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Trigger point needling

John S Mason, Michael Crowell, Jeffery Dolbeer, Jamie Morris, Aspen Terry, Shane Koppenhaver, Donald Lee Goss
BACKGROUND: Recently, dry needling has emerged as a popular treatment for muscular pain and impairments. While there are numerous studies detailing the benefits of dry needling for pain, few studies exist examining the effects on soft tissue mobility. PURPOSE: The purpose of this study was to determine if the addition of hamstring dry needling to a standard stretching program results in greater improvements in hamstring flexibility compared to sham dry needling and stretching in subjects with atraumatic knee pain...
October 2016: International Journal of Sports Physical Therapy
José L Arias-Buría, César Fernández-de-Las-Peñas, María Palacios-Ceña, Shane L Koppenhaver, Jaime Salom-Moreno
: This randomized clinical trial investigated the effectiveness of exercise vs. exercise plus trigger point dry needling (TrP-DN) in subacromial pain syndrome. A randomized parallel-group trial, with 1-year follow-up was conducted. Fifty subjects with subacromial pain syndrome were randomly allocated to receive exercise alone or exercise +TrP-DN. Participants in both groups were asked to perform an exercise program of the rotator cuff muscles twice daily for 5 weeks. Further, patients allocated to the exercise +TrP-DN group also received dry needling to active TrPs in the muscles reproducing shoulder symptoms during the 2(nd) and 4(th) sessions...
October 5, 2016: Journal of Pain: Official Journal of the American Pain Society
Robert D Gerwin
Myofascial pain syndromes caused by trigger points (TrPs) in muscle are a common cause of local and generalized pain. Trigger points are hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress. Stress TrPs have characteristic electromyographic features, and can be visualized with ultrasound and magnetic resonance elastography. Trigger point needling or injection can be effective in inactivating TrP, but correcting triggers is also critical.
October 2016: Seminars in Neurology
Paloma María Blasco-Bonora, Aitor Martín-Pintado-Zugasti
OBJECTIVES: To investigate the effects of deep dry needling (DN) of myofascial trigger points (MTrPs) of the masseter and temporalis on pain, pressure pain threshold (PPT), pain-free maximal jaw opening and temporomandibular disorder (TMD)-related disability in patients with sleep bruxism (SB) and myofascial TMD. METHODS: Seventeen subjects (11 women, 6 men) aged 39±13 years (range 23-66) diagnosed with SB and myofascial TMD were invited to participate in this prospective case series study...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Maryam Abbaszadeh-Amirdehi, Noureddin Nakhostin Ansari, Soofia Naghdi, Gholamreza Olyaei, Mohammad Reza Nourbakhsh
BACKGROUND: Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain syndrome. Dry needling (DN) is an effective method for the treatment of MTrPs. OBJECTIVE: To assess the immediate neurophysiological and clinical effects of DN in patients with upper trapezius MTrPs. METHODS: This was a prospective, clinical trial study of 20 patients with upper trapezius MTrPs and 20 healthy volunteers (matched for height, weight, body mass index and age), all of whom received one session of DN...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Christian Haser, Thomas Stöggl, Monika Kriner, Jörg Mikoleit, Bernd Wolfahrt, Johannes Scherr, Martin Halle, Florian Pfab
PURPOSE: Increase in muscle force, endurance and flexibility is desired in elite athletes in order to improve performance and avoid injuries but often hindered by occurence of myofascial trigger points. Dry needling (DN) has been shown effective in eliminating myofascial trigger points. METHODS: This randomized controlled study in 30 elite youth soccer players of a professional soccer Bundesliga Club investigated the effects of four weekly sessions of DN plus water-pressure-massage on thigh muscle force and range-of-motion of hip flexion...
September 28, 2016: Medicine and Science in Sports and Exercise
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
Mary C Hannah, Janet Cope, Alec Palermo, Walker Smith, Valerie Wacker
STUDY DESIGN: Descriptive comparison study. OBJECTIVE: To assess the accuracy of two needle angle approaches for dry needling of the lumbar multifidus. BACKGROUND: Low back pain is a leading cause of disability around the world; the lumbar multifidus plays a vital role in low back health. Manual therapy such as dry needling can improve pain mediation and motor control activation of the lumbar multifidus. Clinicians practicing dry needling at the lumbar multifidus typically use an inferomedial approach considered non-controversial...
September 4, 2016: Manual Therapy
Navid Taheri, Asghar Rezasoltani, Farshad Okhovatian, Mehdi Karami, Sayed Mohsen Hosseini, Hosein Kouhzad Mohammadi
INTRODUCTION: Myofascial pain syndrome (MPS) is a neuromuscular dysfunction consisting of both motor and sensory abnormalities. Considering the high prevalence of MPS and its related disabilities and costs, this study was designed to determine the reliability of new ultrasonographic indexes of the upper trapezius muscle as well as the sensitivity and specificity of 2D ultrasound imaging for diagnostic purposes. Furthermore, we sought to evaluate the effectiveness of dry needling (DN) on studied ultrasonographic indexes...
