Dry Needling

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David M. Kietrys - One of the best experts on this subject based on the ideXlab platform.

  • Dry Needling for Management of Pain in the Upper Quarter and Craniofacial Region
    Current Pain and Headache Reports, 2014
    Co-Authors: David M. Kietrys, Kerstin M. Palombaro, Jeffrey S. Mannheimer
    Abstract:

    Dry Needling is a therapeutic intervention that has been growing in popularity. It is primarily used with patients that have pain of myofascial origin. This review provides background about Dry Needling, myofascial pain, and craniofacial pain. We summarize the evidence regarding the effectiveness of Dry Needling. For patients with upper quarter myofascial pain, a 2013 systematic review and meta-analysis of 12 randomized controlled studies reported that Dry Needling is effective in reducing pain (especially immediately after treatment) in patients with upper quarter pain. There have been fewer studies of patients with craniofacial pain and myofascial pain in other regions, but most of these studies report findings to suggest the Dry Needling may be helpful in reducing pain and improving other pain related variables such as the pain pressure threshold. More rigorous randomized controlled trials are clearly needed to more fully elucidate the effectiveness of Dry Needling.

  • effectiveness of Dry Needling for upper quarter myofascial pain a systematic review and meta analysis
    Journal of Orthopaedic & Sports Physical Therapy, 2013
    Co-Authors: David M. Kietrys, Kerstin M. Palombaro, Erica Azzaretto, Richard Hubler, Bret Schaller, Matthew J Schlussel, Mary Tucker
    Abstract:

    Study Design Systematic review and meta-analysis. Background Myofascial pain syndrome (MPS) is associated with hyperalgesic zones in muscle called myofascial trigger points. When palpated, active myofascial trigger points cause local or referred symptoms, including pain. Dry Needling involves inserting an acupuncture-like needle into a myofascial trigger point, with the goal of reducing pain and restoring range of motion. Objective To explore the evidence regarding the effectiveness of Dry Needling to reduce pain in patients with MPS of the upper quarter. Methods An electronic literature search was performed using the key word Dry Needling. Articles identified with the search were screened for the following inclusion criteria: human subjects, randomized controlled trial (RCT), Dry Needling intervention group, and MPS involving the upper quarter. The RCTs that met these criteria were assessed and scored for internal validity using the MacDermid Quality Checklist. Four separate meta-analyses were performed:...

David Connell - One of the best experts on this subject based on the ideXlab platform.

  • ultrasound guided Dry Needling and autologous blood injection for patellar tendinosis
    British Journal of Sports Medicine, 2007
    Co-Authors: S L James, Claire Robertso, Kaline Ali, Chris Pocock, Joy Walte, Jonatha Ell, David Connell
    Abstract:

    Objective: To evaluate the efficacy of ultrasound guided Dry Needling and autologous blood injection for the treatment of patellar tendinosis. Design: Prospective cohort study. Setting: Hospital/clinic based. Patients: 47 knees in 44 patients (40 men, 7 women, mean age 34.5 years, age range 17 to 54 years) with refractory tendinosis underwent sonographic examination of the patellar tendon following referral with a clinical diagnosis of patellar tendinosis (mean symptom duration 12.9 months). Interventions: Ultrasound guided Dry Needling and injection of autologous blood into the site of patellar tendinosis was performed on two occasions four weeks apart. Main outcome measures: Pre- and post-procedure Victorian Institute of Sport Assessment scores (VISA) were collected to assess patient response to treatment. Follow up ultrasound examination was done in 21 patients (22 knees). Results: Therapeutic intervention led to a significant improvement in VISA score: mean pre-procedure score = 39.8 (range 8 to 72) v mean post procedure score = 74.3 (range 29 to 100), p Conclusions: Dry Needling and autologous blood injection under ultrasound guidance shows promise as a treatment for patients with patellar tendinosis.

Mary Tucker - One of the best experts on this subject based on the ideXlab platform.

