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Dry + needling

Sudarshan Anandkumar, Murugavel Manivasagam
This case series describes three patients who presented with right medial elbow pain managed unsuccessfully with conservative treatment that included medication, massage, exercise therapy, ultrasound therapy, neurodynamic mobilization, and taping. Diagnosis of cubital tunnel syndrome was based on palpatory findings, a positive elbow flexion test, and a positive Tinel's sign. Conventionally, the intervention for this entrapment has been surgical decompression, with successful outcomes. This is potentially a first-time description of the successful management of cubital tunnel syndrome with dry needling (DN) using a recently published DN grading system...
March 12, 2018: Physiotherapy Theory and Practice
David L Diehl, Shaffer R S Mok, Harshit S Khara, Amitpal S Johal, H Lester Kirchner, Fan Lin
Background and study aims:  Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) or biopsy (FNB) is an indispensable diagnostic tool. Improvements in needling technique have led to increasing tissue yields. Blood clogging of the needle can cause difficulties with specimen handling and stylet passage, which improves when the needle is primed with heparin before use. However, the effect of heparin on cytology, histology or immunochemistry (IHC) of FNA and FNB specimens is unknown...
March 2018: Endoscopy International Open
Riitta Tegelberg, Virpi Virjamo, Riitta Julkunen-Tiitto
INTRODUCTION: In ecological experiments, storage of plant material is often needed between harvesting and laboratory analyses when the number of samples is too large for immediate, fresh analyses. Thus, accuracy and comparability of the results call for pre-treatment methods where the chemical composition remains unaltered and large number of samples can be treated efficiently. OBJECTIVE: To study if a fast dry-air drying provides an efficient pre-treatment method for quantitative analyses of phenolics...
March 9, 2018: Phytochemical Analysis: PCA
Chen-Li Ding, Yan-Tao Ma, Qiang-Min Huang, Qing-Guang Liu, Jia-Min Zhao
OBJECTIVE: To attempt to establish an objective quantitative indicator to characterize the trigger point activity, so as to evaluate the effect of dry needling on myofascial trigger point activity. METHODS: Twenty-four male Sprague-Dawley rats were randomly divided into blank control group, dry needling (needling) group, stretching exercise (stretching) group and needling plus stretching group ( n =6 per group). The chronic myofascial pain (trigger point) model was established by freedom vertical fall of a wooden striking device onto the mid-point of gastrocnemius belly of the left hind-limb to induce contusion, followed by forcing the rat to make a continuous downgrade running exercise at a speed of 16 m/min for 90 min on the next day which was conducted once a week for 8 weeks...
February 25, 2018: Zhen Ci Yan Jiu, Acupuncture Research
Ardalan Shariat, Pardis Noormohammadpour, Amir Hossein Memari, Noureddin Nakhostin Ansari, Joshua A Cleland, Ramin Kordi
A 40-year-old retired male elite athlete with more than 20 years' experience in wrestling and bodybuilding with mild elbow pain and disability of 2 years presented to our clinic reporting an acute pain in medial aspect of the elbow. Physical examination revealed symptoms of left Golfer's elbow during target-directed movements. The results of sonography in left elbow showed low level of hypo echo irregularity and increased blood flow in color Doppler mode in the common flexor origin. The pain amplitude was moderate at rest and extremely high during kinetic and intentional movements...
February 2018: Journal of Exercise Rehabilitation
Kenro Chikazawa, Hiroyuki Kanao, Tomonori Hada, Sachiho Netsu, Tomoyuki Kuwata, Ryo Konno
Objective: This study evaluated the self-timed trial training for laparoscopic suturing. Methods: The set task involved grasping the suture, aligning the needle with a needle holder, passing the suture, making 3 knots, holding the 2 tails of the suture with one grasper, and cutting them. Trainees were given an instruction for suturing and reducing their suturing time. The same instruction was given 3 months later. Suturing times for the first and second trials and the last trial after the second instruction of the 9 trainees were measured...
2018: Eplasty
José L Arias-Buría, Carlos Martín-Saborido, Joshua Cleland, Shane L Koppenhaver, Gustavo Plaza-Manzano, César Fernández-de-Las-Peñas
Objective: To evaluate the cost-effectiveness of the inclusion of trigger point-dry needling (TrP-DN) into an exercise program for the management of subacromial pain syndrome. Methods: Fifty patients with unilateral subacromial pain syndrome were randomized with concealed allocation to exercise alone or exercise plus TrP-DN. Both groups were asked to perform an exercise program targeting the rotator cuff musculature twice daily for five weeks. Patients allocated to the exercise plus TrP-DN group also received dry needling during the second and fourth sessions...
