Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm.
chronic pain
dry needling
sensitization
trigger point
Journal
Journal of pain research
ISSN: 1178-7090
Titre abrégé: J Pain Res
Pays: New Zealand
ID NLM: 101540514
Informations de publication
Date de publication:
2019
2019
Historique:
received:
15
01
2019
accepted:
24
04
2019
entrez:
30
7
2019
pubmed:
30
7
2019
medline:
30
7
2019
Statut:
epublish
Résumé
Myofascial pain syndrome is a pain condition characterized by the presence of trigger points. Current evidence, mostly experimental studies, clearly supports a role of trigger points on peripheral and central sensitization since they are able to contribute to sensitization of peripheral nociceptors, spinal dorsal horn neurons, and the brainstem. Several interventions are proposed for treating trigger points, dry needling being one of the most commonly used by clinicians. There is no consensus on the clinical application of trigger point dry needling: some authors propose that local twitch responses should be elicited during the needling intervention to be effective, whereas others do not. The application of trigger point dry needling is able to reduce the excitability of the central nervous system by reducing peripheral nociception associated to the trigger point, by reducing dorsal horn neuron activity, and by modulating pain-related brainstem areas. However, the effects are mainly observed in the short-term, and effect sizes are moderateto small. Therefore, the current review proposes that the application of trigger point dry needling should be integrated into current pain neuroscience paradigm by combining its application with pain neuroscience education, graded exercise and manual therapy. Additionally, patient's expectations, beliefs, previous experiences and patient-clinician interaction should be considered when integrating trigger point dry needling into a comprehensive treatment approach.
Identifiants
pubmed: 31354339
doi: 10.2147/JPR.S154728
pii: 154728
pmc: PMC6590623
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1899-1911Déclaration de conflit d'intérêts
Dr Jo Nijs has co-authored a book for clinicians on pain neuroscience education, but the royalties for the book were collected by the Vrijie Universiteit Brussel and not him personally. Dr. Fernandez-de-las-Penas is an instructor in Trigger Point Therapy and also receive royalties from published books. The authors report no other conflicts of interest in this work.
Références
Science. 2004 Feb 20;303(5661):1162-7
pubmed: 14976306
Am J Phys Med Rehabil. 2004 May;83(5):368-74, quiz 375-7, 389
pubmed: 15100626
Curr Pain Headache Rep. 2004 Dec;8(6):468-75
pubmed: 15509461
J Appl Physiol (1985). 2005 Nov;99(5):1977-84
pubmed: 16037403
Eur J Pain. 2007 Aug;11(6):624-34
pubmed: 17174128
Pain. 2007 Dec 15;133(1-3):64-71
pubmed: 17449180
Am J Phys Med Rehabil. 2007 May;86(5):397-403
pubmed: 17449984
Clin J Pain. 2007 May;23(4):353-60
pubmed: 17449997
Clin J Pain. 2007 Jun;23(5):440-8
pubmed: 17515743
Arch Phys Med Rehabil. 2008 Jan;89(1):16-23
pubmed: 18164325
J Bodyw Mov Ther. 2008 Oct;12(4):371-384
pubmed: 19083696
Clin J Pain. 2009 Feb;25(2):132-7
pubmed: 19333159
Am J Phys Med Rehabil. 2010 Feb;89(2):133-40
pubmed: 19404189
Arch Phys Med Rehabil. 2009 Jun;90(6):905-12
pubmed: 19480864
Exp Brain Res. 2010 Apr;202(2):265-70
pubmed: 20035322
J Pain. 2010 Dec;11(12):1295-304
pubmed: 20494623
J Rehabil Med. 2010 May;42(5):463-8
pubmed: 20544158
Clin Biomech (Bristol, Avon). 2010 Oct;25(8):765-70
pubmed: 20667633
Pain. 2011 Mar;152(3 Suppl):S2-15
pubmed: 20961685
Prog Neurobiol. 2011 Jan;93(1):111-24
pubmed: 21040755
Pain. 2011 Feb;152(2):453-9
pubmed: 21238855
Spine (Phila Pa 1976). 2011 Jun;36(13):E891-3
pubmed: 21289580
Arch Phys Med Rehabil. 2011 Jul;92(7):1098-105
pubmed: 21529778
BMC Musculoskelet Disord. 2011 Jun 28;12:139
pubmed: 21711512
PM R. 2011 Oct;3(10):940-61
pubmed: 22024326
J Pain. 2011 Dec;12(12):1282-8
pubmed: 22078789
J Neurosci. 2012 Feb 22;32(8):2601-7
