The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?

Perreault, Thomas; Dunning, James; Butts, Raymond

doi:10.1016/j.jbmt.2017.03.008

Cited by 74 publications

(55 citation statements)

References 125 publications

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“…The occurrence of referred pain and local twitch response was significantly correlated to the pain intensity of active myofascial trigger point, the authors concluded that frequency of occurrence of referred pain is mainly depends on pain intensity of an active myofascial trigger point. Although the authors didn't correlate the presence of referred pain to the success of trigger point injection (11,12). None of patients had any complication during the procedure either none was reported after during follow up.…”

Section: Resultsmentioning

confidence: 93%

“…Presence of local twitch response does not correlate with changes in pain and disability, and multiple systematic reviews have failed to conclude whether the local twitch response is relevant to the outcome of trigger point injection (11). Post needling soreness is consistently reported in studies using repeated in and out needling to elicit local twitch response and increases in proportion to the number of needle insertions, in contrast needle winding without local twitch response to myofascial trigger points and connective tissue is well supported in the literature,as it is linked to anti-nociception and factors related to tissue repair and remodeling (9,11), the positive biochemical changes in the trigger points after needling may simply be a wash out effect related to local vasodilation. While the local twitch response during trigger point injection may not unnecessary be associated with to better outcome for managing myofascial pain, further investigation is required.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Bupivacaine Trigger Points Injections in the Treatment of Myofascial Pain Syndrome

Bashir¹,

Abdulrahman²,

Aliyu³

2020

ACEMedicine

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Background: Myofascial pain syndrome is a regional or widespread muscular pain associated with tenderness localized to linear or nodular hardening, trigger points in one or group of muscles. It is a major cause of time loss from work and low quality of life. Injections of myofascial trigger points either with local anaesthetics, steroid, normal saline or without any agent have been proven to provide pain relief. This study aims to determine the effectiveness of trigger point injection with bupivacaine in treatment of myofascial pain syndrome and improvement in quality of life. Methods: After Institutional Ethical Committee approval, forty one patients aged 16 years and above with myofacial pain syndrome had 0.5mls of 0.25% plain bupivacaine trigger points injections with size 26G 11 /2 inch hypodermic needle. Pain was assessed using Numerical Rating Scale and Pain disability questionnaire was administered to all the patients before the procedures and 1 month post-intervention (follow-up visits) to assessed functional and psychological component of pain disability scale and their response to treatment. Results:

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Effectiveness of Bupivacaine Trigger Points Injections in the Treatment of Myofascial Pain Syndrome

Bashir¹,

Abdulrahman²,

Aliyu³

2020

ACEMedicine

View full text Add to dashboard Cite

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“…15 There is one more important issue to consider: With dry needling, a local twitch response is considered to be a signal of a successful treatment, although recent research suggests that dry needling can be just as effective without the local twitch response. 16 In fact, the intensity of the stimulation needed to produce a local twitch response is intense, and it ''can increase the risk of tissue fibrosis in some cases.'' 17 Similarly, De Qi is considered to be essential for an effective acupuncture treatment outcome, but some research studies suggest that whether or not De Qi is achieved appears to have little or no effect on the treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Headache: Possible Clinical Improvements—Analysis of Two Typical Case Reports

Korostyshevskiy

2018

Medical Acupuncture

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Various types of headache comprise a widespread health problem. Among the possible treatment options, acupuncture is one of the most effective, with the least number of adverse effects. While the locations of acupuncture points have long been established, slight and specific modifications in point locations, as well as needling angles and depths in each individual case, can increase the effectiveness of acupuncture treatment for some types of headaches. Two typical "cases," which are composites of several similar cases, are discussed. One case is a 31-year-old Caucasian woman with persistent headaches for 8 months and the other case is a 52-year-old Caucasian woman with frequent headaches for years. In both cases, usual care provided only temporary relief; acupuncture treatment was more effective. The patients' headaches went away-as they usually do for months or even years after only several treatments, provided that the acupuncture practitioner finds the points to stimulate that can reproduce each individual patient's exact symptoms of his or her headache. In treatment of headaches, the effectiveness of acupuncture can be increased if the acupuncture practitioner identifies, or modifies, the point selection and/or location to identify active points. As the acupuncture practitioner examines the active points, he or she can monitor the treatment's progress by palpating the points while observing and communicating with the patient about whether or not the headache is being reproduced.

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“…Elicitation of an LTR has classically been required for effective muscle activation [51]. Recent work disputes that an LTR is necessary, but acknowledges more research is required [67]. Decreased spontaneous electrical activity and acetylcholine levels are seen at active myofascial trigger points after dry needling in rats [68].…”

Section: Muscle Activationmentioning

confidence: 99%

myoActivation: A Structured Process for Chronic Pain Resolution

Lauder¹,

West²,

Siren³

2019

From Conventional to Innovative Approaches for Pain Treatment

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Chronic pain is a significant burden in all societies. The myofascial origins of chronic pain are often unrecognized but play a major role in chronic pain generation. Myofascial release has been shown to be effective and can augment the limited number of therapeutic tools available to manage chronic pain. However, there is no standardized approach that allows for comparative analysis of this technique. myoActivation ® is a unique therapeutic system, which targets active myofascial trigger points, fascia in tension, and scars in patients with chronic pain. Targets for intervention are determined through obtaining a history of lifetime trauma and a structured, reproducible posture, and movement assessment. Catenated cycles of movement tests, palpation, and needling are used to achieve the goal of pain resolution through restoration of soft tissue integrity. This chapter describes the distinctive features of myoActivation from the important key elements of the patient's clinical history, through to the aftercare instructions. Relevant evidence for each component will be presented. Case studies will be used to illustrate some important concepts and the effectiveness of myoActivation. This chapter is relevant to all clinicians that manage people living with chronic pain.

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The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?

Cited by 74 publications

References 125 publications

Effectiveness of Bupivacaine Trigger Points Injections in the Treatment of Myofascial Pain Syndrome

Effectiveness of Bupivacaine Trigger Points Injections in the Treatment of Myofascial Pain Syndrome

Acupuncture for Headache: Possible Clinical Improvements—Analysis of Two Typical Case Reports

myoActivation: A Structured Process for Chronic Pain Resolution

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