Musculoskeletal Ultrasonography in CRPS: Assessment of Muscles Before and After Motor Function Recovery with Dry Needling as the Sole Treatment (original) (raw)
Related papers
Revista Fisioterapia Invasiva / Journal of Invasive Techniques in Physical Therapy
Presently, there is no clear consensus on the essential and confirmatory criteria which should govern the application of dry needling (DN) in the treatment of myofascial trigger points. The aim of this study was to generate a consensus on these criteria, via a panel discussion with DN experts which took place at the International Conference of Invasive Physical Therapy held in 2018, including the opinion of the attendees who participated in a live survey on the subject at the conference via an app. The results obtained reveal discrepancies regarding confirmatory criteria such as the elicitation of referred pain; nonetheless, consensus exists on the suitability of the application of individualized and personalized DN treatment and the combination of treatment with other intervention approaches in physical therapy, with the use of ultrasound when required to support a safer clinical practice.
Iranian Rehabilitation Journal, 2020
Dry Needling (DN) is a novel and effective intervention for patients with Myofascial Pain Syndrome (MPS). Some characteristics, such as needle penetration depth, needle insertion into the target muscle, and trigger points must be identified in this intervention. The Ultrasound (US)-guided DN is a technique that involves needle insertion at the site of injury and the simulation of tissue injury and inflammation under US guidance; it indicates the needle insertion site to ensure that it does not penetrate the adjacent tissues. The current study aimed to review previous studies regarding the effects of US-guided DN on MPS. Methods: A search was performed in PubMed, Scopus, Cochrane, Google Scholar, Springer, and Science Direct databases to retrieve studies published from 2010 to March 2020. We included investigations regarding the effects of US-guided DN on the treatment of MPS. The following keywords and MeSH terms were used in the search process: "ultrasound-guided, musculoskeletal ultrasonography, myofascial pain syndrome, trigger points, and dry needling." Results: A total of 47 relevant articles were retrieved. However, based on the inclusion and exclusion criteria of the review, 11 articles were finally selected. All studies reported significant pain relief following the use of US-guided DN in patients with MPS. Discussion: Considering the precise visualization of the site of muscle involvement, precise needle insertion, and reduction of the risk of further injury in US-guided DN may be a useful approach for MPS management in short-term and long-term studies.
The Effects of Ultrasound-guided Dry Needling on Patients With Myofascial Pain Syndrome
Iranian Rehabilitation Journal, 2020
Dry Needling (DN) is a novel and effective intervention for patients with Myofascial Pain Syndrome (MPS). Some characteristics, such as needle penetration depth, needle insertion into the target muscle, and trigger points must be identified in this intervention. The Ultrasound (US)-guided DN is a technique that involves needle insertion at the site of injury and the simulation of tissue injury and inflammation under US guidance; it indicates the needle insertion site to ensure that it does not penetrate the adjacent tissues. The current study aimed to review previous studies regarding the effects of US-guided DN on MPS. Methods: A search was performed in PubMed, Scopus, Cochrane, Google Scholar, Springer, and Science Direct databases to retrieve studies published from 2010 to March 2020. We included investigations regarding the effects of US-guided DN on the treatment of MPS. The following keywords and MeSH terms were used in the search process: "ultrasound-guided, musculoskeletal ultrasonography, myofascial pain syndrome, trigger points, and dry needling." Results: A total of 47 relevant articles were retrieved. However, based on the inclusion and exclusion criteria of the review, 11 articles were finally selected. All studies reported significant pain relief following the use of US-guided DN in patients with MPS. Discussion: Considering the precise visualization of the site of muscle involvement, precise needle insertion, and reduction of the risk of further injury in US-guided DN may be a useful approach for MPS management in short-term and long-term studies.
