Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis

Navarro-Santana, Marcos J; Sánchez-Infante, Jorge; Gómez-Chiguano, Guido F; Cleland, Joshua A.; López‐de‐Uralde‐Villanueva, Ibai; Fernández‐de‐las‐Peñas, César; Plaza-Manzano, Gustavo

doi:10.1177/0269215520937468

Cited by 30 publications

(20 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Once a first local twitch response is obtained, the needle is moved up and down, in and out of the trigger point to obtain more local twitch responses [10]. A recent meta-analysis has found low to moderate evidence suggesting a positive effect of dry needling for pain and disability in individuals with lateral epicondylalgia [11]. However, there is a paucity in the literature regarding specific data of needling the supinator muscle.…”

Section: Introductionmentioning

confidence: 99%

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Fernández‐de‐las‐Peñas

López-de-Celis

Rodríguez-Sanz

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

The supinator muscle is involved in two pain conditions of the forearm and wrist: lateral epicondylalgia and radial tunnel syndrome. Its close anatomical relationship with the radial nerve at the arcade of Frohse encourages research on dry needling approaches. Our aim was to determine if a solid filiform needle safely penetrates the supinator muscle during the clinical application of dry needling. Needle insertion of the supinator muscle was conducted in ten cryopreserved forearm specimens with a 30 × 0.32 mm filiform needle. With the forearm pronated, the needle was inserted perpendicular into the skin at the dorsal aspect of the forearm at a point located 4cm distal to the lateral epicondyle. The needle was advanced to a depth judged to be in the supinator muscle. Safety was assessed by measuring the distance from the needle to the surrounding neurovascular bundles of the radial nerve. Accurate needle penetration of the supinator muscle was observed in 100% of the forearms (needle penetration:16.4 ± 2.7 mm 95% CI 14.5 mm to 18.3 mm). No neurovascular bundle of the radial nerve was pierced in any of the specimen’s forearms. The distances from the tip of the needle were 7.8 ± 2.9 mm (95% CI 5.7 mm to 9.8 mm) to the deep branch of the radial nerve and 8.6 ± 4.3 mm (95% CI 5.5 mm to 11.7 mm) to the superficial branch of the radial nerve. The results from this cadaveric study support the assumption that needling of the supinator muscle can be accurately and safely conducted by an experienced clinician.

show abstract

Section: Introductionmentioning

confidence: 99%

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Fernández‐de‐las‐Peñas

López-de-Celis

Rodríguez-Sanz

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Two SRs studied the most resolutive surgery techniques for LEP [ 33 , 41 ]. One study analysed the effect of trigger-point dry needling in subjects with LEP [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the 25 SRs the symptomatology was described through the terms “tennis elbow”, “lateral epicondylitis”, “lateral elbow pain”, “lateral elbow tendinopathy”, “lateral epicondylalgia”, “epicondylosis” and “epicondilopathy” [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

Treatment, Diagnostic Criteria and Variability of Terminology for Lateral Elbow Pain: Findings from an Overview of Systematic Reviews

et al. 2022

View full text Add to dashboard Cite

Background: Lateral elbow pain (LEP) represents a musculoskeletal disorder affecting the epicondyloid region of the elbow. The terminological framework of this problem in literature, to date, is confusing. This systematic review (SR) aims to analyse the panorama of the scientific literature concerning the pathogenetic framework, treatment, and clinical diagnosis of LEP. Methods: We conducted an SR according to the guidelines of the PRISMA statement. We performed research using the electronic Medline, Epistemonikos, and Cochrane Library databases. The research started on 12 January 2022 and finished on 30 April 2022. We included all systematic reviews and meta-analyses published, in English, between 1989 and 2022. The articles’ selection was based on critical appraisal using Amstar 2. In the selected reviews we obtained the etiopathogenic terminology used to describe the symptoms, treatment, and diagnostic criteria of LEP. Results: Twenty-five SRs met the eligibility criteria and were included in the study. From these SRs, 227 RCT articles were analysed and different treatments proposals were extracted, such as exercise, manipulation corticosteroid injection, and surgery. In the selected articles, 10 different terms emerged to describe LEP and 12 different clinical tests. The most common treatments detected in this SR were a conservative multimodal approach (e.g., eccentric exercises, manual therapy, acupuncture, ultrasound), then surgery or other invasive treatments (e.g., corticosteroid injection, tenotomy). The most common term detected in this SR was “lateral epicondylitis” (n = 95, 51.6%), followed by “tennis elbow” (n = 51, 28.1%) and “lateral epicondylalgia” (n = 18, 9.4%). Among the diagnostic tests were painful palpation (n = 101, 46.8%), the Cozen test (n = 91, 42.1%), the pain-free grip-strength test (n = 41, 19.0%), and the Maudsley test (n = 48, 22.2%). A total of 43.1% of RCTs (n = 96) included subjects with LEP > 3 months, 40.2% (n = 85) included patients with LEP < 3 months, and 16.7% of the items (n = 35) were not specified by the inclusion criteria on the onset of symptoms. Conclusions: In this SR, a considerable terminological heterogeneity emerged in the description of LEP, associated with the lack of clear and recognised diagnostic criteria in evaluating and treating patients with lateral elbow pain.

show abstract

“…8 Medical treatments, physical therapy modalities, exercise approaches, and invasive interventions (dry needling, local anesthetic injection, botox) are available in the treatment options. 9 Although there is no consensus in the literature on how many sessions and intervals these treatments should be performed, the general opinion is that invasive treatment approaches should be performed as sessions at regular intervals. Dry needling (DN) treatment is an increasingly popular, microinvasive, cost-effective treatment approach with a low risk of side effects in the treatment of MTrP.…”

Section: Introductionmentioning

confidence: 99%

Does Dry Needling Treatment Make an Extra Contribution to Conventional Treatment in Hemiplegic Shoulder Pain? A Randomized Controlled Study

Bağcıer

Yurdakul

Deniz

et al. 2021

Preprint

View full text Add to dashboard Cite

Aim: To evaluate the effect of adding dry needling treatment to conventional rehabilitation on pain, range of motion, and functionality on hemiplegic shoulder pain. Methods: A total of 38 patients with hemiplegic shoulder pain were divided into two groups. A multimodal rehabilitation protocol including physical therapy methods and exercise treatments was applied to both groups (5 sessions per week for a total of 15 sessions). In addition to the rehabilitation, three sessions of dry needling treatment were applied for dry needling group. Pain with visual analog scale, range of motion with a goniometer, functionality was evaluated by quick disability of the arm, shoulder, and hand and fugl meyer assessment upper extremity. Evaluations were made before treatment, after treatment, and at the third month of treatment. Results: Patients aged from 30-60 years (mean±SD=53.1± 5.3). The average duration of HSP was 6.7±1 months. While a significant improvement was observed in both groups in all parameters after the treatment, a statistical superiority was found in the dry needling group (p<0.05). At the 3rd month follow-up, there was no difference in pain and functionality parameters between the groups, while flexion and abduction measurements were higher in the dry needling group (p <0.05). Conclusion: Adding dry needling treatment to conventional rehabilitation did not show any difference except for some joint range of motion measurements in the subacute period.

show abstract

Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis

Cited by 30 publications

References 35 publications

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Treatment, Diagnostic Criteria and Variability of Terminology for Lateral Elbow Pain: Findings from an Overview of Systematic Reviews

Does Dry Needling Treatment Make an Extra Contribution to Conventional Treatment in Hemiplegic Shoulder Pain? A Randomized Controlled Study

Contact Info

Product

Resources

About