This is part 3 in a series of blog posts where I am sharing key highlights I took away from presentations, by Professor Cesar Fernandez de Las Penas, at the recent annual Spring Conference of the BMAS.
Be sure to read the previous articles in this series:
From a clinical point of view it was noted the successive daily application of dry needling could result in excessive muscle damage based on rat studies and should be avoided. If a MTrP recurs after one session of needling where a local twitch response has been successfully elicited this would imply the cause has not been addressed. In this case treatment should be repeated making sure any perpetuating factors are addressed.
Professor de Las Penas then ran through some of the more recent research findings telling us that dry needling for myofascial shoulder pain is more effective than usual care and that dry needling MTrP of the pelvic floor muscles is one of the more clinically effective techniques for chronic prostatitis. Dry needling has also been shown to be efficacious for neck pain of myofascial origin with grade A1 evidence now available. In terms of which patients are likely to respond to dry needling, there is evidence to suggest that higher levels of pain along with sleep and psychological disorders are negative prognostic factors.