Journal of Bodywork and Movement Therapies, 2014
Dry needling (DN) has been used recently by physical therapists as a therapy of choice for patients with myofascial trigger points (TrP). The purpose of this randomized controlled trial was to investigate the effect of DN in the treatment of TrPs in the upper trapezius (UT) muscle. A sample of convenience of 33 patients with TrP in the UT muscle participated in this study. Patients were randomly assigned to a standard (N Z 17) or experimental group (N Z 16). The treatment protocol for the standard group consisted of trigger point compression technique (TCT) on MTP, while the patients in the experimental group received DN. Pain intensity and pressure pain thresholds were assessed for both groups before and after the treatment sessions. In addition, the Disability of Arm, Hand, and Shoulder (DASH) was administered. Statistical analysis (paired t-test) revealed a significant improvement in pain, PPT and DASH scores after treatment in the experimental (DN) and standard (TCT) group compared with before treatment (P < 0.05). The ANCOVA revealed significant differences between the DN and TCT groups on the post-measurement VAS score (P Z 0.01). There was, however, no
2018
Background: Few studies have compared superficial and deep dry needling techniques in treatment of trigger points in patients with Myofascial Pain Syndrome (MPS). Objectives: To compare the effects of Superficial Dry Needling (SDN) and Deep Dry Needling (DDN) on Range of Motion (ROM) and functional ability in subjects with upper trapezius MPS. Materials & Methods: This is a quasi-experimental study conducted on 50 patients with MPS of upper trapezius muscle. They were randomly divided into two groups of 25 treated with SDN and DDN. They were examined in Physiotherapy Clinic of Iran University of Medical Sciences during 2016-2017. Neck disability and cervical ROM were measured using Neck Disability Index (NDI) instrument a goniometer, respectively. The subjects were evaluated before the treatment, after the treatment, and 7-and 15-day follow-up periods. The Independent t-test and ANOVA were used to compare the two groups at different times of evaluation. Results: There was no significant difference between SDN and DDN groups in terms of age (P=0.41), weight (P=0.99), and height (P=0.51). Interaction effect between group and time on the lateral cervical ROM over the unaffected side and NDI were significant (P<0.001). The simple main effect of time and group on NDI and ROM were also significant (P<0.001). Conclusion: The changes in the ROM and NDI were observed over time when SDN and DDN techniques were used, but these changes were more significant in patients treated with DDN, especially in the follow-up periods. Keywords: Myofascial Pain Syndrome, Disability, Neck pain, Range of Motion
2019
Complex Regional Pain Syndrome (CRPS) results in multitude of impairments that limits functioning and impacts a person’s quality of life. Various multiand trans-disciplinary treatment options have been reported in the literature to maximize function and return to preinjury level. The healthcare pathways in management of people with CRPS require large facilities and ef icient organisation of professionals which are currently missing in low-resource settings in urban India. The objective of this case report is to support a potential combination of myofascial release techniques and intramuscular stimulation using dry needling to improve outcomes in an individual with CRPS in an urban tertiary care hospital. A 48-year-old man diagnosed with CRPS-I following traumatic radial head dislocation was treated with a structured plan over a period of 9 months with a combined therapy that included Myofascial Release (MFR) techniques, Ultrasound guided Dry Needling (USGDN) and conventional physiot...
Manual Therapy, Posturology & Rehabilitation Journal, 2018
Introduction: Myofascial Pain Syndrome (MPS) is a neuromuscular regional dysfunction characterized by the presence of sensitive regions in strained muscle bands (trigger points), able to cause local and referred pain, functional losses and change the quality of life (QOL) of affected people. It can be triggered by musculoskeletal injuries, postural imbalances, endocrinal factors and psych emotional disorders. The diagnostic is clinical, the intervention is multidisciplinary and the treatment may involve the use of drugs and several invasive and non-invasive techniques. Objective: Compare the effects of ischemic compression associated to physiotherapy and dry needling associated to pain control and the QOL of people with MPS. Methods: 40 subjects took part of the study. They were of both genders, aged from 20 to 60 years old, with MPS, divided into 2 groups with 20 participants each. The first group receives ischemic compression and physiotherapy and the second, dry needling and phys...
Pain Practice, 2012
Objective: To explore the potential diagnostic utility of musculoskeletal ultrasonography (USG) changes in complex regional pain syndrome type 1 (CRPS-1) of the upper extremity. Methods: With informed consent, 18 consecutive patients referred to our institution with CRPS-1 of the upper limb were examined with ultrasound scanning of both upper limbs. Qualitative comparison of the scan of the forearm muscles of the affected side with the unaffected side was made. Results: The muscles affected by CRPS-1 demonstrated increased echogenecity. The outlines of the muscles were either indistinct or completely obliterated. A group of several muscles appeared like one homogenous, hyperechoic mass, with loss of normal architecture. Compared with the unaffected side, the muscle thickness on the CRPS-1 side measured by calipers on ultrasound was reduced irrespective of the duration of disability or disuse of the hand. The flexors and extensor muscles of the forearm were maximally affected.
Dry Needling In Myofascial Pain Syndrome-A Prospective Study
IOSR Journals , 2019
Myofascial pain syndrome is a pain disorder in which unilateral pain is referred from the trigger point in myofascial structures to the muscle of head and neck. The various treatment modalities of it include medications like pain relievers, antidepressant, sedative and physical therapies include stretching, thermotherapy and ultrasound massage therapy. Dry needling is a therapeutic technique which is being widely studied as a treatment for MPS. It is also known as intramuscular manual stimulation or intramuscular needling. This technique uses a "dry" needle, one without medication or injection, inserted through the skin into areas of the muscle. The goal of dry needling is to alleviate the myofascial trigger point in the muscle, thereby restoring the muscle to its normal, tissue mobility and returning it to proper functional capacity. As the myofascial trigger points are extremely common and become a source of pain and discomfort in many patients, it is an important topic for further research into the efficacy of dry needling in treating the condition. Here we have done a study using dry needling for the treatment in a group of myofascial pain syndrome patients and the improvement in symptoms is analysed.