Trigger Point Dry Needling.

  title={Trigger Point Dry Needling.},
  author={David G. Simons},
  journal={The Journal of orthopaedic and sports physical therapy},
  volume={47 3},
  • D. Simons
  • Published 2017
  • Medicine
  • The Journal of orthopaedic and sports physical therapy
Increasingly, physical therapists in the United States and throughout the world are using dry needling to treat musculoskeletal pain, even though this treatment has been a controversial addition to practice. To better generalize to physical therapy practice the findings about dry needling thus far, the authors of a study published in the March 2017 issue of JOSPT identified the need for a systematic review examining the effectiveness of dry needling performed by physical therapists on people… 


The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta‐analysis
Very low‐quality to moderate‐quality evidence suggests that dry needling performed by physical therapists is more effective than no treatment, sham dry needled, and other treatments for reducing pain and improving pressure pain threshold in patients presenting with musculoskeletal pain in the immediate to 12‐week follow‐up period.
Dry Needling in Orthopedic Physical Therapy Practice
INTRODUCTION Orthopedic physical therapists employ a wide range of intervention strategies to reduce patients’ pain and improve function. From time to time, new treatment approaches are being
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.
Trigger Points in Patients with Lower Limb Osteoarthritis
The large number of TrPs in secondary [traumatic] OA patients may be due to hyperalgesia resulting from the chronic nociceptive inputs from the sensitized joint nocICEptors and central sensitization.
Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial
  • J. Edwards, N. Knowles
  • Medicine
    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.
Treatment of fibromyalgia, myofascial pain, and related disorders.
  • J. Borg-Stein
  • Medicine
    Physical medicine and rehabilitation clinics of North America
  • 2006
The epidemiology, pathophysiology, and clinical management of myofascial pain syndrome and fibromyalgia are addressed.
Hemiparetic Shoulder Pain Syndrome Treated with Deep Dry Needling During Early Rehabilitation: A Prospective, Open-Label, Randomized Investigation
Combining dry needling of trigger points with standard rehabilitative therapy may improve the outcome of hemiparetic shoulder pain syndrome and decrease the severity and frequency of the perceived pain.
Latent myofascial trigger points: their effects on muscle activation and movement efficiency
The data established that LTrPs in the scapular rotator muscles changes the MAP of this muscle group and of muscles further distal in the shoulder girdle kinetic chain.
Botulinum toxin in the treatment of myofascial pain syndrome
&NA; Six patients with chronic myofascial pain syndrome involving cervical paraspinal and shoulder girdle muscles received trigger point injections of botulinum toxin type A (Botox) or saline in a
Treatment of Myofascial Pain
The first goal is to instantaneously relieve pain, but recurrence can be prevented only by removal of the etiological factors, and PIB is a new technique which prevents pain and sensitization caused by the penetration of the injecting needle into a sensitive area [TS or TrP].