A paper titled, Effects of Dry Needling on Spinal Mobility and Trigger Points in Patients with Fibromyalgia Syndrome (FMS), published in Pain Physician, 2017;20(2):37-52 concluded the following:
1. This study has demonstrated that dry needling therapy reduces myofascial trigger points algometry on thoracic and lumbar muscles.
2. Dry needling and cross tape approaches reported a similar effect size for spinal mobility measures in patients with FMS.
Sixty-four patients with FMS were randomly assigned to an experimental group receiving dry needling therapy or to a control group for cross tape therapy in the MTrPs in the latissimus dorsi, iliocostalis, multifidus, and quadratus lumborum muscles.
Spinal mobility measures and MTrPs algometry were recorded at baseline and after 5 weeks of treatment.
The interesting methodology described in this paper used the Hong in/out Dry Needling or fanning method and still managed to get these positive results.
The Hong in/out or fanning method is where the needle is repeatedly withdrawn from the MTrP and reinserted to penetrate a new part of the MTrP at a different angle while maintaining the original entry point to the skin (Sola, 1981; Travel and Simons, 1983) to elicit any local twitch responses. Hereafter, the needle is kept still for a few seconds so that it could exert its analgesic effects (Hong, 1994).
It would be interesting to see if the results would have changed using a milder intensity of needling technique. There’s no mention of the needling duration so one can’t make a comment about any adjustments or modifications to the dosage given.
• Sola AE. Myofascial trigger point therapy. Aug Resid Staff Physician 1981:38e45.
• Travel JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual, vol. 1. USA: Williams and Wilkins; 1983. p. 713. ISBN O-683-08366-X.
• Hong CZ. Lidocaine injection versus dry needling to myofascial trigger points: the importance of the local twitch response. Am J Phys Med Rehabil 1994;73(4): 256e63.
• Simons DG, Travell J, Simons LS. Travell & Simons’ myofascial pain and dysfunction. upper half of body Baltimore. Williams& Wilkins; 1999a. Simons DG, Travell J, Simons LS. Myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore: Williams and Wilkins; 1999b.