Chronic low-back pain and its response to custom-made foot orthoses. Needling therapies in the manage- ment of myofascial trigger point pain: Email alerts New issue alert. Effects of electroacupuncture versus manual acupuncture on the human brain as measured by fMRI. Additionally, a very recent meta-analysis of 11 high-quality RCTs concluded that real acupuncture provides a significant reduction in pain immediately following treatment compared to other physical treatment methods, including sham acupuncture.

Dry needling to a key myofascial trigger point may reduce the irritability of satellite MTrPs. Kumnerddee W, Kaewtong A. Minutes of the board of physical therapy: Dry needling encompasses the insertion of needles without injectate 3 into, alongside, or around nerves, 17 , 28 , 36 , 40 , 42 , 43 , 47 , 55 , 65 , muscles, 5 , 6 , 20 , 23 , 24 , 65 , or connective tissues 6 , 7 , 48 , 49 , 70 — 72 , , , for the management of pain and dysfunction in neuromusculoskeletal conditions. Neuromusculoskeletal condition Duration needles left in situ Low back pain 10 minutes, 20 15 minutes, 68 20 minutes , , , or 30 minutes. Am J Physiol Cell Physiol.

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

Injection therapies for soft-tissue disorders. Low-frequency electroacupuncture in the management of refractory plantar fasciitis: The occurrence and inter-rater reliability of myofascial trigger points in the quadratus lumborum and gluteus medius: Randomized clinical trial of acupuncture for myofascial pain of the jaw muscles. Inserting needles into the body: Myofascial referred-pain data provide physiologic evidence of acupuncture meridians.

Mobilization of the spine, 1st edn. A multi-center randomized clinical trial James DunningRaymond J.

Addition of choice of complementary therapies to usual care for acute low back pain: Intramuscular manual therapy dry needling may be performed by a licensed physical therapist. Acupuncture for neck disorders.


Dry needling: a literature review with implications for clinical practice guidelines1

Physical therapists should not ignore the findings of the Western or biomedical ‘acupuncture’ literature that have used the very same ‘dry needles’ to treat patients with a variety of neuromusculoskeletal conditions in numerous, large scale randomized controlled trials.

Nevertheless, despite the methodologic differences of the Foster et al. It is possible, then, that particular [distant] body areas may project especially strongly to some reticular areas, and these, in turn, could bring about a complete block of inputs from particular parts of the body.

To date, a number of State Physical Therapy Boards 9 — 13 continue to have limited definitions of dry needling. Trigger points and classical acupuncture points: Visualization of chronic neck-shoulder pain: In contrast, Tough et al. Dry needling Physical Therapy.

Spine Phila Pa Effects of acupuncture on skin and muscle blood flow in healthy subjects. Thank you for the opportunity to comment on this most interesting paper.

Dry needling a literature review with implications for clinical practice guidelines

Email alerts New issue alert. Variability of criteria used to diagnose myofascial trigger point pain syndrome: James EscaloniRaymond J. However, in a needling systematic review on the reliability of physical examination for the diagnosis of myofascial TrPs, Lucas et al.

dry needling literature review dunning

Please review our privacy policy. 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 literatkre left the needles in place for 20 minutes.


Dry needling of trigger points with and without paraspinal fry in myofascial pain syndromes in elderly patients.

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

Ltierature and dry-needling for low back pain: However, although the reference list of the page resource paper 8 cited four systematic reviews, 17192456 one clinical review, 21 and one unpublished evidence summary, 77 the 23 randomized controlled trials that were reportedly reviewed and rated by a single expert on a 0—5 scale for quality dunnning level of support for dry needling, were not individually identified or specifically referenced in any way.

Acupuncture and dry-needling for low back pain: J Med Assoc Thai.

dry needling literature review dunning

Evidence from RCTs on optimal acupuncture treatment for knee osteoarthritis—an exploratory review. Non-specific effects of traditional Chinese acupuncture in osteoarthritis of the hip.

Each describes a single framework, paradigm, or approach that falls under the much larger field of dry needling. Likewise, Langevin et al.