Ischemic Compression After Dry Needling of a Latent Myofascial Trigger Point Reduces Postneedling Soreness Intensity and Duration

Martín-Pintado-Zugasti, Aitor; Pecos‐Martín, Daniel; Rodríguez-Fernández, Ángel Luis; Alguacil-Diego, Isabel M.; Portillo-Aceituno, Alicia; Gallego‐Izquierdo, Tomás; Carnero, Josué Fernández

doi:10.1016/j.pmrj.2015.03.021

Cited by 39 publications

(35 citation statements)

References 43 publications

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“…This is the first study investigating the effects of low‐load exercise as a postneedling intervention in active TrPs. Previous studies investigating post‐dry needling interventions were conducted on asymptomatic subjects exhibiting latent muscle TrPs [20,21]. Similar to previous studies, postneedling soreness was present in 100% of the individuals who received TrP‐DN in our study.…”

Section: Discussionsupporting

confidence: 84%

“…There are few studies that have investigated therapeutic strategies to decrease postneedling‐induced pain. Two recent studies demonstrated that the application of ethyl chloride spray and stretching [20] and ischemic compression [21] after TrP‐DN exhibited short‐term effects (between 6 and 24 hours) for reducing postneedling soreness on latent TrPs in the upper trapezius. Although promising, these studies included asymptomatic subjects with latent TrPs, which does not represent clinical practice, and also applied passive modalities for reducing postneedling soreness.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Salom‐Moreno

Jiménez-Gómez

Gómez-Ahufinger

et al. 2017

PM&R

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Background The application of dry needling usually is associated with postneedling‐induced pain. A postneedling intervention to reduce this adverse event is needed. Objective To determine the effectiveness of low‐load exercise on reducing postneedling‐induced pain after dry needling of active trigger points (TrPs) in the infraspinatus muscle in subacromial pain syndrome. Design A 72‐hour follow‐up, single‐blind randomized controlled trial. Setting Urban hospitals. Participants Individuals with subacromial pain syndrome (n = 90, 52% female, mean age: 35 ± 13 years) with active TrPs in the infraspinatus muscle. Interventions All individuals received dry needling into the infraspinatus active TrP. Then, they were divided randomly into an experimental group, which received a single bout of low‐load exercise of shoulder muscles; a placebo group, which received inactive ultrasound for 10 minutes; and a control group, which did not receive any intervention. Outcome Measures Numerical Pain Rating Scale (0‐10 point) was administered postneedling, immediately postintervention (2 minutes), and 24, 48, and 72 hours after needling. Shoulder pain (Numerical Pain Rating Scale, 0‐10) and disability (Disabilities of the Arm, Shoulder and Hand; Shoulder Pain and Disability Index) were assessed before and 72 hour after needling. Results The 5 × 3 analysis of covariance showed that the exercise group demonstrated a larger decrease in postneedling‐induced pain immediately after (P = .001), 24 hours (P = .001), and 48 hours after (P = .006) than placebo or control groups. No differences were found at 72 hours (P = .03). Similar improvements in shoulder pain (P < .001) and related disability (Disabilities of the Arm, Shoulder and Hand: P < .001; Shoulder Pain and Disability Index: P < .001) were observed 72 hours after needling, irrespective of the treatment group. Conclusions Low‐load exercise was effective for reducing postneedling‐induced pain on active TrPs in the infraspinatus muscle 24 and 48 hours after needling. The application of a postneedling intervention did not influence short‐term pain and disability changes. Level of Evidence I

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Salom‐Moreno

Jiménez-Gómez

Gómez-Ahufinger

et al. 2017

PM&R

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“…Regarding latent MTrPs, recent studies have shown that the application of ‘spray and stretch’ 14 or ischemic compression 15 after DN immediately decreased post-needling soreness compared to subjects who were only treated by DN. The use of DN plus PENS may have clinical relevance for professionals using DN in the treatment of MTrPs, since high post-needling soreness values are associated with patient dissatisfaction and reduced treatment adherence 12 .…”

Section: Discussionmentioning

confidence: 99%

“…For example, ischemic compression 15 , ‘spray and stretch’ 14 , and ultrasound 12 have been applied with positive effects, reducing both myofascial pain 16 and post-needling soreness 12 , 14 , 15 . According to recent studies, TENS operates via multiple pathways to reduce pain through various physiological mechanisms 17 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain

León-Hernández¹,

Martín-Pintado-Zugasti²,

Frutos³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundDry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain.ObjectiveTo investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle.MethodThis is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited. Randomization was performed, and 31 patients received DN treatment (DN group) and 31 received DN and PENS (DN+PENS group). The primary outcomes were neck disability index (NDI) and visual analog scale for pain for both post-needling soreness (PNS) and neck pain intensity (NPI). Pressure pain threshold (PPT) and cervical range of motion (CROM) were the secondary outcomes. ResultsWe detected between-group differences in NPI and PNS in favor of the DN+PENS group immediately after treatment. No between-group differences in NDI were observed.ConclusionPENS application after dry needling treatment is more effective than dry needling alone for decreasing soreness in the short term and improving neck pain intensity immediately in patients with myofascial chronic neck pain.

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“…Como se estableció en la metodología, el presente estudio utilizó una escala de valoración verbal (EVA). En este estudio no se utilizó la escala analógica visual para valorar la eficacia de la intervención, sino para comprobar el dolor muscular generado por la misma, tal y como se ha empleado en otras investigaciones (346).…”

Section: Escala Analógica Visualunclassified

Eficacia analgésica del tratamiento invasivo miofascial (punción seca) en fibromialgia

Mampel¹

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Ischemic Compression After Dry Needling of a Latent Myofascial Trigger Point Reduces Postneedling Soreness Intensity and Duration

Cited by 39 publications

References 43 publications

Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Effects of Low‐Load Exercise on Postneedling‐Induced Pain After Dry Needling of Active Trigger Point in Individuals With Subacromial Pain Syndrome

Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain

Eficacia analgésica del tratamiento invasivo miofascial (punción seca) en fibromialgia

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