Study comparing intratissue percutaneous electrolysis, deep dry needling and botulinum toxin for the management of temporomandibular myofascial pain

González-Pérez, L.M.; Canivell-Zabaleta, Maitena; Rodriguez-Posada, F.; Caro-Jimenez, M.J.; López-Martos, Ricardo; Infante-Cossío, Pedro; Gutiérrez-Pérez, J.L.

doi:10.1016/j.ijom.2019.03.856

Cited by 6 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After a thorough review of their titles and abstracts, nine related articles remained for further fulltext screening. The full article was then accessed and three articles were removed as two of them had no final results [24,38] and one [39] used pulsed current. Finally, a total of six articles were included in the qualitative and quantitative analysis of our review [22,23,25,[40][41][42].…”

Section: Search Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of percutaneous needle electrolysis versus dry needling in musculoskeletal pain: A systematic review and meta-analysis

Fakontis¹,

Iakovidis²,

Lytras³

et al. 2023

BMR

View full text Add to dashboard Cite

BACKGROUND: Physical therapists use dry needling (DN) and percutaneous needle electrolysis (PNE) to treat musculoskeletal pain. OBJECTIVE: To investigate the efficacy of PNE vs. DN in the treatment of musculoskeletal pain. METHODS: This systematic review and meta-analysis was based on the PICOS and PRISMA protocols. The PubMed, PEDro, Cochrane Library, SCOPUS, and Google Scholar databases were searched for randomized clinical trials measuring pain intensity in various musculoskeletal syndromes using PNE and DN. Pain outcome measures were the visual analog scale or the numerical pain rating scale. Risk of bias was assessed according to Cochrane guidelines and quality of evidence was reported using the Grading of Recommendations Assessment, Development, and Evaluation approach (GRADE). Standardized mean differences were calculated using random effects models. RESULTS: The meta-analysis of the six included studies showed that the overall effect of PNE vs. DN for pain reduction was statistically significant at -0.74 (95% confidence interval [CI], -1.34 to -0.14) with a large effect size (SMD =-0.41; 95% CI, -0.75 to -0.08), albeit clinically insignificant in the short, medium, and long term. Risk of bias was generally low with moderate-level evidence due to the overall effect heterogeneity and the small sample. CONCLUSIONS: Moderate-quality evidence showed that PNE is slightly more effective than DN in reducing pain. However, because the results were not clinically significant, we cannot recommend the application of PNE over DN. More high-quality studies comparing the two interventions are needed to draw firm conclusions.

show abstract

Section: Search Resultsmentioning

confidence: 99%

“…Several researchers have attempted to compare the effectiveness of DN and PNE in the treatment of musculoskeletal pain [20,[22][23][24][25]. However, to date there is no systematic review and meta-analysis that has compared the two techniques.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of percutaneous needle electrolysis versus dry needling in musculoskeletal pain: A systematic review and meta-analysis

Fakontis¹,

Iakovidis²,

Lytras³

et al. 2023

BMR

View full text Add to dashboard Cite

show abstract

“…The efficacy of this technique has been mainly studied in musculoskeletal disorders; in fact, a recent meta-analysis has found moderate evidence suggesting a positive effect of PE for reducing pain and related disability in these pathologies [ 8 ]. Some of the conditions that could benefit from PE treatment are patellar tendinopathy, lateral epicondylalgia, shoulder pain, whiplash syndrome, or temporomandibular pain [ 4 , 6 , 9 , 10 , 11 , 12 , 13 ]. However, which musculoskeletal pain conditions would receive the greatest benefit from this approach and the ideal dosage are questions still unanswered [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Endogenous Pain Modulation in Response to a Single Session of Percutaneous Electrolysis in Healthy Population: A Double-Blinded Randomized Clinical Trial

