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Fascia as a Functional System in Health and Disease: From Fundamental Biology to Assessment and Targeted Interventions

Int J Mol Sci. 2026 Jun 29;27(13):5871. doi: 10.3390/ijms27135871. ABSTRACT Fascia is increasingly recognized as a dynamic functional system. It can actively sense, transmit, and regulate mechanical, sensory, and metabolic signals. Why does fascia play such a critical role in chronic pain and movement disorders? Researchers are now rethinking the pathophysiological mechanisms underlying this role. […]

Effectiveness of dry needling combined with exercise therapy versus exercise alone for pain and functional outcomes in knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials

Ther Adv Musculoskelet Dis. 2026 Jul 13;18:1759720X261463350. doi: 10.1177/1759720X261463350. eCollection 2026. ABSTRACT BACKGROUND: Knee osteoarthritis (KOA) is a leading cause of chronic pain and disability worldwide. Although exercise therapy is the recommended first-line treatment, many patients continue to experience pain and functional limitations. Dry needling (DN) has emerged as a potential adjunct therapy targeting myofascial […]

Safety, anatomical accuracy, and reliability of a dry needling protocol targeting the soleus muscle: A cadaveric study with ultrasound and dissection validation

J Man Manip Ther. 2026 Jul 15:1-12. doi: 10.1080/10669817.2026.2700322. Online ahead of print. ABSTRACT INTRODUCTION: Despite the growing clinical use of dry needling, the anatomical accuracy and safety of ultrasound-unguided approaches to the soleus remain insufficiently standardized and validated. This study aimed to evaluate (i) the anatomical accuracy and safety of a standardized ultrasound-unguided dry […]

A severity-based classification framework for dry needling unintended responses and adverse events: An expert consensus Delphi

Musculoskelet Sci Pract. 2026 Jul 11;85:103618. doi: 10.1016/j.msksp.2026.103618. Online ahead of print. ABSTRACT OBJECTIVE: To develop an expert-derived, consensus based framework for defining and classifying unintended responses (UR) and adverse events (AE) following dry needling (DN) through an exploratory, descriptive modified Delphi process. METHODS: One hundred DN experts were invited to participate in a 3-round […]

The evolving landscape of minimally invasive procedures in musculoskeletal diseases-Part II

Front Med (Lausanne). 2026 Jun 29;13:1829343. doi: 10.3389/fmed.2026.1829343. eCollection 2026. ABSTRACT This review aims to cover a wide array of minimally invasive musculoskeletal procedures developed to address several articular and periarticular conditions locally. In part 2, we will cover nerve blocks, ozonetherapy, platelet-rich plasma and derivatives, prolotherapy, radiopharmaceuticals, sclerotherapy, thermal ablation, and intratissue percutaneous electrolysis. […]

Short-term efficacy of physical interventions for lateral epicondylitis: a network meta-analysis based on multidimensional evaluation of pain and function

Front Pain Res (Lausanne). 2026 Jun 26;7:1855508. doi: 10.3389/fpain.2026.1855508. eCollection 2026. ABSTRACT BACKGROUND: Lateral epicondylitis (LE) is a prevalent chronic tendinopathy that significantly impairs upper limb function and quality of life. This network meta-analysis (NMA) aims to evaluate and compare the short-term (≤3 months) efficacy of various micro-invasive and physical interventions for pain relief and […]

Comparative effects of low-level laser acupuncture and dry needling on clinical and functional outcomes in patients with chronic cervical myofascial pain syndrome: a randomized controlled trial

Lasers Med Sci. 2026 Jul 10;41(1):141. doi: 10.1007/s10103-026-04915-3. ABSTRACT The purpose of this study was to compare the effectiveness of Low-Level Laser Acupuncture with Dry Needling along with Routine Physical Therapy on clinical and functional outcomes in patients with Chronic Cervical Myofascial Pain Syndrome. An Assessor-blind Randomized Controlled trial was conducted at the Physical Therapy […]

Dry Needling in the Military Health System: A Retrospective Observational Study

Mil Med. 2026 Jul 7:usag294. doi: 10.1093/milmed/usag294. Online ahead of print. ABSTRACT INTRODUCTION: Dry needling (DN) is a commonly performed treatment used by physical therapists. Despite the popularity of DN and the large number of randomized controlled trials evaluating efficacy, few studies have leveraged real world data to determine patient-, care- and system-level variables associated […]

Short-term effects of kinesiology taping, dry needling and their combination in patients with subacromial pain syndrome: A single-blind randomized controlled trial

