Management of Myofascial Trigger Point Pain

2002 ◽  
Vol 20 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Peter Baldry
Keyword(s):  
Local Anaesthetic ◽  
Trigger Point ◽  
Muscle Spasm ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Successful Management ◽  
Muscle Stretching Exercises ◽  
Muscle Stretching ◽  
Stretching Exercises

Successful management of myofascial trigger point (MTrP) pain depends on the practitioner finding all of the MTrPs from which the pain is emanating, and then deactivating them by one of several currently used methods. These include deeply applied procedures, such as an injection of a local anaesthetic into MTrPs and deep dry needling (DDN), and superficially applied ones, including an injection of saline into the skin and superficial dry needling (SDN) at MTrP sites. Reasons are given for believing that DDN should be employed in cases where there is severe muscle spasm due to an underlying radiculopathy. For all other patients SDN is the treatment of choice. Following MTrP deactivation, correction of any postural disorder likely to cause MTrP reactivation is essential, as is the need to teach the patient how to carry out appropriate muscle stretching exercises. It is also important that the practitioner excludes certain biochemical disorders.

Superficial versus Deep Dry Needling

2002 ◽  
Vol 20 (2-3) ◽  
pp. 78-81 ◽  
Author(s):  
Peter Baldry
Keyword(s):  
Trigger Point ◽  
Secondary Development ◽  
Trial And Error ◽  
Dry Needling ◽  
Painful Procedure ◽  
Nerve Roots ◽  
Withdrawal Reflex ◽  
Muscle Stretching Exercises ◽  
Muscle Stretching

Ninety percent of my patients with myofascial trigger point (MTrP) pain have this alone and are treated with superficial dry needling. Approximately 10% have concomitant MTrP pain and nerve root compression pain. These are treated with deep dry needling. Superficial Dry Needling (SDN) The activated and sensitised nociceptors of a MTrP cause it to be so exquisitely tender that firm pressure applied to it gives rise to a flexion withdrawal reflex (jump sign) and in some cases the utterance of an expletive (shout sign). The optimum strength of SDN at a MTrP site is the minimum necessary to abolish these two reactions. With respect to this patients are divided into strong, average and weak responders. The responsiveness of each individual is determined by trial and error. It is my practice to insert a needle (0.3mm × 30mm) into the tissues immediately overlying the MTrP to a depth of 5–10mm and to leave it in situ long enough for the two reactions to be abolished. For an average reactor this is about 30secs. For a weak reactor it is several minutes. And for a strong reactor the insertion of the needle and its immediate withdrawal is all that is required. Following treatment muscle stretching exercises should be carried out, and any steps taken to eliminate factors that might lead to the reactivation of the MTrPs. Deep Dry Needling (DDN) This in my practice is only used either when primary MTrP activity causes shortening of muscle sufficient enough to bring about compression of nerve roots. Or when there is nerve compression pain usually from spondylosis or disc prolapse and the secondary development of MTrP activity. Unlike SDN, DDN is a painful procedure and one which gives rise to much post-treatment soreness.

Effects of Spray and Stretch on Postneedling Soreness and Sensitivity After Dry Needling of a Latent Myofascial Trigger Point

2014 ◽  
Vol 95 (10) ◽  
pp. 1925-1932.e1 ◽  
Author(s):  
Aitor Martín-Pintado Zugasti ◽  
Ángel L. Rodríguez-Fernández ◽  
Francisco García-Muro ◽  
Almudena López-López ◽  
Orlando Mayoral ◽  
...  
Keyword(s):  
Trigger Point ◽  
Myofascial Trigger Point ◽  
Dry Needling

scholarly journals DRY NEEDLING SEBAGAI TERAPI NYERI MIOFASIAL SERVIKAL

2020 ◽  
Vol 37 (4) ◽  
Author(s):  
Hanik Badriyah Hidayat ◽  
Annisa Oktavianti
Keyword(s):  
Trigger Point ◽  
Trigger Points ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Myofascial Trigger Points

Nyeri miofasial servikal (NMS) merupakan sumber nyeri umum pada individu dengan nyeri leher kronik nonspesifik. Nyeri dapat bersifat lokal, regional dan dapat juga memiliki banyak titik pemicu nyeri (myofascial trigger points/MTrPs). NMS menyebabkan nyeri di daerah otot servikal maupun fasia di sekitarnya. Nyeri leher menurunkan kualitas hidup, menurunkan produktivitas dan menyebabkan disabilitas sehingga berpengaruh secara sosioekonomi terhadap penderita dan masyarakat.Pengobatan sindrom nyeri miofasial servikal masih belum memuaskan terkait kronisitasnya. Dry needling (DN) adalah salah satu pilihan terapi nonfarmakologi yang bisa diterapkan pada NMS. DN akan mengurangi sensitisasi perifer dan sentral dengan menghilangkan sumber nosisepsi perifer (area MTrPs), memodulasi aktifitas kornu dorsalis dan mengaktifkan jalur inhibisi nyeri sentral.Neurolog sering menangani kasus NMS dan perkembangan DN akhir-akhir ini semakin pesat sebagai manajemen nyeri. Namun, keefektifan terapi DN masih belum jelas. Oleh karena itu, pengetahuan tentang peran DN pada NMS ini penting untuk diketahui oleh para neurolog. Artikel kami akan membahas tentang peran DN pada sindrom nyeri miofasial servikal.Kata kunci: Dry needling, nyeri miofasial servikal, terapi, myofascial trigger point

Bruxism: Is There an Indication for Muscle-Stretching Exercises?

2017 ◽  
Vol 30 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Simone Gouw ◽  
Anton de Wijer ◽  
Nico Creugers ◽  
Stanimira Kalaykova
Keyword(s):  
Muscle Stretching Exercises ◽  
Muscle Stretching ◽  
Stretching Exercises

Postneedling Soreness and Tenderness After Different Dosages of Dry Needling of an Active Myofascial Trigger Point in Patients With Neck Pain: A Randomized Controlled Trial

PM&R ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1311-1320 ◽  
Author(s):  
Aitor Martín-Pintado-Zugasti ◽  
Josué Fernández-Carnero ◽  
Jose Vicente León-Hernández ◽  
Cesar Calvo-Lobo ◽  
Hector Beltran-Alacreu ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Neck Pain ◽  
Trigger Point ◽  
Controlled Trial ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Randomized Controlled

Dry Needling Versus Sham Needling for Myofascial Pain Syndrome: A Critically Appraised Topic

2020 ◽  
Vol 25 (6) ◽  
pp. 289-293
Author(s):  
Melissa Jack ◽  
Ryan Tierney ◽  
Jamie Mansell ◽  
Anne Russ
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Clinical Question ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Bottom Line

Focused Clinical Question: In patients with myofascial trigger point pain, does dry needling result in greater decreases in pain compared to sham needling? Clinical Bottom Line: The evidence supporting dry needling as more effective than sham needling in reducing patients’ pain is mixed.

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