Dry Needling of Muscle Motor Points for Chronic Low-Back Pain

Gunn, C. Chan; Milbrandt, W. E.; Little, Andrew S.; Mason, Katy

doi:10.1097/00007632-198005000-00011

Cited by 209 publications

(46 citation statements)

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“…It is of interest that dry needling of a skin region representing muscle motor points (22), or intracutaneous saline injection at a TrP site (23) provided significant pain relief, although sub-and intracutaneous injecting of sterile water or saline presumably at a TrP site was not useful in another study (24). The effect of dry needling versus use of various solutions at injection sites cannot be assessed from this study.…”

Section: Discussionmentioning

confidence: 93%

“…Local anesthetics produce a reversible conduction block in nerve fibers, but do not explain the prolonged duration of benefit as noted in our study. Additionally, given the fact that pain relief is achieved irrespective of the exact location of injections, e.g., TrP sites (7)(8)(9)(10)(11)(12)(13)(14)(15) or skin regions (22,23), it may be postulated that MPS is not ''caused'' by TrP, as has been suggested (29).…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Tender Point Injections Are Beneficial in Fibromyalgia Syndrome: A Descriptive, Open Study

Reddy

Yunus²,

İnanıcı

et al. 2000

Journal of Musculoskeletal Pain

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Objective: Efficacy of tender point [TeP] injections in fibromyalgia syndrome [FMS] has not been well described in the literature. The goal of our study was to determine the extent of benefit from such injections in this syndrome in the usual clinical practice setting.Methods: Tender points at most symptomatic sites of forty-one patients with FMS, 40 females and one male, were injected with a mixture

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Tender Point Injections Are Beneficial in Fibromyalgia Syndrome: A Descriptive, Open Study

Reddy

Yunus²,

İnanıcı

et al. 2000

Journal of Musculoskeletal Pain

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“…Gunn puts forward the hypothesis that since electrical stimulation of muscle abolishes denervation-hypersensitivity to acetylcholine, the response to dry needling could be due to a current of injury down the needle track. (12).…”

Section: Treating Segmental Dysfunctionmentioning

confidence: 99%

Segmental Dysfunction

Watkin¹

1999

Acupunct Med

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Spinal segmental dysfunction, although used in clinical practice by medical acupuncturists, musculoskeletal physicians, physiotherapists and osteopaths, is not a concept which is familiar to the majority of medical practitioners. The concept implies that a problem in the function of a spinal segment may cause symptoms without necessarily being caused by physical pathology. Studies of the dysfunctional spinal segment have shown that physical stress, emotional stress and visceral disease all cause a reaction at the dysfunctional segment more easily than at normal segments. In the same way that individuals may have asymptomatic latent trigger points which may later become symptomatic, so individuals may have asymptomatic dysfunction which later becomes symptomatic under the influence of appropriate stimuli. There is some evidence that the clinical features of segmental dysfunction may be mediated by the sympathetic nervous system. The detection of segmental dysfunction is a clinical skill worth developing and the properties of the dysfunctional segment are worthy of further research.

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“…The authors found that three of suggest that acupuncture may play a signifiseven patients who received the true acupunc-cant role in treating such conditions, ture never actually achieved moderate pain Loh et al conducted a study comparing the levels; and when comparing the true and efficacy of acupuncture with standard drug placebo treatments, it took a mean of 212 ver-therapy for chronic migraine and muscle tensus 65 minutes to reach moderate pain levels, sion headaches.^^ Forty-eight patients were respectively. Furthermore, six of seven in the randomly assigned to receive either acupuncacupuncture group reported little facial ture (23) or standard drug therapy (25) for 3 sweUing and did not need ice packs, whereas months. After the 3 months of therapy, all paall three in the placebo group reported facial tients were asked to switch to the other therswelling and needed ice packs, suggesting that apy.…”

Section: Human Studies Showing the Analgesic Effect Of Acupuncture Inmentioning

confidence: 99%

“…Comparing the basewidespread use is justified." line and initial follow-up periods, the pain Dowson et al conducted a placebo-con-scores were reduced by 43% and 14% for the trolled clinical trial of acupuncture.^^ Forty-"true" and "sham" groups, respectively, with eight patients were randomly assigned to re-accompanying 38% and 28% reductions in ceive acupuncture (25) or mock TENS (23). Five medication use.…”

Section: Human Studies Showing the Analgesic Effect Of Acupuncture Inmentioning

confidence: 99%

Acupuncture in the Treatment of Pain

Birch

Hammerschlag²,

Berman³

1996

The Journal of Alternative and Complementary Medicine

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D uring the several-thousand-year history of which conditions and to what extent it is efacupuncture in Asia, a major apphcation fective, this has not been easily gained. Many has been the treatment of a broad range of pain complex problems have been confronted, not conditions. The modern era of acupuncture, the least of which has been the difficulty of concomprising the past two decades, has thor-ducting controlled clinical trials of acupuncoughly documented the safety and effective-ture. While researchers have attempted to folness of acupuncture analgesia for the treatment low a double-blind, placebo-controlled model of chronic and acute pain. Extensive clinical when testing acupuncture, this approach has and laboratory research has validated its use, raised numerous problems and has left many and detailed biomedical models have been pro-questions unanswered. Two of the difficulties posed to explain its action.immediately encountered were the virtual imAfter Nixon opened China to the West in possibility of blinding the acupuncturist (simi-1971, acupuncture became very popular as an lar to the problem of blinding a surgeon when alternative therapy for the treatment of pain testing a new procedure) and the uncertainties conditions. The international medical commu-inherent in choosing control acupuncture nity was startled, if not guardedly amazed by points. Inadequate solutions to these methodthe films of surgery on awake patients who ap-ological problems have often resulted in clinipeared to receive acupuncture analgesia in cal trials of questionable quality. Thus, when place of normal pharmaceutical anesthesia, reviewing an acupuncture efficacy trial with a This amazement was rapidly channeled into a reported negative outcome, it is critical to deconcerted research effort to understand how termine the extent to which the outcome was these surgical anesthesias were possible and due to poor study design rather than to an acthence to investigate the physiological mecha-tual failure of acupuncture to ameliorate the nisms by which acupuncture relieves pain, condition (see the paper of Lewith in this issue Many theories were put forward and tested, of the journal). Despite these considerable and many clinical trials were conducted to ex-problems, results indicating the efficacy of plore these questions. During the past 20 years acupuncture as an analgesic therapy have been or so, a growing database of clinical trials has found in a significant number of studies, for a produced a clear picture of how effective broad range of pain conditions. In this article, acupuncture can be for human and veterinary we discuss the following: treatment of a variety of pain conditions. Although the evidence has been building as to • Animal studies exploring mechanisms of achow acupuncture treats pain conditions and for tion of acupuncture as an analgesic therapy;

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Dry Needling of Muscle Motor Points for Chronic Low-Back Pain

Cited by 209 publications

References 0 publications

Tender Point Injections Are Beneficial in Fibromyalgia Syndrome: A Descriptive, Open Study

Tender Point Injections Are Beneficial in Fibromyalgia Syndrome: A Descriptive, Open Study

Segmental Dysfunction

Acupuncture in the Treatment of Pain

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