February 22, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Frank Devereux, Brian O'Rourke, Paul J Byrne, Damien Byrne, Sharon Kinsella
The purpose of this study was to firstly investigate the effects of treating latent myofascial trigger points (MTrPs) in the lower limb kinetic chain with respect to performance during sporting actions, as opposed to the traditional goal of pain management with active MTrPs. The second aim was to investigate the effects of dry needling (DN) on performance parameters over time to establish treatment timeframe guidelines prior to performance. Forty male athletes were assigned to four groups; rectus femoris DN (group 1), medial gastrocnemius DN (group 2), rectus femoris and medial gastrocnemius DN (group 3) and no DN (group 4)...
February 22, 2018: Journal of Strength and Conditioning Research
Sudarshan Anandkumar
This case report describes a 45-year-old male who presented with chronic right lateral elbow pain managed unsuccessfully with conservative treatment that included anti-inflammatory medication, injection, massage, exercise, bracing, taping, electro-physical agents, and manual therapy. Diagnosis of radial tunnel syndrome (RTS) was based on palpatory findings, range of motion testing, resisted isometrics, and a positive upper limb neural tension test 2b (radial nerve bias). Conventionally, the intervention for this entrapment has been surgical decompression, with successful outcomes...
February 23, 2018: Physiotherapy Theory and Practice
Wenzhang Xie, Liang Zeng, Ying Tao, Yingfan Zhou, Ran Zhao, Xinyun Huang, Wenguang Hou, Ren Zhang, Lei Zong
OBJECTIVE: To observe the clinical efficacy differences between different needling methods for dry eye syndrome. METHODS: Sixty patients of dry eye syndrome were randomly divided into an observation group and a control group, 30 cases (60 eyes) in each group. Shangjingming (Extra), Xiajingming (Extra), Tongziliao (GB 1), Cuanzhu (BL 2), Fengchi (GB 20), Hegu (LI 4), Sanyinjiao (SP 6), Taixi (KI 3) and Taichong (LR 3) were selected in the two groups. The control group was treated with conventional acupuncture, while the observation group was treated with guiding- qi acupuncture...
February 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Muthusamy Balasubramanian, Murugesan Anbumegala, Ramasamy Surendran, Muthukrishnan Arun, Girija Shanmugam
An efficient protocol for hairy root induction in radish was established by optimizing several parameters that affect the efficiency of Agrobacterium rhizogenes -mediated transformations. Explants wounded using sterile hypodermic needle, infected with Agrobacterium suspension (0.6 OD 600 ) for 10 min and co-cultivated in 1/2 MS medium containing acetosyringone (100 µM) for 2 days displayed maximum percentage of hairy root induction using MTCC 2364 (77.6%) and MTCC 532 (67.6%). On further experiments with MTCC 2364 initiated hairy roots, maximum biomass accumulation (fresh weight = 9...
February 2018: 3 Biotech
Michelle Louise Hall, Angela Claire Mackie, Daniel Cury Ribeiro
QUESTION: What is the effectiveness and what are the adverse effects. DESIGN: Systematic review with meta-analysis. PARTICIPANTS: Patients with shoulder or upper extremity pain or dysfunction. INTERVENTION: Trigger point dry needling (TDN) compared to control, another intervention or another needling technique. OUTCOME MEASURES: Primary outcome measures included shoulder or upper limb pain, shoulder or upper limb dysfunction...
August 7, 2017: Physiotherapy
Marceau Guérin, Dario Martin-Benito, Georg von Arx, Laia Andreu-Hayles, Kevin L Griffin, Rayann Hamdan, Nate G McDowell, Robert Muscarella, William Pockman, Pierre Gentine
In the southwestern USA, recent large-scale die-offs of conifers raise the question of their resilience and mortality under droughts. To date, little is known about the interannual structural response to droughts. We hypothesized that piñon pines (Pinus edulis) respond to drought by reducing the drop of leaf water potential in branches from year to year through needle morphological adjustments. We tested our hypothesis using a 7-year experiment in central New Mexico with three watering treatments (irrigated, normal, and rain exclusion)...
