Are trigger point injections with anesthetic (wet needling) more effective than trigger point injections without anesthetic (dry needling) in treating patients with myofascial pain?

Abstract

were created that demonstrate anticipated weight loss by percentile over 72 hours (vaginal delivery) or 96 hours (cesarean delivery). Important limitations of the study included nonstandardized scales, lack of information about why formula was initiated, and the time frame that weights had been recorded may not catch the actual weight nadir for all infants.In 2003, a prospective observational cohort study of 937 term newborns .37 weeks' gestation with birth weights of $2,500 g who were breastfed (BF, n5420, 45%), formula fed (FF, n5396, 42%), or mixed fed (n5121, 13%) were followed for up to 21 days to determine maximal weight loss, timing of maximal weight loss, and time at which birth weight was regained. 2 Maximal weight loss differed significantly by feeding method at the 95th percentile for BF (-11.8%; 95% CI, 11.2-12.9) and FF (-8.4%; CI, 7.8-8.9) as well as the 97.5th percentile for BF (-12.8%; CI, 12.1-13.7) and FF (-9.5%; CI, 8.6-10.9). Weight loss nadir was 2.7 days for both groups. Median recovery of birth weight was 8.3 days for BF (as long as 18.7 days at the 95th percentile) and 6.5 days for FF (as long as 14.5 days at the 95th percentile). Authors recommended evaluation for other etiologies of weight loss if a FF infant had .10% weight loss or failed to regain birth weight by two weeks of life. Biochemical testing for dehydration was recommended for BF or FF infants with .12.5% weight loss or for failure to regain birth weight by three weeks.In 2017, the Academy of Breastfeeding Medicine (ABM) released revised evidence-based guidelines, which recommend supplemental feeding with formula to neonates only in certain situations. 3 Infant indications for supplemental formula feeding included asymptomatic hypoglycemia, significant dehydration, delayed bowel movements, and hyperbilirubinemia. Maternal indications included delayed milk production, lactation failure, breast pathology, chemotherapy, or intolerable pain. The guidelines stated that healthy BF infants may lose 8% to 10% of their birth weight and that as long as an infant urinated and stooled appropriately and the physical examination was normal, the ABM did not recommend formula supplemented feeds.

Trigger point injections and dry needling can be effective in treating long COVID syndrome-related myalgia: a case report

“…Long- and short-term efficacy varies between the two techniques [ 26 ]. However, acute pain relief tends to be greater with WN [ 27 – 29 ].…”