Posts tagged dry needling
Addition of Dry Needling Improves Effectiveness of Physical Therapy Treatments for Heel Pain
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Plantar fasciitis is the most common cause of plantar heel pain and is estimated to affect 10% of the general population through their lifetime. Proper nomenclature of the pathology is dependent on the tissue involved and how long the symptoms have been in existence. “Fasciitis” suggests an acute inflammatory response, where “fasciosis” illustrates a chronic degenerative response without inflammation. Both terms describe impairments to the insertion of the plantar fascia and/or toe flexors as they attach to the medial heel. Both pathologies are also categorized by increased pain on the inside/plantar aspect of the heel, namely during the “first steps” in the morning or increased weight bearing activities throughout the day.

Manual therapy with exercise has proven to be the best course of action to manage pain and dysfunction of plantar fasciitis, however a recent study investigated the benefit of Electrical Dry Needling (EDN) as an adjunct treatment (Dunning et al. PLOSone, 2018). The study divided 111 participants into 2 groups (standard treatment without EDN vs. standard treatment with EDN). Both groups received up to 8 treatments in a 4-week period. The authors concluded the EDN group’s pain and disability improved significantly at 3 months after treatment compared to treatment without EDN.

To learn more about how Electrical Dry Needling can decrease pain and improve function, contact your local, trusted Physical Therapist.

Addition of dry needling improves the effectiveness of Physical Therapy treatments for knee arthritis
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Knee arthritis is one of the leading causes of disability and reduced activity in the United States.  Physical Therapy interventions, including manual therapy and exercise, remain the foundation of conservative care for this diagnosis.  When combined, manual therapy and exercise, have been shown to reduce pain, stiffness, weakness, and disability in patients with knee arthritis.  These interventions are superior to exercise alone, a wait and see approach, or usual care management.  Recently, dry needling, as well as, dry needling with electrical stimulation have been utilized clinicailly in the treatment of knee arthritis.  Authors report improved circulation, joint lubrication, and levels of inflammation following dry needling with electrical stimulation.  

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  A recent research article in the Clinical Journal of Pain randomized 242 patients with knee arthritis to one of two groups, manual therapy and exercise or manual therapy and exercise combined with dry needling and electrical stimulation.  Participants completed similar manual therapy and exercise programs and were seen 1-2 times per week over a 6 week period.  Authors reported significantly better pain and disability scores at 6 weeks and 3 months in the participants who also received dry needling.  In addition, participants receiving dry needling were almost twice as likely to have stopped their pain medication use.  As expected, a higher percentage of participants in the dry needling group reported a significant improvement in perceived recovery.  

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Calf Dry Needling Improves Overhead Squat Depth
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Dry needling is a commonly utilized Physical Therapy intervention which targets taught, tender bands of muscle tissue.  This effective treatment has been previously shown to reduce muscle pain and improve muscle performance and function.  In our Boulder Physical Therapy clinic we commonly see an immediate improvement in muscle length and mobility following the dry needling intervention.  A recent study examined the effectiveness of dry needling on functional movement.  

Lake and colleagues enrolled 30 healthy males into their study published in the International Journal of Sports Physical Therapy (2018).  Participants were then randomized to one of three groups: calf dry needling, stretching, or dry needling and stretching.  Each participant performed a series of lower quarter functional movements both before and after the treatment, as well as, 4 days post treatment.  Authors reported a significant increase in overhead squat depth following dry needling of the calf musculature.  This effect is likely secondary to improved ankle bend or dorsiflexion allowing each participant to squat deeper on reassessment.  No significant differences were noted in the Y balance functional testing.

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Including Dry Needling More Cost Effective Than Exercise Alone For Shoulder Pain
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Shoulder impingement is the most common cause of shoulder pain and is commonly treated with Physical Therapy interventions including upper body strengthening and manual therapy.  Dry needling is gaining traction in both clinical practice and the medical research as an effective treatment option for musculoskeletal pain.  When combined with other forms of manual therapy, including joint mobilization and manipulation, and exercise, dry needling offers patients an effective choice for their symptoms.  A recent article examined the cost effectiveness of adding dry needling treatments to exercise for patients with shoulder impingement.

Fifty patients with subacromial impingement were randomized to shoulder strengthening (twice per day x 5 weeks) or shoulder strengthening and dry needling (Arias-Buria, J. Pain Med. 2018).  Patients undergoing dry needling treatments received dry needling to the shoulder complex on their 2nd and 4th Physical Therapy sessions.  Patients in the exercise only group made more visits to their physicians and received higher amounts of outside treatments for their symptoms.  In addition, patients in this group lost more time from work and reported lower satisfaction levels than the dry needling and exercise group.  Authors concluded dry needling was a cost effective treatment for shoulder pain due to its' ability to reduce time lost from work.

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Dry Needling Improves Vertical Jump Performance
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Photo Credit: IJSPT

Dry needling is a commonly utilized Physical Therapy intervention which can effectively reduce pain, improve pain, and improved muscle performance.  Physical Therapists aim to treat trigger points or knots in the muscles thought to either cause pain or limit mobility.  In the majority of cases, dry needling leads to an immediate improvement in range of motion, pain, and performance.

A recent article examined calf dry needling effect on functional movements including the vertical jump. Bandy and colleagues examined 35 healthy adults and tested their vertical jumps before and after a dynamic vertical jump.  As expected the group receiving dry needling significantly improved their vertical jump after the dry needling treatment over the placebo group.  This study adds to the literature supporting the use of dry needling for improvement quality of movement and performance.

To learn more on how dry needling can help decrease your symptoms and improve your performance contact your local Physical Therapy clinic.

 

Dry Needling versus Steroid Injection for Hip Pain
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Dry needling is an effective Physical Therapy intervention for the treatment of muscle pain and injury.  Our previous post described a recent review article supporting its' use for the reduction of short term pain and disability in multiple body parts including the spine and hip.  Painful trigger points and muscle pain can also be treated with corticosteroid injections performed by physicians with similar intentions of short term pain relief.  A recent study compared the effects of dry needling and steroid injections for the treatment of lateral hip pain (greater trochanter pain syndrome).  

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Greater trochanter pain syndrome is a diagnostic term used to include many injuries to the outer hip including glut muscle and tendon pain, bursitis, and hip muscle tears.  Steroid injections are commonly performed in this area to reduce pain and allow an easier transition into Physical Therapy.  Brennan and colleagues in the Journal of Orthopedic and Sports Physical Therapy compared the effects of steroid injections to dry needling for patients with lateral hip pain (2017).  50 hips were randomized to one of the two treatments including either dry needling or steroid injection for up to 6 weeks based on provider choice.  The study showed similar results between groups for either dry needling or steroid injection at short and long term follow up.  The authors report dry needling is a viable treatment alternative for hip pain.

Contact your local Physical Therapist to learn more about dry needling for hip pain