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Trigger point needling

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https://www.readbyqxmd.com/read/28068679/-pneumothorax-following-dry-needling-treatment-legal-and-ethical-aspects
#1
Gianpaolo Ronconi, Fabio De Giorgio, Eleonora Ricci, Loredana Maggi, Antonio G Spagnolo, Paola Emilia Ferrara
Trigger point "dry needling" is a technique used to treat myofascial pain. It involves using filiform needles which are inserted into muscles to give local pain relief. Few cases of serious adverse events following this treatment have been reported in the literature. In this paper we describe the case of a professional swimmer who developed pneumothorax after dry needling treatment and discuss the medicolegal and ethical aspects related to competencies and responsibilities of medical doctors and physiotherapists performing the procedure...
September 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/28049214/relating-chronic-pelvic-pain-and-endometriosis-to-signs-of-sensitization-and-myofascial-pain-and-dysfunction
#2
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 3, 2017: Seminars in Reproductive Medicine
https://www.readbyqxmd.com/read/28017188/comparing-trigger-point-dry-needling-and-manual-pressure-technique-for-the-management-of-myofascial-neck-shoulder-pain-a-randomized-clinical-trial
#3
Kayleigh E De Meulemeester, Birgit Castelein, Iris Coppieters, Tom Barbe, Ann Cools, Barbara Cagnie
OBJECTIVE: The aim of this study was to investigate short-term and long-term treatment effects of dry needling (DN) and manual pressure (MP) technique with the primary goal of determining if DN has better effects on disability, pain, and muscle characteristics in treating myofascial neck/shoulder pain in women. METHODS: In this randomized clinical trial, 42 female office workers with myofascial neck/shoulder pain were randomly allocated to either a DN or MP group and received 4 treatments...
January 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28004301/evidence-and-expert-opinions-drying-needling-versus-acupuncture-i-the-american-alliance-for-professional-acupuncture-safety-aapas-white-paper-2016
#4
Arthur Yin Fan, Jun Xu, Yong-Ming Li
In the last twenty years, in the United States and other Western countries, dry needling (DN) became a hot and debatable topic, not only in academic but also in legal fields. This White Paper is to provide the authoritative information of DN versus acupuncture to academic scholars, healthcare professional administrators, lawmakers, and the general public through providing the authoritative evidence and experts' opinions regarding critical issues of DN versus acupuncture, and then reach consensus. DN is the use of dry needles alone, either solid filiform acupuncture needles or hollow-core hypodermic needles, to insert into the body for the treatment of muscle pain and related myofascial pain syndrome...
December 21, 2016: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27937046/contribution-of-dry-needling-to-individualized-physical-therapy-treatment-of-shoulder-pain-a-randomized-clinical-trial
#5
Sara Pérez-Palomares, Bárbara Oliván-Blázquez, Ana Pérez-Palomares, Elena Gaspar-Calvo, Marina Pérez-Benito, Elena López-Lapeña, Maria Luisa de la Torre-Beldarraín, Rosa Magallón-Botaya
Study Design Multicenter, parallel randomized clinical trial. Background Myofascial trigger points (MTrPs) are implicated in shoulder pain and functional limitations. An intervention intended to treat MTrPs is dry needling. Objectives To investigate the effectiveness of dry needling in addition to evidence-based personalized physical therapy treatment in the treatment of shoulder pain. Methods One hundred twenty patients with nonspecific shoulder pain were randomly allocated into 2 parallel groups: (1) personalized, evidencebased physical therapy treatment; and (2) trigger point dry needling in addition to personalized, evidence-based physical therapy treatment...
January 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27898454/transvaginal-pelvic-floor-muscle-injection-technique-a-cadaver-study
#6
Priyanka Gupta, Michael Ehlert, Larry T Sirls, Kenneth Peters
INTRODUCTION: Women with pelvic floor dysfunction can have tender areas on vaginal examination, which can be treated with trigger-point injections. There are no publications to evaluate the accuracy of pelvic floor muscle injections. METHODS: Trigger-point injections were performed on 2 fresh cadaveric pelvises using a curved nasal cannula guide and 7-in spinal needle. This was performed using our standard template of 2 sets of injections at the 1-, 3-, and 5-o'clock positions distally and proximally...
January 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27857633/clinical-effectiveness-of-dry-needling-immediately-after-application-on-myofascial-trigger-point-in-upper-trapezius-muscle
#7
Maryam Ziaeifar, Amir Massoud Arab, Mohammad Reza Nourbakhsh
OBJECTIVE: The purpose of this study was to investigate the effect of dry needling (DN) on pain intensity and pressure pain threshold (PPT) compared with ischemic compression (IC) immediately and 48 hours after each treatment session in individuals with myofascial trigger points in the upper trapezius muscle. METHODS: Thirty-one patients with myofascial trigger points in the upper trapezius muscle participated in this study. Patients were randomly assigned to a standard (N = 17) or experimental group (N = 14)...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27757280/the-effectiveness-of-dry-needling-and-stretching-vs-stretching-alone-on-hamstring-flexibility-in-patients-with-knee-pain-a-randomized-controlled-trial
#8
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
https://www.readbyqxmd.com/read/27720812/exercises-and-dry-needling-for-subacromial-pain-syndrome-a-randomized-parallel-group-trial
#9
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 versus exercise plus trigger point (TrP) 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 plus 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 plus TrP-DN group also received dry needling to active TrPs in the muscles reproducing shoulder symptoms during the second and fourth sessions...
January 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/27704503/myofascial-trigger-point-pain-syndromes
#10
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
https://www.readbyqxmd.com/read/27697769/effects-of-myofascial-trigger-point-dry-needling-in-patients-with-sleep-bruxism-and-temporomandibular-disorders-a-prospective-case-series
#11
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
https://www.readbyqxmd.com/read/27697768/therapeutic-effects-of-dry-needling-in-patients-with-upper-trapezius-myofascial-trigger-points
#12
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
https://www.readbyqxmd.com/read/27685009/effect-of-dry-needling-on-thigh-muscle-strength-and-hip-flexion-in-elite-soccer-players
#13
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
https://www.readbyqxmd.com/read/27683642/dry-needling-in-patients-with-chronic-heel-pain-due-to-plantar-fasciitis-a-single-blinded-randomized-clinical-trial
#14
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/27669130/comparison-of-two-angles-of-approach-for-trigger-point-dry-needling-of-the-lumbar-multifidus-in-human-donors-cadavers
#15
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...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27634067/quantification-of-dry-needling-on-myofascial-trigger-points-using-a-novel-ultrasound-method-a-study-protocol
#16
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
https://www.readbyqxmd.com/read/27582622/dry-needling-of-the-trapezius-muscle-in-office-workers-with-neck-pain-a-randomized-clinical-trial
#17
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
https://www.readbyqxmd.com/read/27552352/comparison-of-the-efficacy-of-dry-needling-and-high-power-pain-threshold-ultrasound-therapy-with-clinical-status-and-sonoelastography-in-myofascial-pain-syndrome
#18
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
https://www.readbyqxmd.com/read/27537209/effectiveness-of-dry-needling-for-chronic-nonspecific-neck-pain-a-randomized-single-blinded-clinical-trial
#19
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/27525188/pertinent-dry-needling-considerations-for-minimizing-adverse-effects-part-one
#20
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
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