Gokavi Transverse Technique (G.T.T.)
The Gokavi Transverse Technique (G.T.T.) was developed by Dr. Cynthia Gokavi, a physician with many years of experience treating myofascial pain syndromes. With an extensive background in both traditional acupuncture (AP) and dry needling, Dr. Gokavi herself has suffered from chronic pain for more than 25 years. Her quest, both personal and professional, for improved chronic pain treatment measures led to the development of this technique.
G.T.T. is a dry needling acupuncture technique used to treat myofascial pain (acute and chronic) and soft tissue restriction. G.T.T. differs from other dry needling AP techniques in that: A) it utilizes high frequency electrical stimulation pre-needling and B) advocates transverse orientation of the AP needle into target muscle tissue. Acupuncture needles are inserted in a specific transverse direction to form a closed circuit which encompasses the target treatment area. Needles are then electrically stimulated with two different high frequency currents. Electrical stimulation results in relaxation and analgesia of muscle tissue enclosed within the circuit. Muscles are then lifted and needled transversely through their entire thickness to release palpable trigger points and taut myofascial bands.
Advantages to using G.T.T. are many. They include: decreased dry needling pain. The relaxation/analgesic effects induced by the circuit, combined with the transverse orientation of the needle (generally recognized to be less painful than a perpendicular approach) results in less muscle cramping and spasm. This notably decreases both needling pain and post treatment soreness. Larger areas can be treated in a shorter period of time. Less needling is required during subsequent treatment sessions, fewer treatments are required and time between treatment sessions can be lengthened. Increased patient compliance is noted as a result. Muscle relaxation obtained with the circuit allows the practitioner to effectively target myofascial restrictions in deeper muscle layers. Results are immediate. The transverse orientation of the needle decreases the risk of injury (i.e.: perforation) to internal organs.
Possible side effects to any dry needling technique include the potential for: bruising/bleeding, discomfort, post treatment fatigue/soreness and syncope. Contraindications include: pregnancy, local infections/skin conditions, anti-coagulant use, bleeding disorders and cardiac pacemakers. Clients with pacemakers can be treated if the circuit is omitted.
Our physiotherapists at Corona Station Physical Thrapy are qualified to perform G.T.T., and it is frequently employed at the clinic in the treatment of individuals with chronic myofascial pain, fibromyalgia, adhesive capsulitis, muscle restriction post immobilization and total joint replacements (pre-surgical), to name a few. Results have been very favourable. For more information, please contact us at the clinic by phone or email and ask to speak to one of our physiotherapists.