Neurophysiological and psychophysical effects of dry versus sham needling of the infraspinatus muscle in patients with chronic shoulder pain: a randomized feasibility study

Arch Physiother. 2021 Oct 18;11(1):23. doi: 10.1186/s40945-021-00118-x. ABSTRACT BACKGROUND: Dry needling (DN) is increasingly used for treating myofascial trigger points (MTrPs) and has shown significant effects on pain and function. This study aimed to assess feasibility of conducting a randomized sham-controlled trial and to collect preliminary data on the effects of infraspinatus DN on corticospinal excitability and mechanical pain sensitivity. …

Treatment of thoracic spine pain and pseudovisceral symptoms with dry needling and manual therapy in a 78-year-old female: A case report

Physiother Theory Pract. 2021 Oct 10:1-9. doi: 10.1080/09593985.2021.1987603. Online ahead of print. ABSTRACT DESIGN: Case Report. BACKGROUND AND PURPOSE: Thoracic spine pain and movement dysfunction is a relatively common problem in the general population but has received little attention in research. Dry needling is frequently utilized by physical therapists and has been shown to reduce pain and improve function in …

Comparison of the efficacy of corticosteroid, dry needling, and PRP application in lateral epicondylitis

Eur J Orthop Surg Traumatol. 2021 Oct 6. doi: 10.1007/s00590-021-03138-2. Online ahead of print. ABSTRACT PURPOSE: The aim of this study was to compare the short-term efficacy of dry needling, corticosteroids, and platelet-rich plasma application (PRP) in the management of lateral epicondylitis. METHODS: The study included 72 patients diagnosed with lateral epicondylitis divided into three groups of 24 individuals using …

Autologous blood and platelet-rich plasma injection therapy for lateral elbow pain

Cochrane Database Syst Rev. 2021 Sep 30;9:CD010951. doi: 10.1002/14651858.CD010951.pub2. ABSTRACT BACKGROUND: Autologous whole blood or platelet-rich plasma (PRP) injections are commonly used to treat lateral elbow pain (also known as tennis elbow or lateral epicondylitis or epicondylalgia). Based on animal models and observational studies, these injections may modulate tendon injury healing, but randomised controlled trials have reported inconsistent results regarding …

Intramuscular Injections and Dry Needling within Masticatory Muscles in Management of Myofascial Pain. Systematic Review of Clinical Trials

Int J Environ Res Public Health. 2021 Sep 10;18(18):9552. doi: 10.3390/ijerph18189552. ABSTRACT BACKGROUND: Myofascial pain is an important cause of disability among the whole population, and it is a common symptom of temporomandibular joint disorders (TMDs). Its management techniques vary widely; however, in recent years, there has been a growing interest especially in needling therapies within masticatory muscles, due to …

The efficacy of intramuscular electrical stimulation in the management of patients with myofascial pain syndrome: a systematic review

Chiropr Man Therap. 2021 Sep 27;29(1):40. doi: 10.1186/s12998-021-00396-z. ABSTRACT INTRODUCTION: Myofascial pain syndrome (MPS) is one of the most common disorders causing chronic muscle pain. Almost one-third of patients with musculoskeletal complaints meet the MPS criteria. The aim of this study is to evaluate the effectiveness of intramuscular electrical stimulation (IMES) in patients with MPS through a systematic review method. …

Effects of Dry Needling in Teres Major Muscle in Elite Handball Athletes. A Randomised Controlled Trial

J Clin Med. 2021 Sep 20;10(18):4260. doi: 10.3390/jcm10184260. ABSTRACT Objective: To determine the effects of dry needling (DN) in active myofascial trigger points in the teres major muscle compared to an untreated control group in pain during throwing actions, shoulder range of motion (ROM), strength, and extensibility of the tissues in professional handball (HB) athletes. Methods: A randomised, single-blinded, controlled …

A novel blinding protocol to test participant and therapist blinding during dry needling: a randomised controlled experiment

Physiotherapy. 2021 Aug 25:S0031-9406(21)00082-1. doi: 10.1016/j.physio.2021.08.007. Online ahead of print. ABSTRACT OBJECTIVES: Dry needling is widely used in physiotherapy. Lack of blinding in clinical trials means that dry needling effects and mechanisms remain unclear, with blinding issues accepted as an unavoidable barrier to better evidence. The authors aimed to overcome this barrier by designing a protocol to double-blind dry needling …

A collaborative experiential problem-solving approach to develop shams for complex physical interventions: a case study of dry needling

Physiotherapy. 2021 Aug 8:S0031-9406(21)00076-6. doi: 10.1016/j.physio.2021.08.004. Online ahead of print. ABSTRACT OBJECTIVE: Complex physical interventions are widely used in physiotherapy, despite doubts over the validity of clinical trial results due to lack of credible shams. Credible shams are critically needed, so too, therefore, is a process by which they can be developed. The authors used a novel methodology to develop …

Analysis and comparison of pain pressure threshold and active cervical range of motion after superficial and deep dry needling techniques of the upper trapezius muscle

Acupunct Med. 2021 Sep 23:9645284211039523. doi: 10.1177/09645284211039523. Online ahead of print. ABSTRACT OBJECTIVES: To evaluate the changes in pain pressure threshold (PPT) and active cervical range of motion (ACROM) after the application of superficial dry needling (DN) or deep DN in myofascial trigger point (MTrP) 1 of the upper trapezius versus a simulated DN technique in the gastrocnemius muscle (control …