pubmed: 22357844
Disabil Rehabil. 2013 Jan;35(1):1-10
pubmed: 22607157
J Orthop Sports Phys Ther. 2012 Jul;42(7):634-41
pubmed: 22677576
Pain Med. 2012 Jul;13(7):957-64
pubmed: 22694218
J Pain Res. 2012;5:289-300
pubmed: 23049277
J Man Manip Ther. 2011 Nov;19(4):223-7
pubmed: 23115475
Cochrane Database Syst Rev. 2012 Nov 14;11:CD007407
pubmed: 23152245
J Manipulative Physiol Ther. 2012 Nov-Dec;35(9):685-91
pubmed: 23206963
Evid Based Complement Alternat Med. 2012;2012:342165
pubmed: 23346198
Evid Based Complement Alternat Med. 2012;2012:705327
pubmed: 23346211
J Pain. 2013 Mar;14(3):215-22
pubmed: 23395475
Evid Based Complement Alternat Med. 2013;2013:260806
pubmed: 23662122
J Orthop Sports Phys Ther. 2013 Sep;43(9):620-34
pubmed: 23756457
Curr Pain Headache Rep. 2013 Aug;17(8):348
pubmed: 23801002
Pain Med. 2013 Dec;14(12):1964-70
pubmed: 23947760
Curr Rheumatol Rep. 2014 Jan;16(1):395
pubmed: 24264721
Cephalalgia. 2014 Oct;34(12):994-1003
pubmed: 24623124
J Cardiothorac Surg. 2014 Mar 31;9:61
pubmed: 24685234
Arch Phys Med Rehabil. 2014 Oct;95(10):1925-1932.e1
pubmed: 24928191
Clin Endosc. 2014 May;47(3):258-61
pubmed: 24944991
J Bodyw Mov Ther. 2014 Jul;18(3):390-8
pubmed: 25042309
J Man Manip Ther. 2014 Aug;22(3):134-40
pubmed: 25125935
Man Ther. 2015 Apr;20(2):349-52
pubmed: 25169787
Med Acupunct. 2014 Aug 1;26(4):241-245
pubmed: 25184016
Biomed Res Int. 2014;2014:982121
pubmed: 25276839
Perm J. 2015 Winter;19(1):68-73
pubmed: 25432001
Spine J. 2015 Mar 1;15(3):e9-13
pubmed: 25459742
Arch Phys Med Rehabil. 2015 May;96(5):944-55
pubmed: 25576642
PM R. 2015 Oct;7(10):1026-1034
pubmed: 25836591
J Bodyw Mov Ther. 2015 Jul;19(3):464-72
pubmed: 26118519
J Pain. 2015 Nov;16(11):1087-94
pubmed: 26281946
Arch Phys Med Rehabil. 2016 Feb;97(2):316-37
pubmed: 26475933
Pain. 2016 Jul;157(7):1382-6
pubmed: 26835783
Int J Sports Phys Ther. 2016 Feb;11(1):1-14
pubmed: 26900495
Clin J Pain. 2017 Feb;33(2):109-115
pubmed: 27153358
Physiother Theory Pract. 2016 Jul;32(5):332-55
pubmed: 27351541
Int J Sports Phys Ther. 2016 Aug;11(4):651-62
pubmed: 27525188
Physiotherapy. 2017 Jun;103(2):131-137
pubmed: 27623385
Acupunct Med. 2017 Apr;35(2):85-92
pubmed: 27697768
J Pain. 2017 Jan;18(1):11-18
pubmed: 27720812
Int J Sports Phys Ther. 2016 Oct;11(5):810-819
pubmed: 27757293
Pain Med. 2016 Dec;17(12):2369-2377
pubmed: 28025371
Front Neuroanat. 2016 Dec 20;10:122
pubmed: 28066193
J Orthop Sports Phys Ther. 2017 Mar;47(3):133-149
pubmed: 28158962
J Bodyw Mov Ther. 2017 Jan;21(1):48-52
pubmed: 28167189
J Altern Complement Med. 2017 Nov;23(11):890-896
pubmed: 28266871
Am J Phys Med Rehabil. 2017 Oct;96(10):726-733
pubmed: 28291046
Medicine (Baltimore). 2017 Mar;96(13):e6548
pubmed: 28353618
Cochrane Database Syst Rev. 2017 Apr 24;4:CD011279
pubmed: 28436583
PM R. 2017 Dec;9(12):1208-1216
pubmed: 28483685
J Orthop Sports Phys Ther. 2017 Jun;47(6):392-401
pubmed: 28504067
Evid Based Complement Alternat Med. 2017;2017:3938191
pubmed: 28592980
J Man Manip Ther. 2017 Jul;25(3):160-168
pubmed: 28694679
J Pain Res. 2017 Aug 18;10:1933-1942
pubmed: 28860848
Pain Med. 2018 Jan 1;19(1):142-150
pubmed: 29025044
J Bodyw Mov Ther. 2017 Oct;21(4):940-947
pubmed: 29037652
Phys Ther. 2018 May 1;98(5):325-335
pubmed: 29425327
Physiotherapy. 2018 Jun;104(2):167-177
pubmed: 29439829
Pain Med. 2018 Dec 1;19(12):2336-2347
pubmed: 29481640
JAMA Neurol. 2018 Jul 1;75(7):808-817
pubmed: 29710099
PM R. 2018 Dec;10(12):1311-1320
pubmed: 29857165
Clin J Pain. 2018 Dec;34(12):1149-1158
pubmed: 29864043
Medicine (Baltimore). 2018 Jun;97(26):e11225
pubmed: 29952980
Medicine (Baltimore). 2018 Jun;97(26):e11255
pubmed: 29952993
PeerJ. 2018 Jul 31;6:e5318
pubmed: 30083458
Braz J Phys Ther. 2019 Jan - Feb;23(1):3-11
pubmed: 30146108
JBJS Case Connect. 2018 Jul-Sep;8(3):e73
pubmed: 30256243
J Bodyw Mov Ther. 2018 Oct;22(4):941-946
pubmed: 30368339
Pain Med. 2019 Feb 1;:null
pubmed: 30715456
Pain. 1979 Feb;6(1):83-90
pubmed: 424236
Am J Phys Med Rehabil. 1994 Jul-Aug;73(4):256-63
pubmed: 8043247