Postneedling soreness after deep dry needling of a latent myofascial trigger point in the upper trapezius muscle: Characteristics, sex differences and associated factors

Martín-Pintado-Zugasti, Aitor; Rodríguez-Fernández, Ángel Luis; Carnero, Josué Fernández

doi:10.3233/bmr-150630

Cited by 33 publications

(28 citation statements)

References 33 publications

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“…In the present study, 94.2% of patients presented postneedling soreness, whereas other studies observed proportions of 55% [40,41], 88% [42], or 91.4% [13]. These proportions of subjects with postneedling soreness seem to be lower compared with other studies in healthy subjects [19][20][21]. Asymptomatic subjects may have a greater capacity to describe postneedling soreness in detail because it does not overlap with any myofascial pain.…”

Section: Postneedling Sorenesscontrasting

confidence: 83%

“…Patients who received DDN with multiple needle insertions to elicit LTRs presented with greater postneedling soreness prevalence and intensity than those in the control group, who received one unique needle insertion out of the MTrP. In line with previous preliminary research in healthy subjects [21], the number of needle insertions was associated with the intensity of postneedling soreness. However, no differences were observed regarding postneedling soreness prevalence and pain intensity in between groups in which LTRs were elicited.…”

Section: Postneedling Sorenesssupporting

confidence: 76%

“…The intensity of postneedling soreness seems to be associated with the number of insertions of the needle into the MTrP [21]. DDN therapies could be applied in different dosages in terms of the number of local twitch responses (LTRs) elicited.…”

Section: Methodsmentioning

confidence: 99%

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Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

Martín-Pintado-Zugasti

Fernández‐Carnero

León-Hernández

et al. 2018

PM&R

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Section: Postneedling Sorenesscontrasting

confidence: 83%

Section: Postneedling Sorenesssupporting

confidence: 76%

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Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

Martín-Pintado-Zugasti

Fernández‐Carnero

León-Hernández

et al. 2018

PM&R

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“…Therefore, the results suggest a delay effect after the dry needling technique with twitch response. There is also a relationship between the patient's gender and pain relief as well as the frequency needed to receive LTR until the end of the treatment so that there is no more LTR [33]. The study results are consistent with our study, especially in the group of dry needling without LTR.…”

Section: Discussionsupporting

confidence: 90%

What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Trapezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes

Hakim

Takamjani

Sarrafzadeh

et al. 2017

PTJ

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Purpose: Dry needling has been introduced as an effective method to treat the upper trapezius myofascial pain. Muscle damage after receiving the local twitch response can increase the risk of tissue fibrosis in some cases. This study aimed to investigate how the clinical parameters change after dry needling without local twitch response.Methods: This is a quasi-experimental study, with pretest and posttest. A total of 26 patients suffering from neck pain with an active trigger point in their upper trapezius muscles were recurited via the convenience sampling methods. In all patients, the needle was moved 15 times in the trigger point of the trapezius muscle and then remained in place for 5 minutes. Participants were assigned in the dry needling with local twitch response (experimental group) when a local twitch response was evoked from muscle and without receiving local twitch response or deqi (control group) when a local twitch response was not seen. Then, they were treated with one session of dry needling. Before the intervention and 24 hours after the treatment, pain, pain pressure threshold, and neck disability index were evaluated. The obtained data were analyzed by multivariate ANCOVA using SPSS version 20.Results: After the treatment, no significant changes were seen in the experimental group compared to the control group (P>0.05) regarding the pain, the pain pressure threshold, and neck disability index. Conclusion:Dry needling along with receiving local twitch response does not have a superiority over the dry needling without receiving the local twitch response while the treatment aimed to receive the immediate effects.

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“…A 2 × 3 mixed model ANCOVA with time (before and 72 hours after TrP‐DN) as the within‐subjects factor, group (experimental, placebo, control) as the between‐subjects factor, and gender as the covariate was used to determine the effects of TrP‐DN on pain and disability. Gender was used as covariate because previous research suggests that women experience more postneedling soreness than men [38]. For each ANCOVA, the hypothesis of interest was the group × time interaction.…”

Section: Methodsmentioning

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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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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Postneedling soreness after deep dry needling of a latent myofascial trigger point in the upper trapezius muscle: Characteristics, sex differences and associated factors

Abstract: Soreness and hyperalgesia are present in all subjects after dry needling of a latent MTrP in the upper trapezius muscle. Women exhibited higher intensity of postneedling soreness than men.

Cited by 33 publications

References 33 publications

Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

What Is the Acute Effect of Dry Needling on the Active Trigger Points of Upper Trapezius Muscle? The Effect of Eliciting Local Twitch Response on Clinical Outcomes

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

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