Dry Needling Effects Post Knee Arthroplasty

Dry Needling Course

This link is to a great new article about the positive effects of Dry Needling Therapy for patients who undergo knee arthroplasty.

The study applied a single, brief, and safe dry needling treatment applied under anaesthesia in lower limb MTrPs reduced the pain in the first month after total knee replacement surgery, when pain is highest. 

Dry needling of MTrPs in the lower limb allowed patients to reach the same degree of pain reduction in 1-month as the subjects with a natural history or placebo intervention achieved in 6-months. It significantly decreased the need for postsurgical analgesia.
This study demonstrates that dry needling is superior to placebo in controlling myofascial pain after a knee arthroplasty. The study introduced a novel placebo methodology for dry needling with a real blinding procedure, which could be utilized in similar studies with different co-morbid conditions, or in studies of myofascial pain concomitant with other surgical conditions of other joints so as to avoid the possible interference of the surgical treatment with the intervention on MTrPs.
Since a single treatment of MTrPs within the context of a knee replacement surgery has proven to be effective in pain reduction after the intervention, it could be conceivable that a more complete treatment program of MTrPs, either before or after the surgery, could be of great help to reduce pain in these patients. 
Research is needed to test this hypothesis.


Dr Wayne W Mahmoud
CPD Health Courses

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    1. says

      I recently came across your blog and have been reading along.I’m impressed. You’re truly well informed and very intelligent. You wrote something that

      people could understand and made the subject intriguing for everyone. I’m saving this for future use.
      Knee Replacement Surgeon

      • says

        Thanks for your comment re TKA.

        Dry Needling may be performed at anytime before or after TKA. It is not dependent on the time of the intervention but more so on whether the surgeon that performs the procedure is happy to allow needling.

        You might like to refer to the article Re TOA and dry needling by Orlando Mayoral in this blog

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