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Dry needling for chronic pain

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https://www.readbyqxmd.com/read/29364040/comparison-of-upper-trapezius-and-infraspinatus-myofascial-trigger-point-therapy-by-dry-needling-in-overhead-athletes-with-unilateral-shoulder-impingement-syndrome
#1
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
https://www.readbyqxmd.com/read/29167092/dry-needling-for-patients-with-neck-pain-protocol-of-a-randomized-clinical-trial
#2
Eric Robert Gattie, Joshua A Cleland, Suzanne J Snodgrass
BACKGROUND: Neck pain is a costly and common problem. Current treatments are not adequately effective for a large proportion of patients who continue to experience recurrent pain. Therefore, new treatment strategies should be investigated in an attempt to reduce the disability and high costs associated with neck pain. Dry needling is a technique in which a fine needle is used to penetrate the skin, subcutaneous tissues, and muscle with the intent to mechanically disrupt tissue without the use of an anesthetic...
November 22, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28931976/effectiveness-of-dry-needling-versus-a-classical-physiotherapy-program-in-patients-with-chronic-low-back-pain-a-single-blind-randomized-controlled-trial
#3
Emİne Handan Tüzün, Sıla Gıldır, Ender Angın, Büşra Hande Tecer, Kezban Öztürk Dana, Mehtap Malkoç
[Purpose] We compared the effectiveness of dry needling with a classical physiotherapy program in patients with chronic low-back pain caused by lumbar disc hernia (LHNP). [Subjects and Methods] In total, 34 subjects were allocated randomly to the study (n=18) and control groups (n=16). In the study group, dry needling was applied using acupuncture needles. The control group performed a home exercise program in addition to hot pack, TENS, and ultrasound applications. Pain was assessed with the short form of the McGill Pain Questionnaire...
September 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28923050/dry-needling-in-a-manual-physiotherapy-and-therapeutic-exercise-protocol-for-patients-with-chronic-mechanical-shoulder-pain-of-unspecific-origin-a-protocol-for-a-randomized-control-trial
#4
Emma Tejera-Falcón, Nuria Del Carmen Toledo-Martel, Francisco Manuel Sosa-Medina, Fátima Santana-González, Miriam Del Pino Quintana-de la Fe, Tomás Gallego-Izquierdo, Daniel Pecos-Martín
BACKGROUND: Shoulder pain of musculoskeletal origin is the main cause of upper limb pain of non-traumatic origin. Despite being one of the most common reasons for consultation, there is no established protocol for treatment due to the complexity of its etiology. However, it has been shown that the presence of myofascial trigger points on the shoulder muscles is a common condition associated with patients suffering from shoulder pain. This protocol has been created which describes the design of a randomized controlled trial to evaluate the effectiveness of the inclusion of dry needling (DN) within a protocol of manual physiotherapy and therapeutic exercise in the treatment of chronic shoulder pain of unspecific origin...
September 18, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28559756/multimodal-care-in-the-management-of-a-patient-with-chronic-tendinopathy-of-the-biceps-femoris-a-case-report
#5
Brett R Martin
OBJECTIVE: The purpose of this case report was to describe the use of dry needling in conjunction with auricular acupuncture, core exercises, and light aerobic activity for treating chronic tendinopathy of the biceps femoris. CLINICAL FEATURES: A 30-year-old white female presented with chronic biceps femoris tendinopathy. The injury had occurred 18 months prior while training for a triathlon. Active stretching of her right biceps femoris while standing with her feet 6 inches apart aggravated the pain at the origin in the right tendon of the biceps femoris at 0 degrees of movement...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28158960/dry-needling-combined-with-physical-therapy-in-patients-with-chronic-postsurgical-pain-following-total-knee-arthroplasty-a-case-series
#6
Rodrigo Núñez-Cortés, Carlos Cruz-Montecinos, Álvaro Vásquez-Rosel, Orlando Paredes-Molina, Antonio Cuesta-Vargas
Study Design Case series. Background This case series describes a combined program of dry needling and therapeutic exercise in a small group of patients with persistent pain following total knee arthroplasty (TKA). Case Description Fourteen patients who underwent TKA had persistent postsurgical pain and myofascial trigger points that were nonresponsive to treatment with conventional physical therapy and/or medication. The patients received a weekly dry needling treatment in combination with therapeutic exercises for 4 weeks...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28049214/relating-chronic-pelvic-pain-and-endometriosis-to-signs-of-sensitization-and-myofascial-pain-and-dysfunction
#7
REVIEW
Jacqueline V Aredo, Katrina J Heyrana, Barbara I Karp, Jay P Shah, Pamela Stratton
Chronic pelvic pain is a frustrating symptom for patients with endometriosis and is frequently refractory to hormonal and surgical management. While these therapies target ectopic endometrial lesions, they do not directly address pain due to central sensitization of the nervous system and myofascial dysfunction, which can continue to generate pain from myofascial trigger points even after traditional treatments are optimized. This article provides a background for understanding how endometriosis facilitates remodeling of neural networks, contributing to sensitization and generation of myofascial trigger points...
