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Pain
Published in Michele Barletta, Jane Quandt, Rachel Reed, Equine Anesthesia and Pain Management, 2023
Jarred Williams, Katie Seabaugh, Molly Shepard, Dana Peroni
Through the course of 5 treatments, practitioners are often able to gauge whether acupuncture is benefiting the patient, and whether the frequency of treatment or technique (e.g. electroacupuncture versus dry needling) should be changed.
Myofascial Trigger Points, Sensitization, and Chronic Musculoskeletal Pain
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
Vy Phan, Jay P. Shah, Pamela Stratton
All forms of manual therapy include some form of mechanical pressure and are commonly employed as a first line of treatment before attempting more invasive therapies.50 While recent reviews and meta-analyses have focused on dry needling, manual therapy may be just as effective.50 For example, osteopathic manipulative medicine, and “spray and stretch” with pentafluoropropane or tetrafluoroethane are commonly used to treat myofascial pain and SSS.
Myofascial Trigger Point Therapy
Published in David Lesondak, Angeli Maun Akey, Fascia, Function, and Medical Applications, 2020
Dry needling is becoming a popular method of treatment by physicians and practitioners of stripes, with many certification programs available. Although it utilizes the same tools as acupuncture, dry needling should not to be conflated with acupuncture. It is employed with different reasoning and intent, with trigger points identified prior to insertion.
Dorsal dry needling to the pronator quadratus muscle is a safe and valid technique: A cadaveric study
Published in Physiotherapy Theory and Practice, 2023
Albert Pérez-Bellmunt, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, César Hidalgo-García, Joseph M. Donnelly, Simón A Cedeño-Bermúdez, César Fernández-de-las-Peñas
The PQ is a deep muscle in the forearm, which cannot be palpated; therefore, dry needling has been advocated as a diagnostic and treatment intervention for trigger points in this muscle (Donnelly, 2019). Dry needling consists of the insertion of a solid filiform needle into a muscle aimed to treating trigger points (Dommerholt and Fernandez-de-las-peñas, 2019). Since dry needling is an invasive procedure; clinicians should consider the presence of adverse events. Two studies have investigated the presence of adverse events after dry needling applied by physical therapists (Boyce et al., 2020; Brady, McEvoy, Dommerholt, and Doody, 2014). They reported similar results where, although most adverse events experienced during dry needling are considered as minor (e.g. mild bleeding, bruising, and pain during the intervention), major events (e.g. pneumothorax and numbness) can also rarely occur (Boyce et al., 2020; Brady, McEvoy, Dommerholt, and Doody, 2014). In fact, McManus and Cleary (2018) described a case report showing a neuropraxia of the radial nerve after application of dry needling at the junction of the middle and distal third of the humerus.
Effects of dry needling and stretching exercise versus stretching exercise only on pain intensity, function, and sonographic characteristics of plantar fascia in the subjects with plantar fasciitis: a parallel single-blinded randomized controlled trial
Published in Physiotherapy Theory and Practice, 2023
Saman Salehi, Azadeh Shadmehr, Gholamreza Olyaei, Siamak Bashardoust, Seyed Mohsen Mir
Dry needling is a popular alternative method for the treatment of musculoskeletal pain disorders by reducing the number and the sensitivity of the nodules or spots related to the pain (Dunning et al., 2014; Pecos-Martín et al., 2015). Salehi et al. (2019) in a review article suggested that there was some evidence for effectiveness of dry needling in subjects with PF. When dry needling and other interventions were compared, the results displayed that previously published studies on the effect of dry needling in subjects with PF are not consistent in methodology. Of the seven included studies that were assessed, some studies had not control group and these studies were used to combine of dry needling and acupuncture, one of the selected studies was a case-report study. Also, the studies have used different techniques for needling. For that, in the review was concluded that dry needling might be useful in subjects with PF, although there is limited evidence.
Influence of clinical experience on accuracy and safety of obliquus capitus inferior dry needling in unembalmed cadavers
Published in Physiotherapy Theory and Practice, 2022
Gary A. Kearns, Troy L. Hooper, Jean-Michel Brismée, Brad Allen, Micah Lierly, Kerry K. Gilbert, Timothy J. Pendergrass, Deborah Edwards
The investigators inserting the needles were classified as expert, experienced and novice clinicians (Table 1). The expert clinician was the primary investigator who is a dry needling instructor who teaches and clinically uses each technique. The experienced clinician had prior dry needling experience, however did not use either technique clinically, nor had received formal training in either technique prior to this investigation. The novice clinician had no prior dry needling experience and was trained on the two techniques prior to this investigation. Prior to data collection, the primary investigator was the only investigator with previous experience dry needling unembalmed cadavers. The primary investigator provided instruction and training for the experienced and novice clinicians prior to the investigation allowing for practice of each technique.