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

in International Journal of Athletic Therapy and Training
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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.

Jack is with Houston Methodist, Houston, TX, USA. Tierney, Mansell, and Russ are with Temple University, Philadelphia, PA, USA.

Jack (melissalynnjack@gmail.com) is corresponding author.
  • 1.

    Dunning J, Butts S, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev. 2014;19(4):252265. PubMed ID: 25143704 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol. 1, 1st ed. Philadelphia, PA: Williams & Wilkins; 1983.

    • Search Google Scholar
    • Export Citation
  • 3.

    Gattie E, Cleland JA, Snodgrass S. The effectiveness of trigger point dry needling for musculoskeletal conditions by physical therapist: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2017;47(3):133149. PubMed ID: 28158962 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Dommerholt J. Dry needling- peripheral and central considerations. J Man Manip Ther. 2011;19(4):223227. PubMed ID: 23115475 doi:

  • 5.

    Shah JP, Danoff JV, Desai MJ, Parkh S, Nakamura LY, Phillips TM, Gerber LH. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89(1):1623. PubMed ID: 18164325 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    The APTA Public Policy, Practice, and Professional Affairs Unit. Description of Dry Needling in Clinical Practice: An Educational Resource Paper. Alexandria, VA: American Physical Therapy Association; 2013:17.

    • Search Google Scholar
    • Export Citation
  • 7.

    Dommerholt J, Mayoral Del Moral O, Gobli C. Trigger point dry needling. J Man Manip Ther. 2006;14(4):70E87E. doi:

  • 8.

    Diracoglu D, Vural M, Karan A, Aksoy C. Effectiveness of dry needling for the treatment of temporomandibular myofascial pain: a double-blind, randomized, placebo-controlled study. J Back Musculoskelet Rehabil. 2012;25(4):285290. PubMed ID: 23220812 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Tekin L, Akarsu S, Durmus O, Cakar E, Dincer U, Kiralp MZ. The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol. 2013;32(3):309315. PubMed ID: 23138883 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Mayoral O, Salvat I, Martin MT, Martin S, Santiago J, Cotarelo J, Rodriguez C. Efficacy of myofascial trigger point dry needling in the prevention of pain after total knee arthroplasty: a randomized, double-blinded, placebo-controlled trial. Evid Based Complement Alternat Med. 2013;2013: 694941. PubMed ID: 23606888 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Cotchett MP, Munteanu SE, Landorf KB. Effectiveness of trigger point dry needling for plantar heel pain: a randomized controlled trial. Phys Ther. 2014;94:10831094. PubMed ID: 24700136 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Walser RF, Meserve BB, Boucher TR. The effectiveness of thoracic spine manipulation for the management of musculoskeletal conditions: a systematic review and meta-analysis of randomized clinical trials. J Man Manip Ther. 2008;17(4):237246. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
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