Management of muscle trigger points causing subacromial pain using dry needling technique — a case report

Javed, Muhammad Asbar; Saleem, Sumayya; Raza, Muhammad Kumail Hassan

doi:10.47391/jpma.125

Cited by 4 publications

(10 citation statements)

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“…Four of the six included trials were RCTs [ 16 , 17 , 23 , 56 ]. One study reported two sessions of DNY [ 57 ], two studies three sessions of DNY [ 16 , 56 ], and lastly, three studies only one session [ 17 , 22 , 23 ]. Four studies associated DNY with other treatments (manual therapy, strengthening exercises, diacutaneous fibrolysis (DF), stretching) [ 22 , 56 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study reported two sessions of DNY [ 57 ], two studies three sessions of DNY [ 16 , 56 ], and lastly, three studies only one session [ 17 , 22 , 23 ]. Four studies associated DNY with other treatments (manual therapy, strengthening exercises, diacutaneous fibrolysis (DF), stretching) [ 22 , 56 , 57 ]. Nevertheless, all studies evaluated pain, and all outcomes were assessed at a short-term follow-up.…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, all studies evaluated pain, and all outcomes were assessed at a short-term follow-up. Four studies reported the size of the needle used [ 16 , 17 , 22 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…DNY was performed while US-guided for better targeting, using 0.30 mm × 50 mm needles. In their case study, Javed et al [ 57 ] evaluated the effect of two sessions of DNY, performed after 2 days, combined with heating packs, progressive resistance exercises and aerobic training, starting at the first session and lasting for 12 days from the last session. The outcome variables were measured at the baseline, after each treatment and after 2 weeks, using 0.25 mm × 50 mm needles.…”

Section: Resultsmentioning

confidence: 99%

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Dry Needling in Overhead Athletes with Myofascial Shoulder Pain: A Systematic Review

Demeco,

de Sire,

Salerno

et al. 2024

Sports

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The treatment of myofascial pain in athletes requires a set of rehabilitation techniques that aim to be effective quickly. In this context, dry needling (DNY) has shown interesting results due to its ability to reduce pain in the short term. Thus, the aim of this study was to investigate the role of DNY in managing myofascial shoulder pain in overhead athletes. PubMed, Scopus and Web of Science were screened up to March 2024, to identify studies that met the following inclusion criteria: overhead athletes with shoulder pain with a DNY approach for myofascial trigger points (MTrPs), RCT, case–control study, feasibility study as the study design. Exclusion criteria were studies that did not include athletes, studies that did not focus on the treatment of MTrPs with DNY, other reviews, no full-text availability and papers written in a language other than English. Out of 399 articles, 165 were excluded as duplicates. Of the 234 articles screened, only 6 articles met the inclusion criteria. A total of 6 studies were included in the systematic review. Initial results showed that DNY improved pain rapidly and in the short term; however, there is still no consensus on the minimum number and the interval between treatments. Major findings reported a rapid potential decrease in perceived pain, shoulder disability and an increase in muscle strength; in this scenario, DNY might be a valid solution in a sports rehabilitation setting.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, all studies evaluated pain, and all outcomes were assessed at a short-term follow-up. Four studies reported the size of the needle used [ 16 , 17 , 22 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Dry Needling in Overhead Athletes with Myofascial Shoulder Pain: A Systematic Review

Demeco,

de Sire,

Salerno

et al. 2024

Sports

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“…Dry Needling -Over the rhomboids, infraspinatus, and supraspinatus muscles, dry needling was used to minimize discomfort and trigger points[5].Exercises-The exercise regimen comprised finger stair exercises, posture, pectoral and trapezius stretching activities, shoulder range of motion exercises, and shoulder stretching exercises. Exercises for rotator cuff and scapular muscle strengthening were undertaken once the patient had reached an active full range of motion.…”

mentioning

confidence: 99%

Effect of Extracorporeal Shock Wave Therapy and Dry Needling in Treatment of Impingement Syndrome

Kini,

Gulrandhe

2024

Eur J Ther

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Injuries to the shoulder joint have been very common throughout society. There are several common shoulder diseases, including rotator cuff tears, osteoarthritis, shoulder impingement, bursitis, and cervical radiculopathy, which result in shoulder girdle muscle dysfunction, and struggle with everyday tasks [1]of which osteoarthritis (OA. Impingement syndrome refers to rotator cuff abnormalities that encompass all stages of tendon degeneration. Shoulder impingement syndrome (SIS) is caused by compression of the teres minor, teres minor, supraspinatus muscle, soft tissues, biceps tendon, and subacromial bursa between the coracoacromial arch and humeral head. Shoulder discomfort may result from this disorder.Additionally, several structural and functional elements that reduce the subacromial space may potentially contribute to shoulder impingement [2]. Patients with shoulder impingement syndrome have persistent pain. Patients usually report shoulder discomfort in the anterior and lateral acromion regions, and it frequently extends to the lateral aspect of the midarm. When patients lie on the afflicted side, the discomfort can also induce stiffness and weakness; pain is the worst at night [3].Numerous studies have pointed out the association between shoulder discomfort and myofascial trigger points (MTrPs). The tight bands of skeletal muscle have MTrPs, which are incredibly sensitive to pressure. These locations result in motor dysfunction as well as discomfort that can either be caused by compression or arise spontaneously. In terms of biomechanics, the scapula is critical to the function of the shoulder. The normal arthrokinematics at the glenohumeral region might get disrupted as a result of a muscle imbalance. The discomfort and dysfunction resulting from MTrPs, which may alter scapulohumeral rhythms, could lead to the onset of subacromial pain syndrome. In addition to having high levels of acetylcholine and nicotinic receptor activation, studies have demonstrated that the subscapularis tendon and joint capsule also have significant levels of inflammatory mediators. These findings support the theory of the trigger points, which is still being debated [4]. Extracorporeal shock wave treatment (ESWT), a high-pressure sound wave, is applied to address damage to soft tissues and discomfort brought on by degradation of the musculoskeletal system. This technique is 92

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A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

Blanco‐Díaz

Ruiz-Redondo

Escobio-Prieto

et al. 2022

Biology

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Our aim was to evaluate the effectiveness of dry needling (DN) combined with conventional physiotherapy in the recovery of patients with subacromial syndrome (SAS). A search was made of the main open access health science databases. The publication date was not limited for systematic reviews but was for randomized clinical trials (RCTs), which were limited to the last five years (from 2016) in English or in Spanish. Ninety-four studies were selected. In order to assess the quality of the studies, the JADAD scale or Oxford quality scoring system was used. A total of 402 patients were analyzed in all the studies in which the application of conventional physiotherapy was compared to the DN, either in a combination or in isolation. Improvements were obtained in pain intensity (Visual Analogic Scale—VAS), Range of Movement (ROM), Pressure Pain Threshold (PPT), functionality with Disabilities of the Arm, Shoulder and Hand (DASH) and the Shoulder Pain and Disability Index (SPADI), and in the cost–benefit ratio. DN is effective and safe in reducing the pain and disability produced by SAS, with the best combination of treatment turning out to be conventional physiotherapy together with DN, obtaining more stable and longer-lasting benefits than merely applying the techniques in isolation.

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Management of muscle trigger points causing subacromial pain using dry needling technique — a case report

Cited by 4 publications

References 4 publications

Dry Needling in Overhead Athletes with Myofascial Shoulder Pain: A Systematic Review

Dry Needling in Overhead Athletes with Myofascial Shoulder Pain: A Systematic Review

Effect of Extracorporeal Shock Wave Therapy and Dry Needling in Treatment of Impingement Syndrome

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

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