Validation of the range of dry needling with the fascial winding technique in the carpal tunnel using ultrasound

Ultrasonographic Validation for Needle Placement in the Tibialis Posterior Muscle

“…Previous studies utilizing ultrasound imaging to validate needle placement have included a sample size of 10-20 individuals; therefore, this studyincluded a sample size of 20 individuals. 21,22…”

“…20 Ultrasound has been utilized in previous studies to confirm needle placement, but not of the TP muscle. [21][22][23] Therefore, given the clinical relevance of the TP muscle for normal foot and ankle function, the purpose of this study was to assess the accuracy of needle placement in the TP muscle and determine the needle placement in relation to the neurovascular structures located within the deep compartment.…”

Trigger point dry needling, manual therapy and exercise versus manual therapy and exercise for the management of Achilles tendinopathy: a feasibility study

“…In addition, there are other studies that have reported PRP injections are not effective in the management of Achilles tendinopathy. 15,156 Rompe et al investigated the effect of extracorporeal shock-wave therapy (ESWT) against eccentric exercise for Achilles tendinopathy. 76 They report a significant improvement in pain and function for ESWT alone compared to eccentric training alone.…”

“…Another studies performed either the fast in out or rotation and reported a significant treatment effect. 21,23,30,38,39,41,42,142,155,156,158 The determination for this study was to use both techniques since there was no data to suggest one was more effective than another. The data collected in this study did not include ultrasound imaging, tissue samples or analysis of blood values.…”

Needling: is there a point?

“…While most commonly DN is directed at trigger points [2], its contemporary use also targets tendons [3,4], entheses [5], periosteum [6], scar tissue [7], and fascia [8] to reduce local and referred pain, lessen spasticity [9,10], eliminate neural entrapments [11], increase range of motion [12], or normalize muscle activation patterns [13]. DN is a safe anatomy-driven procedure [14], although there are inherent risks when safety precautions are not taken into account [15][16][17][18].…”