Likewise, there is robust evidence that peri-neural needling of non-trigger point structures helps reduce pain and disability while improving sensory and motor nerve conduction velocities. Needling therapies in the management of myofascial trigger point pain: A randomized clinical trial of acupuncture versus oral steroids for carpal tunnel syndrome: J Am Podiatr Med Assoc. Comparison of physiotherapy, manipulation, and corticosteroid injection for treating shoulder complaints in general practice: Dry needling in the management of musculoskeletal pain. Injection therapies for soft-tissue lesions.

However, the results of Foster et al. Mechanical signaling through connective tissue: The influence of the mobility in the cervicothoracic spine and the upper ribs shoulder girdle on the mobility of the scapulohumeral joint. IY participated in the drafting of the manuscript and revision of the manuscript. The cervical and thoracic spine: Multiple studies have used dry needling of the knee joint without targeting specific trigger points to treat pain and disability in patients with knee osteoarthritis. Aside from one cohort study that treated plantar heel pain with a single lidocaine injection in which the needle was immediately removed upon dispensing the injectate, 16 one case series used manual acupuncture and left the needles in place for 15 minutes, 18 and the other case series used electroacu-puncture and left the needles in place for 20 minutes.

dry needling literature review dunning

Acupuncture for neck disorders. Hemiparetic shoulder pain syndrome treated with deep dry needling during early rehabilitation: References Publications referenced by this paper.


dry needling literature review dunning

Rather, these techniques are shared procedures among a variety of healthcare professions. Int J Oral Maxillofac Surg. There are three trials 2080that seem to be frequently cited by clinicians in support of deep TDN; however, all three revoew have significant methodologic limitations. Shen YF, Goddard G.

Dry needling: a literature review with implications for clinical practice guidelines

Ger J Acupunct Relat Needllng. The short-term effects of thoracic spine thrust manipulation on patients with shoulder impingement syndrome. First, Ma et al. A Randomized Clinical Trial.

Bilateral activation of motor unit potentials with unilateral needle stimulation of active myofascial trigger points. However, the patient sample size was divided among three smaller groups, and outcome measures revview pain and disability were taken only 3 weeks post-treatment.

Am J Phys Med Rehabil.

Arizona Physical Therapy Association. At present, there is no data on the reliability of pinpointing the exact location of active trigger points….

Dry needling: a literature review with implications for clinical practice guidelines.

James EscaloniRaymond J. Likewise, Langevin et al. Acupuncture accelerates wound healing in burn-injured mice. In another recent experimental study, 26 dry needling of primary MTrPs in patients with shoulder pain was found to inhibit the activity of satellite or secondary MTrPs situated in the shoulder, elbow, or forearm. A systematic, critical review of manual palpation for identifying myofascial trigger points: Some factors predict successful short-term outcomes in individuals with shoulder pain receiving cervicothoracic manipulation: Intramuscular manual therapy dry needling may be performed by a licensed physical therapist.


The use of electro-acupuncture in conjunction with exercise for the treatment of chronic low-back pain. Hypothalamus and amygdala response to acupuncture stimuli in carpal tunnel syndrome. Acupuncture, trigger points, and musculoskeletal pain.

Louisiana Physical Therapy Practice Act: J Altern Complement Med. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. The cervical and thoracic spine: Effect of acupuncture treatment on chronic neck and shoulder pain in sedentary female workers: Acupuncture for shoulder pain.

Dry needling a literature review with implications for clinical practice guidelines

Am J Phys Med Rehabil. Treatment of myofascial pain components in plantar fasciitis speeds up recovery: Acupuncture modulates the limbic system and subcortical gray structures of the human brain: Although the etiology of plantar heel pain remains unknown, it seems to be well accepted in the existing literature that the proximal attachment of the plantar aponeurosis, the medial tubercle of the calcaneus, is most often reported by patients with plantar fasciitis as the origin of symptoms and the site of greatest discomfort.

InMyburgh et al.