  • effectiveness of Dry Needling for upper quarter myofascial pain a systematic review and meta analysis
    Journal of Orthopaedic & Sports Physical Therapy, 2013
    Co-Authors: David M. Kietrys, Kerstin M. Palombaro, Erica Azzaretto, Richard Hubler, Bret Schaller, Matthew J Schlussel, Mary Tucker
    Abstract:

    Study Design Systematic review and meta-analysis. Background Myofascial pain syndrome (MPS) is associated with hyperalgesic zones in muscle called myofascial trigger points. When palpated, active myofascial trigger points cause local or referred symptoms, including pain. Dry Needling involves inserting an acupuncture-like needle into a myofascial trigger point, with the goal of reducing pain and restoring range of motion. Objective To explore the evidence regarding the effectiveness of Dry Needling to reduce pain in patients with MPS of the upper quarter. Methods An electronic literature search was performed using the key word Dry Needling. Articles identified with the search were screened for the following inclusion criteria: human subjects, randomized controlled trial (RCT), Dry Needling intervention group, and MPS involving the upper quarter. The RCTs that met these criteria were assessed and scored for internal validity using the MacDermid Quality Checklist. Four separate meta-analyses were performed:...

Arthur Yin Fan - One of the best experts on this subject based on the ideXlab platform.

  • Evidence and expert opinions: Dry Needling versus acupuncture (II) : The American Alliance for Professional Acupuncture Safety (AAPAS) White Paper 2016.
    Chinese journal of integrative medicine, 2017
    Co-Authors: Arthur Yin Fan
    Abstract:

    In the United States and other Western countries, Dry Needling has been a topic in academic and legal fields. This White Paper is to provide the authoritative information of Dry Needling versus acupuncture to academic scholars, healthcare professionals, administrators, policymakers, and the general public by providing the authoritative evidence and expertise regarding critical issues of Dry Needling and reaching a consensus. We conclude that Dr. Travell, Dr. Gunn, Dr. BalDry and others who have promoted Dry Needling by simply rebranding (1) acupuncture as Dry Needling and (2) acupuncture points as trigger points (Dry Needling points). Dry Needling simply using English biomedical terms (especially using "fascia" hypothesis) in replace of their equivalent Chinese medical terms. Dry Needling is an over-simplified version of acupuncture derived from traditional Chinese acupuncture except for emphasis on biomedical language when treating neuromuscularskeletal pain (Dry Needling promoters redefined it as "myofascial pain"). Trigger points belong to the category of Ashi acupuncture points in traditional Chinese acupuncture, and they are not a new discovery. By applying acupuncture points, Dry Needling is actually trigger point acupuncture, an invasive therapy (a surgical procedure) instead of manual therapy. Dr. Travell admitted to the general public that Dry Needling is acupuncture, and acupuncture professionals practice Dry Needling as acupuncture therapy and there are several criteria in acupuncture profession to locate trigger points as acupuncture points. Among acupuncture schools, Dry Needling practitioners emphasize acupuncture's local responses while other acupuncturists pay attention to the responses of both local, distal, and whole body responses. For patients' safety, Dry Needling practitioners should meet standards required for licensed acupuncturists and physicians.

  • Evidence and expert opinions: Dry Needling versus acupuncture (III) - The American Alliance for Professional Acupuncture Safety (AAPAS) White Paper 2016.
    Chinese Journal of Integrative Medicine, 2017
    Co-Authors: Arthur Yin Fan
    Abstract:

    In the United States and other Western countries, Dry Needling has been a topic in academic and legal fields. This White Paper is to provide the authoritative information of Dry Needling versus acupuncture to academic scholars, healthcare professionals, administrators, policymakers, and the general public by providing the authoritative evidence and expertise regarding critical issues of Dry Needling and reaching a consensus. We conclude that Dr. Travell, Dr. Gunn, Dr. BalDry and others who have promoted Dry Needling by simply rebranding (1) acupuncture as Dry Needling and (2) acupuncture points as trigger points (Dry Needling points). Dry Needling simply using English biomedical terms (especially using "fascia" hypothesis) in replace of their equivalent Chinese medical terms. Dry Needling is an over-simplified version of acupuncture derived from traditional Chinese acupuncture except for emphasis on biomedical language when treating neuromuscularskeletal pain (Dry Needling promoters redefined it as "myofascial pain"). Trigger points belong to the category of Ashi acupuncture points in traditional Chinese acupuncture, and they are not a new discovery. By applying acupuncture points, Dry Needling is actually trigger point acupuncture, an invasive therapy (a surgical procedure) instead of manual therapy. Dr. Travell admitted to the general public that Dry Needling is acupuncture, and acupuncture professionals practice Dry Needling as acupuncture therapy and there are several criteria in acupuncture profession to locate trigger points as acupuncture points. Among acupuncture schools, Dry Needling practitioners emphasize acupuncture's local responses while other acupuncturists pay attention to the responses of both local, distal, and whole body responses. For patients' safety, Dry Needling practitioners should meet standards required for licensed acupuncturists and physicians.

