scholarly journals Dry Needling and Management of Trigger Points with Low Back Pain: An Evidence to Practice Review

2021 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Trigger Points ◽  
Low Back ◽  
Dry Needling ◽  
Practice Review

scholarly journals Electrical Dry Needling Versus Conventional Physiotherapy in the Treatment of Active and Latent Myofascial Trigger Points in Patients With Nonspecific Chronic Low Back Pain

2021 ◽  
Author(s):  
Inmaculada C. Lara-Palomo ◽  
Esther Gil-Martínez ◽  
Eduardo Antequera-Soler ◽  
Adelaida María Castro-Sánchez ◽  
Manuel Fernández-Sánchez ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Trigger Points ◽  
Low Back ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Conventional Physiotherapy ◽  
The University

Abstract Background: Chronic low back pain is considered to be one of the main causes of absenteeism from work and primary and specialized consultations. The symptoms of non-specific chronic low back pain may be accompanied by the activation of myofascial trigger points in the muscles, together with local and/or referred pain. Electrical dry needling is increasingly used in the treatment of lumbar myofascial pain. Conventional physiotherapy, however, is a popular approach to chronic pathologies, and there is evidence of different modalities of physiotherapy being used in the treatment of chronic low back pain. The aim of this study has been to determine the effectiveness of electrical dry needling versus conventional physiotherapy when applied to active and latent myofascial trigger points in patients with nonspecific chronic low back pain. Methods and Analysis. This is a controlled, randomized, two-arm, double-blind study. A total of 92 patients with chronic low back pain (time to onset ≥ 3 months, Roland Morris Disability Questionnaire score ≥ 4) will be recruited from the University of Almería. Participants will be divided into two study groups (n = 40, respectively) to receive treatment of low back pain with electrical dry needling and conventional physiotherapy (ischaemic compression, analytic stretching and postural education training dossier). A total of 3 sessions will be administered once a week for 3 weeks. Pain intensity, disability, fear of movement, quality of life, quality of sleep, anxiety and depression, pressure pain threshold, abdominal strength, and lumbar mobility will be recorded at 3 weeks (post-immediate) and 2 months after the end of treatment.Ethics and dissemination. Ethics and Research Committee of the University of Almería (UALBIO2020/044). The results of the study will made available to researchers, clinicians and health professionals through publications in international journals and presentations in conferences.Trial registration number: NCT04804228. Recruiting

scholarly journals Dry Needling and Management of Trigger Points with Low Back Pain: An Evidence to Practice Review

2021 ◽  
Vol 4 (2) ◽  
pp. 21-25
Author(s):  
Matthew Drescher ◽  
Matthew Rivera ◽  
Lindsey Eberman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Meta Analysis ◽  
Trigger Points ◽  
The Body ◽  
Health Concern ◽  
Low Back ◽  
Dry Needling ◽  
Myofascial Trigger Points

Low back pain is a common health concern. The development of myofascial trigger points due to low back pain can cause debilitating pain and loss of functional movement in patients. Dry needling is a minimally invasive procedure that has shown to be useful in the treatment of myofascial trigger points when used with other forms of treatment. However, the literature surrounding dry needling and myofascial trigger points in patients with low back pain is lacking. The guiding systematic review and meta-analysis sought to analyze the effectiveness of dry needling for patients with low back pain. The review utilized eight databases for randomized controlled trials and selected 11 of 784 articles for analysis based on inclusion and exclusion criteria. A 6-subgroup meta-analysis was conducted on these studies, and 6 of the 11 studies were found to have high risk of bias. The included studies used both pain measurements and functional measurements including the visual analogue scale (VAS), Oswestry Disability Index (ODI), and the Roland-Morris Disability Questionnaire (RDQ). The studies did not include objective functional measurements. Overall researchers found a clinically meaningful decrease in outcome scores in the short-term, but there were no significant differences in pain or functional outcomes through long-term follow-up. This seems to correlate with the current literature on dry needling and its inflammatory effects on the body, suggesting that dry needling alone does not provide any long-term effect on myofascial trigger points in patients with low back pain. Dry needling should be combined with other treatments and high-quality rehabilitation to provide longer-lasting results and better treatment outcomes for patients with low back pain.

