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DOI: 10.1055/s-0039-3402788
Clinical criteria for the application of dry needling in myofascial pain Syndrome: An expert consensus document and a cross-sectional study among physical therapists
Article in several languages: English | españolPublication History
20 November 2019
06 December 2019
Publication Date:
20 December 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00042778/201902/lookinside/thumbnails/10-1055-s-0039-3402788_rfi-1900007_en-1.jpg)
Abstract
Presently, there is no clear consensus on the essential and confirmatory criteria which should govern the application of dry needling (DN) in the treatment of myofascial trigger points. The aim of this study was to generate a consensus on these criteria, via a panel discussion with DN experts which took place at the International Conference of Invasive Physical Therapy held in 2018, including the opinion of the attendees who participated in a live survey on the subject at the conference via an app. The results obtained reveal discrepancies regarding confirmatory criteria such as the elicitation of referred pain; nonetheless, consensus exists on the suitability of the application of individualized and personalized DN treatment and the combination of treatment with other intervention approaches in physical therapy, with the use of ultrasound when required to support a safer clinical practice.
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References
- 1 Valera F, Minaya F. Fisioterapia invasiva. 2ª ed. Barcelona: Elsevier España; 2017
- 2 Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual, The Upper Half of the Body. Vol. 1 second ed. Philadelphia, Baltimore: Lippincott William & Wilkins; 1999
- 3 Baldry P. Superficial versus deep dry needling. Acupunct Med 2002; 20 (2-3): 78-81
- 4 Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Bodyw Mov Ther 2008; 12 (04) 371-384
- 5 Domingo A, Mayoral O, Monterde S, Santafé MM. Neuromuscular damage and repair after dry needling in mice. Evid Based Complement Alternat Med 2013; 2013: 260806
- 6 Simons DG. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol 2004; 14 (01) 95-107
- 7 Shah JP, Thaker N, Heimur J, Aredo JV, Sikdar S, Gerber L. Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective. PM R 2015; 7 (07) 746-761
- 8 INE. Profesionales sanitarios colegiados 2012 [cited 2019 27/05]. Available from: http://www.ine.es/jaxi/Tabla.htm?path=/t15/p416/a2012/&file=s08002.px