2011
DOI: 10.1179/106698111x13129729552065
|View full text |Cite
|
Sign up to set email alerts
|

Dry needling — peripheral and central considerations

Abstract: Dry needling is a common treatment technique in orthopedic manual physical therapy. Although various dry needling approaches exist, the more common and best supported approach targets myofascial trigger points. This article aims to place trigger point dry needling within the context of pain sciences. From a pain science perspective, trigger points are constant sources of peripheral nociceptive input leading to peripheral and central sensitization. Dry needling cannot only reverse some aspects of central sensit… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

3
140
0
2

Year Published

2013
2013
2024
2024

Publication Types

Select...
4
4

Relationship

1
7

Authors

Journals

citations
Cited by 223 publications
(146 citation statements)
references
References 247 publications
(237 reference statements)
3
140
0
2
Order By: Relevance
“…It should be noted that there are many different schools of acupuncture with different treatment points and techniques. 5 The manipulation of the needle with…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…It should be noted that there are many different schools of acupuncture with different treatment points and techniques. 5 The manipulation of the needle with…”
Section: Discussionmentioning
confidence: 99%
“…3 Superficial dry needling (SDN) involves inserting the needle into the skin, fascia, and muscle overlying a TrP, 4 whereas, with deep dry needling (DDN) the needle is inserted into the TrP with the aim of eliciting Local Twitch Responses (LTRs). 5 Essential for obtaining therapeutic benefit with TrP-DN, LTRs are reflex spinal cord contractions of the muscle fibers in a taut band. [6][7][8] Eliciting LTRs can reduce concentrations of nociceptive chemicals, such as substance P and calcitonin gene-related peptide, found in the immediate vicinity of active TrPs.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…In such scenarios, dry needling has been proposed as a specific intervention aimed to activate the cervical multifidus muscle. 21 This hypothesis is further supported by the results from a recent study in which patients with low back pain who positively responded to dry needling in the lumbar multifidus muscle exhibited an increased contracted thickness of the muscle, suggesting that dry needling was able to facilitate muscle contraction. 13 This study would support clinical observation that multifidus dry needling may be applied before starting any therapeutic exercise program to more fully remedy impaired muscle contraction.…”
Section: Discussionmentioning
confidence: 65%
“…[22] The addition of dry needling of the multifidus muscle of the low back in the treatment of low back pain has been shown to increase multifidus muscle contraction and decrease sensitivity to pain in patients who responded to treatment. [23] The use of dry needling has been postulated to be a mechanism for the attainment of early pain relief in order to facilitate a manual therapy technique and a quicker return to function. [24] Other modalities used as an intervention for pain relief Dry needling and other modalities are available to aide in the delivery of pain management.…”
Section: Dry Needling As An Interventionmentioning
confidence: 99%