February 2018: Ecology and Evolution
Ying Wan, John M Hickey, Christopher Bird, Katey Witham, Paul Fahey, Angus Forster, Sangeeta B Joshi, David B Volkin
The worldwide switch to inactivated polio vaccines (IPV) is a key component of the overall strategy to achieve and maintain global polio eradication. To this end, new IPV vaccine delivery systems may enhance patient convenience and compliance. In this work, we examine NanopatchTM (a solid, polymer micro-projection array) which offers potential advantages over standard needle/syringe administration including intradermal delivery and reduced antigen doses. Using trivalent IPV (tIPV) and a purpose-built evaporative dry-down system, candidate tIPV formulations were developed to stabilize tIPV during the drying process and upon storage...
February 5, 2018: Journal of Pharmaceutical Sciences
Tatsuro Mugitani, Tomoya Hatakeyama, Toshinori Sakai, Atsushi Matsumura, Shiro Ogino, Toshikazu Akami, Shinji Okano
We report the case of a patient in which S-1 plus anastrozole was administered as first-line chemotherapy for Stage IV breast cancer with skin invasion, multiple lymph node metastasis, and lymphangitis carcinomatosis. A 77-year-old woman had a mass destroyed immediately outside the axilla with dry coughs. An 11mm unpalpable mass in the right breast and an axillary mass were confirmed to be scirrhous carcinoma(Luminal type B), respectively, by core needle biopsy. In one course, S- 1(100mg/day)therapy involves taking 2 courses of 14 days of administration and 7 days off the drug...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Robin McManus, May Cleary
A 27-year-old secretary presented to an orthopaedic outpatients department with a 1-month history of left wrist drop following dry needling. On insertion of a needle, she reported spasms in her left hand followed by a wrist drop. An MRI scan was normal. Electromyogram and nerve conduction studies showed a neuropraxia of the left radial nerve. She was referred to a hand therapist for splinting and intensive hand therapy; however, her symptoms remain unchanged.
January 26, 2018: BMJ Case Reports
Fahimeh Kamali, Ehsan Sinaei, Maryam Morovati
CONTEXT: Chronic musculoskeletal disorders in shoulder joint are often associated with myofascial trigger points (MTrP), particularly in the upper trapezius (UT) muscle. Dry needling (DN) is a treatment of choice for myofascial pain syndrome. However, local lesions and severe post-needle soreness sometimes hamper the direct application of DN in the UT. Therefore, finding an alternative point of treatment seems useful in this regard. OBJECTIVE: To compare the efficacy of UT versus infraspinatus (ISP) DN on pain and disability of subjects with shoulder pain...
January 24, 2018: Journal of Sport Rehabilitation
Fan Wang
The experts in China believe that the substance of "dry needling" is in the category of acupuncture therapy for the treatment by needle inserting the human body. But, its recognition has not been implied from the definition of "acupuncture science". Since 1970 s, the different definitions of it are closely related to TCM theories, due to which, it has been limited. This flaw restricts the development of acupuncture theory, narrows the connotation of acupuncture science and goes against the communication of traditional Chinese acupuncture theory...
December 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Yun Wang, Qian Chen, Jinlin Wang, Xiaoli Wu, Yaqi Duan, Ping Yin, Qiaozhen Guo, Wei Hou, Bin Cheng
BACKGROUND: Several suction techniques have been developed recently to enhance tissue acquisition when sampling solid lesions using endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). The aim of this study is to determine whether a new modified wet suction technique (MWST) compared with the conventional dry suction technique (DRST) shall present better outcomes with respect to diagnostic yield and specimen quality of solid lesions in the intra-abdomen and mediastinum. METHODS/DESIGN: This is a single-blind, randomized, controlled, superiority trial conducted at four large tertiary care centers in China...
January 17, 2018: Trials
Jan Dommerholt, Todd Hooks, Li-Wei Chou, Michelle Finnegan
The majority of papers included in the quarterly review discuss various aspects of dry needling (DN), which continues to be of interest to researchers and clinicians. A study by Liu et al. is the first paper to examine the effects of DN of acetylcholine, esterase and receptors. The study provides support for the integrated trigger point hypothesis and for DN. A paper by Hightower and colleagues found an intriguing link between low magnesium levels in the drink water supply, vitamin D, and myofascial pain, cancer, tendon ruptures, and colon polyps...
January 2018: Journal of Bodywork and Movement Therapies
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