January 2017: Seminars in Reproductive Medicine
https://www.readbyqxmd.com/read/27927549/deep-spine-infection-after-acupuncture-in-the-setting-of-spinal-instrumentation
#8
Alexandra K Callan, Jennifer M Bauer, Jeffrey E Martus
BACKGROUND: Acupuncture can be used to manage chronic pain. The most common complications related to acupuncture include pain, bruising, bleeding, or symptom exacerbation. Rarely, more serious adverse events occur, including infection, pneumothorax, septic arthritis, and peripheral nerve injury. To our knowledge, there are no reports of complications associated with acupuncture following spinal instrumentation. PURPOSE: To report a case of deep infection as a rare complication of acupuncture following posterior spinal fusion for adolescent idiopathic scoliosis...
March 2016: Spine Deformity
https://www.readbyqxmd.com/read/27683642/dry-needling-in-patients-with-chronic-heel-pain-due-to-plantar-fasciitis-a-single-blinded-randomized-clinical-trial
#9
Bina Eftekharsadat, Arash Babaei-Ghazani, Vahideh Zeinolabedinzadeh
BACKGROUND: This study examined the effects of dry needling on chronic heel pain due to plantar fasciitis. METHODS: During this single-blinded clinical trial, 20 eligible patients were randomized into two groups: A case group treated with dry needling and a control group. Patients' plantar pain severity, (using modified visual analog scale [VAS] scoring system), range of motion of ankle joint in dorsiflexion [ROMDF] and plantar extension[ROMPE] and foot function index (using standard questionnaires of SEM5 and MDC7) were assessed at baseline, four weeks after intervention and four weeks after withdrawing treatment...
2016: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/27537209/effectiveness-of-dry-needling-for-chronic-nonspecific-neck-pain-a-randomized-single-blinded-clinical-trial
#10
RANDOMIZED CONTROLLED TRIAL
Ester Cerezo-Téllez, María Torres-Lacomba, Isabel Fuentes-Gallardo, Milagros Perez-Muñoz, Orlando Mayoral-Del-Moral, Enrique Lluch-Girbés, Luis Prieto-Valiente, Deborah Falla
Chronic neck pain attributed to a myofascial pain syndrome is characterized by the presence of muscle contractures referred to as myofascial trigger points. In this randomized, parallel-group, blinded, controlled clinical trial, we examined the effectiveness of deep dry needling (DDN) of myofascial trigger points in people with chronic nonspecific neck pain. The study was conducted at a public Primary Health Care Centre in Madrid, Spain, from January 2010 to December 2014. A total of 130 participants with nonspecific neck pain presenting with active myofascial trigger points in their cervical muscles were included...