July 2016: Journal of Bodywork and Movement Therapies
Ester Cerezo-Téllez, María Torres Lacomba, Isabel Fuentes-Gallardo, Orlando Mayoral Del Moral, Beatriz Rodrigo-Medina, Carlos Gutiérrez Ortega
BACKGROUND: Neck pain is a frequent complaint in office workers. This pain can be caused by myofascial trigger points (MTrPs) in the trapezius muscle. This study aimed to determine the effectiveness of deep dry needling (DDN) of active MTrPs in the trapezius muscle. METHODS: A randomized, single blinded clinical trial was carried out at the Physical Therapy Department at Physiotherapy in Women's Health Research Group at Physical Therapy Department of University of Alcalá, in Alcalá de Henares, Madrid, Spain...
September 2016: Journal of Manual & Manipulative Therapy
Rifat Aridici, Alparslan Yetisgin, Ahmet Boyaci, Ahmet Tutoglu, Erol Bozdogan, Dilek Sen Dokumaci, Nihat Kilicaslan, Nurefsan Boyaci
OBJECTIVE: The aim of this study was to compare the therapeutic efficacy of high-power pain threshold (HPPT) ultrasound therapy applied to the trigger points and dry needling (DN) in myofascial pain syndrome. DESIGN: Sixty-one patients were randomly assigned to an HPPT (n = 30) and dry needling (n = 31) groups. The primary outcome measures were the Visual Analog Scale (VAS) and Neck Pain and Disability Scale (NPDS), both at 1 week and 4 weeks after treatment. The secondary outcome measures were the number of painful trigger points, range of the tragus-acromioclavicular joint, the Short Form-36, the Beck Depression Inventory, the Beck Anxiety Inventory, and sonoelastographic tests after a 1-week treatment...
October 2016: American Journal of Physical Medicine & Rehabilitation
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
John S Halle, Rob J Halle
BACKGROUND: Dry needling is an evidence-based treatment technique that is accepted and used by physical therapists in the United States. This treatment approach focuses on releasing or inactivating muscular trigger points to decrease pain, reduce muscle tension, and assist patients with an accelerated return to active rehabilitation. ISSUE: While commonly used, the technique has some patient risk and value of the treatment should be based on benefit compared to the potential risk...
August 2016: International Journal of Sports Physical Therapy
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
Shane Koppenhaver, Robin Embry, John Ciccarello, Justin Waltrip, Rachel Pike, Michael Walker, Cesar Fernández-de-Las-Peñas, Theodore Croy, Timothy Flynn
BACKGROUND: Initial reports suggest that treating myofascial trigger points in the infraspinatus with dry needling may be effective in treating patients with shoulder pain. However, to date, high quality clinical trials and thorough knowledge of the physiologic mechanisms involved is lacking. OBJECTIVES: To examine the effect of dry needling to the infraspinatus muscle on muscle function, nociceptive sensitivity, and shoulder range of motion (ROM) in the symptomatic and asymptomatic shoulders of individuals with unilateral subacromial pain syndrome...
July 21, 2016: Manual Therapy
Aitor Martín-Pintado-Zugasti, Almudena López-López, Jose Luis González Gutiérrez, Daniel Pecos-Martín, Ángel Luis Rodríguez-Fernández, Isabel María Alguacil-Diego, Tomás Gallego-Izquierdo, Josue Fernández-Carnero
BACKGROUND: Myofascial trigger point dry needling is frequently associated with postneedling soreness, which can generate patient dissatisfaction and reduced treatment adherence. Psychological factors may influence the perception of postneedling soreness and the effectiveness of postneedling soreness treatments. OBJECTIVES: The objectives of the present study were (a) to determine whether catastrophizing, kinesiophobia, pain anxiety and fear of pain are significant predictors of postneedling soreness over time and (b) to analyze if the relationships between psychological variables and postneedling soreness vary as a function of the postneedling soreness intervention, which included ischemic compression, placebo or control (without treatment)...
August 1, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
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
Yan Li, Yaochi Wu, Xingliang Fan, Yijun Sun
OBJECTIVE: To compare the difference in the efficacy on cervical spondylotic radiculopathy (CSR) between acupuncture at the acupoints on the axillary nerve distribution and the regular selection of acupoints. Methods Eighty patients of cervical spondylotic radiculopathy were randomized into an observation group and a control group, 40 in each one. In the observation group, Jianjing (GB 21), Jianzhen (SI 9), Jianliao (TE 14) , Jianyu (LI 15) , Quyuan (SI 13), Tianzong (SI 11) and the trigger points in the scalpular region were selected along the axillary nerve distribution...
February 2016: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Ali Veysel Ozden, Hasan Kerem Alptekin, Sina Esmaeilzadeh, Cem Cihan, Semih Aki, Cihan Aksoy, Julide Oncu
BACKGROUND: The aim of this study was to evaluate sympathetic nervous system (SNS) activity following dry needling (DN) treatment, by using the sympathetic skin response (SSR) method in female patients diagnosed with myofascial pain syndrome (MPS). METHODS: Twenty-nine MPS patients with trapezius muscle pain and 31 healthy subjects were included in this study. During a single treatment session, DN treatment was applied into trigger points, for a duration of 10 minutes...
July 2016: Journal of Clinical Medicine Research
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...
June 11, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
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