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

@article{Tough2009AcupunctureAD,
  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},
  year={2009},
  volume={13}
}
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269 Citations
Highly Influential Citations
11
Background Citations
70
Methods Citations
12
Results Citations
12

269 Citations

Comparison of Acupuncture to Injection for Myofascial Trigger Point Pain

TLDR
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

TLDR
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.

DRY NEEDLING FOR MYOFASCIAL TRIGGER POINT PAIN: A CLINICAL COMMENTARY.

TLDR
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

TLDR
This protocol has been withdrawn due to significant delays in preparing the full review, which did not meet the expectations of Cochrane and PaPaS editorial processes and timelines.

Dry needling in the management of myofascial trigger points: A systematic review of randomized controlled trials.

Effectiveness of a Heated Lidocaine/Tetracaine Topical Patch for Pain Associated with Myofascial Trigger Points: Results of an Open‐label Pilot Study

TLDR
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.

TLDR
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].

TLDR
The combined therapy, including reflex action and tizanidine, speeds recovery from pain and ensures the stability of results.
...

References

SHOWING 1-10 OF 65 REFERENCES

Understanding effective treatments of myofascial trigger points

TLDR
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.

TLDR
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.

TLDR
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.

Acupuncture in treatment of facial muscular pain.

TLDR
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.

TLDR
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. EdwardsN. Knowles
  • Medicine, Psychology
    Acupuncture in medicine : journal of the British Medical Acupuncture Society
  • 2003
TLDR
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.

TLDR
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.

TLDR
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.

LIDOCAINE INJECTION VERSUS DRY NEEDLING TO MYOFASCIAL TRIGGER POINT: The Importance of the Local Twitch Response

  • C. Hong
  • Medicine
    American journal of physical medicine & rehabilitation
  • 1994
TLDR
It is essential to elicit LTRs during injection to obtain an immediately desirable effect, and TrP injection with 0.5% lidocaine is recommended, because it reduces the intensity and duration of postinjection soreness compared with that produced by dry needling.
...