  • Discussion about the training or education for “Dry Needling practice”
    World journal of acupuncture-moxibustion, 2016
    Co-Authors: Arthur Yin Fan, Jerome Jiang, Faggert Sarah
    Abstract:

    Abstract Dry Needling is one style of acupuncture, therefore, practitioners of Dry Needling should abide by laws of the Food and Drug Administration (FDA) and acupuncture boards in the U.S. Along with following the laws of practice should be included basic acupuncture education requirements. The education or training requirements regarding regulations for practicing acupuncture among different professionals in the U.S. were investigated for this article. The facts are, in the U.S., licensed acupuncturists are required to attain a minimal of 1 905 educational or training hours via an accredited (such as the Accreditation Commission for Acupuncture and Oriental Medicine, ACAOM) school or program before they apply for a license. The physician or medical acupuncturists are required to get a minimum of 300 educational hours in a board (American Board of Medical Acupuncture, ABMA) approved acupuncture training institution and have 500 cases of clinical acupuncture treatments to get certified in medical acupuncture. Some physical therapists (PTs) receive only 20–30 hours of acupuncture training in the form of Dry Needling in weekend continuing education classes and want to be able to practice acupuncture. For the sake of public safety, they should get a formal education in an accredited acupuncture school or program.

  • Dry Needling is acupuncture
    Acupuncture in Medicine, 2015
    Co-Authors: Arthur Yin Fan
    Abstract:

    Academically, we agree with the recent Education and Practice paper by Zhou et al ,1 which states that, for the treatment of musculoskeletal disorders, Dry Needling and acupuncture overlap greatly in their origin, techniques and theories, and Dry Needling is one subcategory of Western medical acupuncture, and is thus acupuncture. As current training and clinical practice of acupuncturists involve both Traditional Chinese Medicine (TCM) and Western medicine, at least in China, where acupuncture originated, we have the following comments. The term ‘acupuncture’ is a translation of 针刺术 ( zhen ci shu in Chinese pin yin) or in short 针 ( zhen ), and is literally equivalent to the term ‘Needling’ or ‘Needling technique’. Based on the traditional and official definition, the term acupuncture refers to the actual insertion …

Kerstin M. Palombaro - One of the best experts on this subject based on the ideXlab platform.

  • Dry Needling for Management of Pain in the Upper Quarter and Craniofacial Region
    Current Pain and Headache Reports, 2014
    Co-Authors: David M. Kietrys, Kerstin M. Palombaro, Jeffrey S. Mannheimer
    Abstract:

    Dry Needling is a therapeutic intervention that has been growing in popularity. It is primarily used with patients that have pain of myofascial origin. This review provides background about Dry Needling, myofascial pain, and craniofacial pain. We summarize the evidence regarding the effectiveness of Dry Needling. For patients with upper quarter myofascial pain, a 2013 systematic review and meta-analysis of 12 randomized controlled studies reported that Dry Needling is effective in reducing pain (especially immediately after treatment) in patients with upper quarter pain. There have been fewer studies of patients with craniofacial pain and myofascial pain in other regions, but most of these studies report findings to suggest the Dry Needling may be helpful in reducing pain and improving other pain related variables such as the pain pressure threshold. More rigorous randomized controlled trials are clearly needed to more fully elucidate the effectiveness of Dry Needling.

  • effectiveness of Dry Needling for upper quarter myofascial pain a systematic review and meta analysis
    Journal of Orthopaedic & Sports Physical Therapy, 2013
    Co-Authors: David M. Kietrys, Kerstin M. Palombaro, Erica Azzaretto, Richard Hubler, Bret Schaller, Matthew J Schlussel, Mary Tucker
    Abstract:

    Study Design Systematic review and meta-analysis. Background Myofascial pain syndrome (MPS) is associated with hyperalgesic zones in muscle called myofascial trigger points. When palpated, active myofascial trigger points cause local or referred symptoms, including pain. Dry Needling involves inserting an acupuncture-like needle into a myofascial trigger point, with the goal of reducing pain and restoring range of motion. Objective To explore the evidence regarding the effectiveness of Dry Needling to reduce pain in patients with MPS of the upper quarter. Methods An electronic literature search was performed using the key word Dry Needling. Articles identified with the search were screened for the following inclusion criteria: human subjects, randomized controlled trial (RCT), Dry Needling intervention group, and MPS involving the upper quarter. The RCTs that met these criteria were assessed and scored for internal validity using the MacDermid Quality Checklist. Four separate meta-analyses were performed:...