Varela-Rodríguez

Sánchez-Sánchez

Velasco

et al. 2022

JCM

View full text Add to dashboard Cite

The purpose of this double-blinded randomized controlled trial was to investigate whether percutaneous electrolysis (PE) is able to activate endogenous pain modulation and whether its effects are dependent on the dosage of the galvanic current. A total of 54 asymptomatic subjects aged 18–40 years were randomized into three groups, receiving a single ultrasound-guided PE intervention that consisted of a needle insertion on the lateral epicondyle tendon: sham (without electrical current), low-intensity (0.3 mA, 90 s), and high-intensity (three pulses of 3 mA, 3 s). Widespread pressure pain thresholds (PPT), conditioned pain modulation (CPM), and temporal summation (TS) were assessed in the elbow, shoulder, and leg before and immediately after the intervention. Both high and low intensity PE protocols produced an increase in PPT in the shoulder compared to sham (p = 0.031 and p = 0.027). The sham group presented a significant decrease in the CPM (p = 0.006), and this finding was prevented in PE groups (p = 0.043 and p = 0.025). In addition, high-intensity PE decreased TS respect to sham in the elbow (p = 0.047) and both PE groups reduced TS in the leg (p = 0.036 and p = 0.020) without significant differences compared to sham (p = 0.512). Consequently, a single PE intervention modulated pain processing in local and widespread areas, implying an endogenous pain modulation. The pain processing effect was independent of the dosage administrated.

show abstract

“…In fact, a recent meta-analysis has found moderate-quality evidence suggesting a positive effect of percutaneous electrolysis for improving pain and related disability in musculoskeletal pain conditions [ 7 ]. One weakness of this meta-analysis was the inclusion of heterogeneous chronic pain conditions, such as patellar tendinopathy, shoulder pain, whiplash syndrome, or temporo-mandibular pain [ 8 , 9 , 10 , 11 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Percutaneous Electrolysis on Endogenous Pain Modulation: A Randomized Controlled Trial Study Protocol

et al. 2021

View full text Add to dashboard Cite

Percutaneous electrolysis consists of the application of a galvanic electrical current throughout an acupuncture needle. It has been previously hypothesized that needling procedures’ neurophysiological effects may be related to endogenous pain modulation (EPM). This protocol study describes the design of a double-blind (participant, assessor) randomized controlled trial with the aim to investigate whether percutaneous electrolysis is able to enhance EPM and whether the effect is different between two applications depending on the dosage of the galvanic electrical current. Seventy-two asymptomatic subjects not reporting the presence of pain symptoms the previous 6 months before the study, aged 18–40 years, are randomized into one of four groups: a control group who does not receive any intervention, a needling group who receives a needling intervention without electrical current, a low-intensity percutaneous electrolysis group (0.3 mA × 90 s), and a high-intensity percutaneous electrolysis group (three bouts of 3 mA × 3 s). Needling intervention consists of ultrasound-guided insertion of the needle on the common extensor tendon of the lateral epicondyle. The primary outcome is conditioned pain modulation (CPM), and secondary outcomes include widespread pressure pain sensitivity (pressure pain thresholds (PPT) over the lateral epicondyle, the cervical spine, and the tibialis anterior muscle) and temporal summation (TS). We expected that percutaneous electrolysis would have a greater influence on CPM than an isolated needling procedure and no intervention. In addition, we also postulated that there might be differences in outcome measures depending on the intensity of the electrical current during the percutaneous electrolysis application. This study makes a new contribution to the field of neurophysiological effects of percutaneous electrolysis and needling interventions.

show abstract

Study comparing intratissue percutaneous electrolysis, deep dry needling and botulinum toxin for the management of temporomandibular myofascial pain

Cited by 6 publications

References 0 publications

Efficacy of percutaneous needle electrolysis versus dry needling in musculoskeletal pain: A systematic review and meta-analysis

Efficacy of percutaneous needle electrolysis versus dry needling in musculoskeletal pain: A systematic review and meta-analysis

Endogenous Pain Modulation in Response to a Single Session of Percutaneous Electrolysis in Healthy Population: A Double-Blinded Randomized Clinical Trial

Effects of Percutaneous Electrolysis on Endogenous Pain Modulation: A Randomized Controlled Trial Study Protocol

Contact Info

Product

Resources

About