September 2016: Pain
https://www.readbyqxmd.com/read/27525185/chronic-ucl-injury-a-multimodal-approach-to-correcting-altered-mechanics-and-improving-healing-in-a-college-athlete-a-case-report
#11
Rachel Patrick, Josh McGinty, Ann Lucado, Beth Collier
BACKGROUND: Ulnar collateral ligament (UCL) tears and associated Tommy Johns surgical intervention from excessive and poor quality pitching has increased immensely-with more college and professional pitchers undergoing the surgery in 2014 alone than in the 1990s as a whole.(1) Faulty mechanics developed at young ages are often well-engrained by the late adolescent years and the minimal healing ability of the largely avascular UCL often leads to delayed safe return to sport.(2). PURPOSE: The purpose of this case study was to describe an innovative, multimodal approach to conservative management of a chronic UCL injury in a college-aged baseball pitcher...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27410163/immediate-and-short-term-effects-of-the-combination-of-dry-needling-and-percutaneous-tens-on-post-needling-soreness-in-patients-with-chronic-myofascial-neck-pain
#12
Jose V León-Hernández, Aitor Martín-Pintado-Zugasti, Laura G Frutos, Isabel M Alguacil-Diego, Ana I de la Llave-Rincón, Josue Fernandez-Carnero
Background: Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. Objective: To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. Method: This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited...
July 11, 2016: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/27297448/beneficial-effects-of-dry-needling-for-treatment-of-chronic-myofascial-pain-persist-for-6-weeks-after-treatment-completion
#13
Lynn H Gerber, Siddhartha Sikdar, Jacqueline V Aredo, Katee Armstrong, William F Rosenberger, Hui Shao, Jay P Shah
BACKGROUND: Dry needling is an effective treatment for reducing pain associated with active myofascial trigger points (a-MTrPs) in the short term. The duration of the benefits of this treatment have not been fully assessed. OBJECTIVE: To determine whether the benefits of dry needling (DN) of a-MTrPs are sustained 6 weeks posttreatment. DESIGN: Follow-up of a prospective study. SETTING: University. PARTICIPANTS: A total of 45 patients (13 male and 32 female) with cervical pain >3 months and a-MTrPs in the upper trapezius who completed 3 DN treatments and who were evaluated 6 weeks posttreatment...
February 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27274427/strength-exercises-combined-with-dry-needling-with-electrical-stimulation-improve-pain-and-function-in-patients-with-chronic-rotator-cuff-tendinopathy-a-retrospective-case-series
#14
Estee Saylor-Pavkovich
BACKGROUND AND PURPOSE: Rotator cuff tendinopathy (RTCT) is regularly treated by the physical therapist. Multiple etiologies for RTCT exist, leading an individual to seek treatment from their provider of choice. Strengthening exercises (SE) have been reported to be effective in the treatment of RTCT, but there is limited evidence on the effectiveness of dry needing (DN) for this condition. The purpose of this retrospective case series was to investigate DN to various non-trigger point-based anatomical locations coupled with strengthening exercises (SE) as a treatment strategy to decrease pain and increase function in healthy patients with chronic RTC pathology...
June 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27045487/physical-therapy-treatment-of-chronic-neck-pain-a-discussion-and-case-study-using-dry-needling-and-battlefield-acupuncture
#15
Richard M Guthrie, Rita Chorba
PURPOSE: Chronic mechanical neck pain can have a complex clinical presentation and is often difficult to treat. This case study illustrates a successful physical therapy treatment approach using dry needling and auricular acupuncture techniques. CASE REPORT: A 51-year-old active-duty, male US Marine was treated by a physical therapist in a direct-access military clinic for chronic neck pain poorly responsive to previous physical therapy, pharmacologic, and surgical interventions...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/26640708/comparison-of-dry-needling-versus-orthopedic-manual-therapy-in-patients-with-myofascial-chronic-neck-pain-a-single-blind-randomized-pilot-study
#16
Irene Campa-Moran, Etelvina Rey-Gudin, Josué Fernández-Carnero, Alba Paris-Alemany, Alfonso Gil-Martinez, Sergio Lerma Lara, Almudena Prieto-Baquero, José Luis Alonso-Perez, Roy La Touche
Objective. The aim of this study was to compare the efficacy of three interventions for the treatment of myofascial chronic neck pain. Methods. Thirty-six patients were randomly assigned to one of three intervention groups: orthopedic manual therapy (OMT), dry needling and stretching (DN-S), and soft tissue techniques (STT). All groups received two treatment sessions with a 48 h time interval. Outcome measures included neck pain intensity measured using a visual analogue scale, cervical range of motion (ROM), pressure pain threshold for measuring mechanical hyperalgesia, and two self-reported questionnaires (neck disability index and pain catastrophizing scale)...