scholarly journals The Automatization of a New Thermography Method Using Invasive Nociceptive Stimulation to Confirm an Autonomic Phenomenon within a Trigger Point Referred Pain Zone

2021 ◽  
Vol 11 (7) ◽  
pp. 893
Author(s):  
Elżbieta Skorupska ◽  
Tomasz Dybek ◽  
Michał Rychlik ◽  
Marta Jokiel ◽  
Paweł Dobrakowski
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Trigger Point ◽  
Invasive Procedure ◽  
Trigger Points ◽  
International Classification Of Diseases ◽  
Referred Pain ◽  
Low Back ◽  
Classification Of Diseases ◽  
Software Utility

The trigger points (TrPs) related to chronic low back pain that mimic sciatica have been lately recognized and included in the International Classification of Diseases, 11th Revision. This study examined the MATLAB software utility for the objective stratification of low back pain patients using the Minimally Invasive Procedure (MIP). The two diagnostic MIP parameters were: average temperature (ΔTavr) and autonomic referred pain (AURP). Chronic sciatica patients with TrPs (n = 20) and without TrPs (n = 20) were examined using the MIP. A significant increase in both parameters was confirmed for the thigh ROI of the TrP-positive patients, with ΔTavr being the leading parameter (p = 0.016, Exp(β) = 2.603). A continued significance of both parameters was confirmed from 6′00″ to 15′30″ (p < 0.05). The maximum AURP value was confirmed at 13′30″ (p < 0.05) (TrPs(+) 20.4 ± 19.9% vs. TrPs(-) 3.77 ± 9.14%; p = 0.000; CI (0.347,0.348)).

scholarly journals Acute and Short-Term Effects of Dry Needling in Patients with Chronic Nonspecific Low Back Pain and Hamstring Tightness: A Pilot Study

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mahnaz Bazzaz-Yamchi ◽  
Soofia Naghdi ◽  
Amin Nakhostin-Ansari ◽  
Monavar Hadizadeh ◽  
Noureddin Nakhostin Ansari ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pilot Study ◽  
Study Design ◽  
Effect Sizes ◽  
Medium Effect ◽  
Low Back ◽  
Dry Needling ◽  
Short Term ◽  
Short Term Effects

Background. Chronic nonspecific low back pain (LBP) is one of the common health issues. Hamstring tightness contributes to the development of LBP. This study aimed to investigate the acute and short-term effects of deep dry needling (DN) in patients with chronic nonspecific LBP and hamstring muscle tightness. Methods. A single-group pretest-posttest clinical study design was followed. The outcome measures were the visual analog scale (VAS), passive knee extension (PKE) test, finger-floor distance (FFD) test, and functional rating index (FRI). Patients underwent one session of deep DN of three points on both hamstring muscles, each point for one minute. Patients were assessed before (T0), immediately after (T1), and one week after DN (T2). The FRI was assessed at T0 and T2. Results. Ten women with a mean age of 21.1 years (SD = 1.6) participated in the study. Significant large effect sizes in VAS pain reduction (d = 1.25) and PKE hamstring tightness were obtained (hamstring: right, d = 0.82; left, d = 0.88) at T2. Medium effect sizes were obtained for FFD (d = 0.45) and FRI (d = 0.72) at T2. Conclusion. A single session of deep DN improved pain and function and increased hamstring flexibility. This pilot study supports the use of DN in patients with LBP and hamstring tightness; however, future research with a rigorous study design of randomized controlled trial is required to confirm the findings. This trial is registered with IRCT20180511039612N1.

Lumbar erector spinae plane block associated with dry needling could be a winning strategy in the management of low back pain

2020 ◽  
Vol 61 ◽  
pp. 109686
Author(s):  
Pierfrancesco Fusco ◽  
Stefano Di Carlo ◽  
Roberta Chiavari ◽  
Valeria De Paolis ◽  
Emilio Tonelli ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Winning Strategy ◽  
Erector Spinae ◽  
Low Back ◽  
Dry Needling ◽  
Erector Spinae Plane Block
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