Acupuncture and dry needling in the management of myofascial trigger point pain: A systematic review and meta‐analysis of randomised controlled trials

  title={Acupuncture and dry needling in the management of myofascial trigger point pain: A systematic review and meta‐analysis of randomised controlled trials},
  author={Elizabeth A Tough and Adrian White and T Michael Cummings and Suzanne H. Richards and John L Campbell},
  journal={European Journal of Pain},
Comparison of Acupuncture to Injection for Myofascial Trigger Point Pain
Comparison of the analgesic effect of acupuncture to trigger point injection combined with cyclobenzaprine chlorhydrate and sodium dipyrone for myofascial pain syndrome found acupuncture to be more effective than other treatments.
Beneficial Effects of Dry Needling for Treatment of Chronic Myofascial Pain Persist for 6 Weeks After Treatment Completion
Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain
Effectiveness of acupuncture/dry needling for myofascial trigger point pain
There is limited evidence that direct MTrP dry needling has an overall treatment effect when compared with standard care, and the results should be interpreted with caution due to the marked heterogeneity observed in this model.
The purpose of this clinical commentary is to summarize the current literature related to the associated mechanisms of action of DN, the safety, as well as to discuss relevant scope of practice concerns.
Acupuncture for myofascial pain
This protocol has been withdrawn due to significant delays in preparing the full review, which did not meet the expectations of Cochrane and PaPaS editorial processes and timelines.
Effectiveness of a Heated Lidocaine/Tetracaine Topical Patch for Pain Associated with Myofascial Trigger Points: Results of an Open‐label Pilot Study
Evaluate potential usefulness of a heated lidocaine/tetracaine topical patch for treatment for pain associated with myofascial trigger points (MTPs) and its application in clinical practice.
Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis.
Based on the best current available evidence, dry needling is recommended, compared to sham or placebo, for decreasing pain immediately after treatment and at 4 weeks in patients with upper-quarter MPS.
[Treatment of myofascial pain syndrome].
The combined therapy, including reflex action and tizanidine, speeds recovery from pain and ensures the stability of results.


Understanding effective treatments of myofascial trigger points
Specific treatment approaches and the role of etiological mechanisms in terms of clinical feature characteristics of MTrPs: increased muscle tension, pain and tenderness, painful stretch range of motion, initiating causes of M TrPs are considered.
Needling therapies in the management of myofascial trigger point pain: a systematic review.
Direct needling of myofascial trigger points appears to be an effective treatment, but the hypothesis that needling therapies have efficacy beyond placebo is neither supported nor refuted by the evidence from clinical trials.
Focused review: myofascial pain.
A critical evidence-based review of the pharmacologic, nonpharmacologic, alternative medicine, and exercise treatments of myofascial pain, including pathophysiology and comprehensive management is provided, as well as future research directions.
Comparison of laser, dry needling, and placebo laser treatments in myofascial pain syndrome.
Laser therapy could be useful as a treatment modality in myofascial pain syndrome because of its noninvasiveness, ease, and short-term application.
Acupuncture in treatment of facial muscular pain.
It is concluded that acupuncture is an alternative method to conventional stomatognathic treatment for individuals with craniomandibular disorders of muscular origin.
[Myofascial pain syndrome].
Controlled trial of Japanese acupuncture for chronic myofascial neck pain: assessment of specific and nonspecific effects of treatment.
Relevant acupuncture with heat contributes to modest pain reduction in persons with myofascial neck pain, and previous experience with and confidence in treatment help to predict benefit.
Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial
  • J. Edwards, N. Knowles
  • Medicine, Psychology
    Acupuncture in medicine : journal of the British Medical Acupuncture Society
  • 2003
Testing the hypothesis that superficial dry needling together with active stretching is more effective than stretching alone, or no treatment, in deactivating trigger points (TrPs) and reducing myofascial pain concluded that this method is effective in reducing subjective pain.
Acupuncture versus metoprolol in migraine prophylaxis: a randomized trial of trigger point inactivation.
Trigger point inactivation by dry needling is a valuable supplement to the list of migraine prophylactic tools, being equipotent to metoprolol in the influence on frequency and duration (but not severity) of attacks, and superior in terms of negative side-effects.
The efficacy of dry needling and procaine in the treatment of myofascial pain in the jaw muscles.
The findings suggest that the general improvement in pain symptoms was the result of nonspecific, placebo-related factors rather than a true treatment effect, and the therapeutic value of dry needling and Procaine in the management of myofascial pain in the jaw muscles is questionable.