la zona y había mejorado mucho. Me empezó a hablar más de la técnica. Que la habían pinchado en más sitios del cuerpo. Me contó todo el proceso y la verdad que me interesó muchísimo. Sobretodo la inmediatez de la mejora. Sentir esa mejora justo después de realizar la técnica.

Luego al ir observando la técnica e ir formándome con Marta Cañis y Marta Expósito fue un rato reorganizar el aprendizaje de palpación y las capas del tejido del cuerpo humano, dándole mucha más relevancia e importancia a la piel y la fascia.

Conjuntamente al aprendizaje de la propia técnica, la verdad que a dia de hoy estoy super orgulloso y contento de poder formar parte de este proyecto y de la manera que me ha enriquecido también en mi práctica y visión del funcionamiento del cuerpo humano como fisioterapeuta.

I did a deep dive into the literature and found nothing of this odd bodily phenomenon. So, the experimentation begun with an aim of pain reduction in this area – Initially I started using dry needles to IMS style (inserting the needle in and around the area by pulling it back to the surface and changing the angle to push it back into the affected area), not into the lumps but around the peripheral of them – as it was unclear if it would would be safe to penetrate these lumps; purely as we didn’t know what they were. This showed very positive response. Which also lead me to think about the superficial fascia and whether or not I needed to go so very deep into the tissues for pain relief. I had already started experimenting with tapping in a small size dry needle, and not pushing it in any further than the cartridge would allow. Then passively or activity began moving the tissues underneath. This proved a far more superior response to decreasing pain and was less painful for the patient when applied.

Was this was the missing puzzle piece? The superficial fascia. I could alter biomechanics and optimise function, yet these lumps were sometimes unaffected by just this treatment. I also began using this superficial dry needling technique (SDNT) for other areas of the body. By attending numerous fascia courses and reading all I could on the subject, ti discovered the superficial fascia was everywhere! Where there was skin; there was superficial fascia. I used this in combination with numerous techniques such as sports taping, soft tissue, dry needle electro, cupping, fascial stretch and active release and joint manipulations; to name a few.

I used this technique one way or another for over a decade… But, I knew I was still missing something. Dry needles are designed by their bendy nature to push past certain tissues, not to penetrate them; Something continued to elude me. So, by absolute kismet I attended yet another fascial course and this is where I meet Marta. Marta was using a small hypodermic needle to pierce through the skin. Hypodermic = designed to pierce, dry needle = designed to push through and past tissues. This was this missing element to my conjured story of the importance of skin in the patient presenting with pain; any sort of pain.

Since collaborating with Marta the SMP® technique has evolved to a beautifully simplistic technique, that; when in the hands of a trained professional, can offer pain relief without pharmacology or surgical intervention and years of training. As a Physio I have had to amass knowledge and experience; which has taken decades to be able to offer pain relief and restoration of function. But, this technique can offer the relief and improved function; without having to wait decades for a professional to hone their craft. It can be taught to those with a Level 3 anatomy and physiology, and sharps training; even greater with those that have also trained in massage therapy. But, more importantly it can also be used adjectively by those professionals who have already acquired the knowledge.

The SMP® technique is absolutely invaluable to my practice.

• Residual scar tension from a c-section scar over 40 years old preventing the patient from performing standing lumbar extension due to this tension
• Persistent oedema in a distal tib/fib fracture in older patient
• Arthritic knee episode
• Log standing history of back pain
• Fibromyalgia
• Surgical and trauma scars affecting mobility of tissue
• Tissue congestion almost anywhere in the body