J Back Musculoskelet Rehabil. 2026 Jun 29:10538127261464776. doi: 10.1177/10538127261464776. Online ahead of print. ABSTRACT BackgroundSubacromial pain syndrome (SAPS) is a common cause of shoulder pain and is frequently managed with exercise-based rehabilitation. In clinical practice, interventions such as dry needling (DN) and kinesiology taping (KT) are often used alongside exercise programs, although their short-term effectiveness […]

Pain Scores Associated with Lidocaine-Tetracaine Versus Lidocaine-Prilocaine Topical Anesthesia During Facial and Cervical Microneedling: A Retrospective Single-Center Observational Analysis

Medicina (Kaunas). 2026 May 25;62(6):1026. doi: 10.3390/medicina62061026. ABSTRACT Background: Effective topical anesthesia is essential to patient comfort and adherence during minimally invasive esthetic procedures. We retrospectively reviewed pain scores recorded after microneedling in a single private clinic where two topical anesthetic formulations-lidocaine 7%/tetracaine 7% (Pliaglis) and lidocaine 2.5%/prilocaine 2.5% (Anesderm)-were used as part of standard […]

Comparing fractional CO2 laser and needling-based modalities in facial acne scar treatment: a comprehensive systematic review and meta-analysis

Lasers Med Sci. 2026 Jun 23;41(1):124. doi: 10.1007/s10103-026-04905-5. ABSTRACT Facial acne scarring is a widely prevalent dermatological disease manifested as a permanent aftereffect of acne vulgaris. While fractional CO₂ laser and needling procedures are essential to treating atrophic acne scars, comparative and safety data remains limited. This systematic review and meta-analysis directly compares their efficacy […]

Dry needling, lidocaine, and mepivacaine for myofascial pain and associated temporomandibular disorder and depressive symptoms: a randomized clinical trial

BMC Oral Health. 2026 Jun 22. doi: 10.1186/s12903-026-08986-0. Online ahead of print. ABSTRACT BACKGROUND: Myofascial pain of the masticatory muscles significantly contributes to temporomandibular disorders (TMD) and is often associated with impaired function and depressive symptoms. While trigger point injections like dry needling and local anesthetics are common, direct comparisons in the orofacial region are […]

Ultrasound-guided techniques in the treatment of myofascial pain syndrome: a comparison of superficial and deep dry needling

Authors:Muhammed Korkut, Mustafa Fatih Yaşar, Serdar Kılınç Med Ultrason. 2026 Jun 17. doi: 10.11152/mu-4618. Online ahead of print. ABSTRACT AIMS: To compare the effectiveness of ultrasound (US)-guided superficial dry needling (SDN) and deep dry needling (DDN) in patients with myofascial pain syndrome (MPS) of the upper trapezius muscle. MATERIAL AND METHODS: This prospective, single-blind, randomized […]

Appropriate needle insertion depth for trigger point injections of the parascapular region

Authors:Mehmet Okçu, Muhammed Alpaslan, Yeliz Dadalı, Samet Sancar Kaya, Özkan Görgülü Turk J Phys Med Rehabil. 2026 Jun 10;72(2):150-160. doi: 10.5606/tftrd.2026.14711. eCollection 2026 Jun. ABSTRACT OBJECTIVES: This study aims to determine the appropriate needle insertion depth for the parascapular region. PATIENTS AND METHODS: This retrospective study was conducted with 1,015 participants (536 males, 479 females; […]

Effect of dry needling therapy on hip range of motion as a component of functional performance in patients with chronic low back pain: a randomized clinical trial

Authors:Joanna Barbara Rajfur, Katarzyna Joanna Rajfur, Grzegorz Głąb, Beata Fras-Łabanc, Jakub Taradaj Reumatologia. 2026 Mar 6;64(2):124-131. doi: 10.5114/reum/217197. eCollection 2026. ABSTRACT INTRODUCTION: The dry needling (DN) method is increasingly used in the treatment of low back pain (LBP). It involves inserting a thin needle into the tissue without anesthesia or injection. The therapeutic effect of […]

Extracorporeal shock wave therapy versus dry needling for piriformis syndrome: A randomized clinical trial

Authors:Burak Tayyip Dede, Mehmet Toktaş, Seyhan Kurnaz, Muhammed Oğuz, Fatih Bağcıer, Ebru Aytekin Turk J Phys Med Rehabil. 2026 Feb 11;72(1):39-47. doi: 10.5606/tftrd.2026.16718. eCollection 2026 Mar. ABSTRACT OBJECTIVES: This study aimed to compare the efficacy of extracorporeal shock wave therapy (ESWT) and dry needling (DN) in treating piriformis syndrome (PS). PATIENTS AND METHODS: This randomized […]

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