Dry needling is effective in reducing acute pain in patients with severe knee osteoarthritis
Background: The objectives of the study was to evaluate the efficacy of dry needling inactivation of trigger points in acute pain relief and function improvement in patients with severe knee osteoarthritis.
Methods: Thirty participants choose between dry needling or static stretching. It was analyzed the immediate effects of a single dry needling intervention, compared to a control group that received static stretching. Outcomes of the study was timed up and go test; visual analogue scale and brief pain inventory.
Results: The group treated with dry needling had a better result on the visual analogue scale and on the brief pain inventory scale. There was no difference in time up and go performance in relation to the control group. The muscle group with the highest prevalence of trigger points was the thigh adductors (83.3%), despite valgus or varus frontal plane misalignment of the limb.
Conclusions: The inactivation of trigger points by dry needling in patients with acute pain due to severe osteoarthritis of the knees obtained better relief compared to static stretching of the musculature.
Cohen E, Lee YC. A Mechanism-Based Approach to the management of osteoarthritis pain. Curr Osteoporos Rep. 2015;13(6):399-406.
Arendt-Nielsen L. Pain sensitisation in osteoarthritis. Clin Exp Rheumatol. 2017;35Suppl 107(5):68-74.
Dor A, Kalichman L. A myofascial component of pain in knee osteoarthritis J Bodyw Mov Ther. 2017;21(3):642-7.
Shah JP, Thaker N, Heimur J, Aredo JV, Sikdar S, Gerber L. Myofascial trigger points then and now: a historical and scientific perspective. PM R. 2015;7(7):746-61.
Henry R, Cahill CM, Wood G, Hroch J, Wilson R, Cupido T, et al. Myofascial pain in patients waitlisted for total knee arthroplasty. Pain Res Manag. 2012;17(5):321-7.
Travell JG, Simons DG. Myofascial Pain and Dysfunction. The Trigger Point Manual. Volume I. The Lower Extremities. Baltimore, Williams & Wilkins. 1999.
Duarte VS, Santos ML, Rodrigues KA, Ramires JB, Arêas GPT, Borges GF. Exercises and osteoarthrosis: a systematic review. Fisioter Mov. 2013;26(1):193-202.
Cortés RN, Montecinos CC, Rosel AV, Molina OP, Vargas AC. Dry Needling combined with physical therapy in patients with chronic postsurgical pain following total knee arthroplasty: a case series. JOSPT. 2018;47(3):209-16.
Rosário JLP, Sousa A, Cabral CMN, João SMA, Marques AP. Global posture reeducation and static muscle stretching on improving flexibility, muscle strength, and range of motion: a comparative study. Fisioter Pesqui. 2008;15(1):12-8.
Lee JS, Hobden E, Stiell IG, Wells GA. Clinically important change in the visual analog scale after adequate pain control. Acad Emerg Med. 2003;10(10):1128-30.
Ferreira KA, Teixeira MJ, Mendonza TR, Cleeland CS. Validation of brief pain inventory to Brazilian patients with pain. Support Care Cancer. 2011;19(4):505-11.
Fernandes MI. Translation and validation of the specific quality of life questionnaire for osteoarthritis WOMAC (Western Ontario McMaster Universities) for portuguese language. São Paulo. Dissertation [Master in Science] - Universidade Federal de São Paulo, 2003.
Cabral ALL. Tradução e validação do Teste Timed up and Go e sua correlação com diferentes alturas da cadeira. Brasília. Dissertation [Master in Science] - Universidade Católica de Brasília, 2011.
Itoh K, Hirota S, Katsumi Y, Ochi H, Kitakoji H. Trigger point acupuncture for treatment of knee osteoarthritis - a preliminary RCT for a pragmatic trial. Acupuncture Med. 2008;26(1):17-26.
Sánchez-Romero EA, Pecos-Martín D, Calvo-Lobo C, Ochoa-Sáez V, Burgos-Caballero V, Fernández-Carnero J. Effects of dry needling in an exercise program for older adults with knee osteoarthritis: A pilot clinical trial. Medicine. 2018;97(26):e11255.
Mayoral O, Salvat I, Martín MT, Martín S, Santiago J, Cotarelo J, et al. 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;8:694941.
Bajaj P, Graven-niel, T, Arendt-niel, Trigger points in patients with lower limb osteoarthritis. J Musculoskelet Pain. 2001;9(3):17-33.
Alburquerque-García A, Rodrigues-de-souza DP, Fernandez-de-las-peñas C,,Alburquerque-Sendín F. Association between muscle trigger points, ongoing pain, function, and sleep quality in elderly women with bilateral painful knee osteoarthritis. J Manipulat Physiol Therapeut. 2015;38(4):262-8.
Sánchez-Romero EA, Pecos-Martín D, Calvo-Lobo C, García-Jiménez D, Ochoa-Sáez V, Burgos-Caballero V, et al. Clinical features and myofascial pain syndrome in older adults with knee osteoarthritis by sex and age distribution: A cross-sectional study. Knee. 2019;26(1):165-73.
Ogaya S, Kubota R, Chujo Y, Hirooka E, Kwang-Ho K, Hase K. Muscle contributions to knee extension in the early stance phase in patients with knee osteoarthritis. Gait Posture. 2017;58:88-93.
Cerejo R, Dunlop DD, Cahue S, Channin D, Song J, Sharma L. The influence of alignment on risk of knee osteoarthritis progression according to baseline stage of disease. Arthritis Rheum. 2002;46:2632-36.