Invasive Physiotherapy

Invasive Physiotherapy

Invasive physiotherapy: advanced techniques for tissue regeneration and pain management

Invasive physiotherapy is an advanced technique that uses fine sterile needles, often under ultrasound guidance, to precisely target muscles, tendons, or peripheral nerves. Depending on the condition, it can deactivate trigger points, regenerate damaged tissues, or modulate neuromuscular function, offering effective support in chronic cases or those resistant to conventional therapies.

At the Kinetic Center in Lugano, invasive physiotherapy techniques are a fundamental part of personalized recovery programs. Our approach combines up-to-date scientific evidence with advanced clinical expertise through three main techniques: Dry Needling, Percutaneous Therapeutic Electrolysis (also known as EPTE, EPI, or EPM), and Ultrasound-Guided Percutaneous Neuromodulation (NMP).

Dry Needling: targeted treatment of Trigger Points

Dry Needling is a technique involving the insertion of very fine, sterile, single-use needles into specific muscle areas known as Trigger Points. These are hyperirritable spots within skeletal muscle that often lead to persistent contractures and referred pain. The needle insertion provokes a local response that promotes the release of contracted fibers, enhances local circulation, and activates endogenous healing mechanisms.

In addition to its mechanical effect, Dry Needling has a significant neurophysiological action: it helps modulate pain transmission and normalize neuromuscular activity. It is particularly effective in treating myofascial pain syndromes, deep muscular contractures, postural dysfunctions, and chronic pain conditions that do not respond to manual therapy alone. In selected cases, the technique can be performed under ultrasound guidance for enhanced accuracy and safety.

Percutaneous Therapeutic Electrolysis (EPTE): tendon tissue tegeneration

Percutaneous Therapeutic Electrolysis, also referred to as EPTE®, EPM (Musculoskeletal Percutaneous Electrolysis), or EPI (Intratissue Percutaneous Electrolysis), is an innovative technique developed in Spain to treat tendinitis and tendinopathies, in both acute and chronic stages. Based on the principles of Ultrasound-Guided Physiotherapy, the procedure involves the ultrasound-guided insertion of a fine needle into the damaged tendon, through which a low-intensity galvanic micro-current is applied.

This targeted stimulation induces a controlled therapeutic inflammatory response, which reactivates tissue repair processes and promotes the production of new, high-quality collagen. The procedure is minimally invasive, lasts only a few minutes, and is generally well tolerated. Within 24–48 hours, patients often begin to notice improvements in pain reduction and functionality.

Percutaneous Neuromodulation: restoring nerve function

Percutaneous Neuromodulation is a cutting-edge technique involving the ultrasound-guided insertion of fine sterile needles near peripheral nerves to apply therapeutic electrical stimulation. Using low- or medium-frequency currents, it activates sensory and motor responses that directly influence impaired nerve function. The goal of neuromodulation is to restore neurophysiological balance, improve signal transmission, and normalize muscular activity.

This method is indicated for various conditions, including peripheral neuropathies, nerve entrapment syndromes, motor recruitment dysfunctions, radicular pain, and chronic disorders that do not respond to standard treatments.

Experience, ongoing training, and safety for effective patient care

At the Kinetic Center, invasive physiotherapy is performed exclusively by highly trained physiotherapists with advanced qualifications acquired both in Switzerland and abroad. Our team has completed specialist training in Spain, studying at internationally recognized institutions and under the guidance of leading experts in the field. Every treatment is carried out with precision and care, using state-of-the-art ultrasound equipment and evidence-based protocols.

If you would like more information or to assess whether invasive physiotherapy techniques are suitable for your condition, please don’t hesitate to contact us. Our team will be pleased to offer you a personalized professional consultation.

Our therapists for Invasive Physiotherapy

Jacopo Soranzo

Physiotherapist and Responsible owner

Carlotta Paredi

Orthopaedic physiotherapist and Therapeutic Pilates instructor.

Laura Franco

Pelvic Floor Physiotherapist, nature lover