Trigger Point Dry Needling

@article{Dommerholt2006TriggerPD,
  title={Trigger Point Dry Needling},
  author={Jan Dommerholt and Orlando Mayoral Del Moral and Christian Gr{\"o}bli},
  journal={Journal of Manual \& Manipulative Therapy},
  year={2006},
  volume={14},
  pages={70E - 87E}
}
Abstract Trigger point dry needling is a treatment technique used by physical therapists around the world. In the United States, trigger point dry needling has been approved as within the scope of physical therapy practice in a growing number of states. There are several dry needling techniques, based on different models, including the radiculopathy model and the trigger point model, which are discussed here in detail. Special attention is paid to the clinical evidence for trigger point dry… 

Dry needling — peripheral and central considerations

  • J. Dommerholt
  • Environmental Science
    The Journal of manual & manipulative therapy
  • 2011
Trigger point dry needling should be based on a thorough understanding of the scientific background oftrigger points, the differences and similarities between active and latent trigger points, motor adaptation, and central sensitize application.

Dry Needling Treatments for Myofascial Trigger Points

Dry needling techniques are rapidly expanding among healthcare providers and there seems to be an increasing number of indications of these techniques within the context of myofascial pain syndrome.

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

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.

Dry Needling: A Clinical Commentary

The treatment technique called dry needling is defined by the APTA as a skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuromusculoskeletal pain and movement impairments.

Myofascial Trigger Point Therapy: Laser Therapy and Dry Needling

Improvements in microcirculation through the administration of laser therapy may favor the supply of oxygen to the cells under conditions of hypoxia and help remove the waste products of cell metabolism, thereby breaking the vicious cycle of pain, muscle spasm and further pain.

The effect of dry needling on the active trigger point of upper trapezius muscle: Eliciting local twitch response on long-term clinical outcomes.

DN without elicit LTR has superiority over the DN along with eliciting LTR while the treatment aimed to receive long-term effects, and there was no significant difference between groups according to the disability.

EFFECTIVENESS OF DRY-NEEDLING OVER ISCHEMIC COMPRESSION ON TRIGGER POINTS IN QUADRATUS LUMBORUM MUSCLE- A RANDOMIZED CLINICAL TRIAL

The results of this clinical trial suggest that single sessions of TrP DN shows greater improvement in terms of pressure threshold and range of motion than TrP IC.

The role of a dry needling technique in pain reduction

Based on systematic review of the literature, dry needling, independently or as an addition to other intervention, is recommended for treatment of musculoskeletal pain conditions caused by myofascial trigger points.
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Injections of local anesthetics, saline, “dry needling,” or other stimuli at specific, tender loci (trigger or acupuncture points) are reportedly efficacious in treatment of chronic pain syndromes.

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    American journal of physical medicine & rehabilitation
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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.

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  • Medicine
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Ninety percent of my patients with myofascial trigger point (MTrP) pain have this alone and are treated with superficial dry needling, and any steps taken to eliminate factors that might lead to the reactivation of the MTrPs are taken.

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    Acupuncture in medicine : journal of the British Medical Acupuncture Society
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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.
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