2015: Pain Research and Treatment
https://www.readbyqxmd.com/read/26491094/novel-use-of-ultrasound-elastography-to-quantify-muscle-tissue-changes-after-dry-needling-of-myofascial-trigger-points-in-patients-with-chronic-myofascial-pain
#17
Diego Turo, Paul Otto, Murad Hossain, Tadesse Gebreab, Katherine Armstrong, William F Rosenberger, Hui Shao, Jay P Shah, Lynn H Gerber, Siddhartha Sikdar
OBJECTIVES: To compare a mechanical heterogeneity index derived from ultrasound vibration elastography with physical findings before and after dry-needling treatment of spontaneously painful active myofascial trigger points in the upper trapezius muscle. METHODS: Forty-eight patients with chronic myofascial pain enrolled in a prospective interventional trial of 3 weekly dry-needling treatments for active myofascial trigger points. Trigger points were evaluated at baseline and at treatment completion using palpation, the pressure-pain threshold, and the mechanical heterogeneity index...
December 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26347305/effectiveness-of-dry-needling-stretching-and-strengthening-to-reduce-pain-and-improve-function-in-subjects-with-chronic-lateral-hip-and-thigh-pain-a-retrospective-case-series
#18
Ron Pavkovich
BACKGROUND AND PURPOSE: Chronic lateral hip and thigh pain is regularly treated by the physical therapist. Many issues can cause pain in this region, and trigger points may contribute to pain. Dry Needling (DN) is an intervention used by physical therapists where a monofilament needle is inserted into soft tissue to reduce pain thereby facilitating return to prior level of function. The purpose of this case series is to report the outcomes of DN and conventional physical therapy as a treatment intervention for subjects with chronic lateral hip and thigh pain...
August 2015: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/26313499/ultrasound-guided-interventional-procedures-around-the-shoulder
#19
REVIEW
Carmelo Messina, Giuseppe Banfi, Davide Orlandi, Francesca Lacelli, Giovanni Serafini, Giovanni Mauri, Francesco Secchi, Enzo Silvestri, Luca Maria Sconfienza
Ultrasound is an established modality for shoulder evaluation, being accurate, low cost and radiation free. Different pathological conditions can be diagnosed using ultrasound and can be treated using ultrasound guidance, such as degenerative, traumatic or inflammatory diseases. Subacromial-subdeltoid bursitis is the most common finding on ultrasound evaluation for painful shoulder. Therapeutic injections of corticosteroids are helpful to reduce inflammation and pain. Calcific tendinopathy of rotator cuff affects up to 20% of painful shoulders...
2016: British Journal of Radiology
https://www.readbyqxmd.com/read/26137486/validation-and-test-retest-reliability-of-new-thermographic-technique-called-thermovision-technique-of-dry-needling-for-gluteus-minimus-trigger-points-in-sciatica-subjects-and-trps-negative-healthy-volunteers
#20
Elżbieta Skorupska, Michał Rychlik, Włodzimierz Samborski
The aim of this study was to assess the validity and test-retest reliability of Thermovision Technique of Dry Needling (TTDN) for the gluteus minimus muscle. TTDN is a new thermography approach used to support trigger points (TrPs) diagnostic criteria by presence of short-term vasomotor reactions occurring in the area where TrPs refer pain. Method. Thirty chronic sciatica patients (n=15 TrP-positive and n=15 TrPs-negative) and 15 healthy volunteers were evaluated by TTDN three times during two consecutive days based on TrPs of the gluteus minimus muscle confirmed additionally by referred pain presence...
2015: BioMed Research International
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