Dry needling of trigger points with and without paraspinal needling in myofascial pain syndromes in elderly patients

J Altern Complement Med. Jul-Aug 2007;13(6):617-24. doi: 10.1089/acm.2006.6371.

Abstract

Objectives: To compare the efficacies of dry needling of trigger points (TrPs) with and without paraspinal needling in myofascial pain syndrome of elderly patients.

Design: Single-blinded, randomized controlled trial.

Subjects: Forty (40) subjects, between the ages of 63 and 90 with myofascial pain syndrome of the upper trapezius muscle.

Interventions: Eighteen (18) subjects were treated with dry needling of all the TrPs only and another 22 with additional paraspinal needling on days 0, 7, and 14.

Results: At 4-week follow-up the results were as follows: (1) TrP and paraspinal dry needling resulted in more continuous subjective pain reduction than TrP dry needling only; (2) TrP and paraspinal dry needling resulted in significant improvements on the geriatric depression scale but TrP dry needling only did not; (3) TrP and paraspinal dry needling resulted in improvements of all the cervical range of motions but TrP dry needling only did not in extensional cervical range of motion; and (4) no cases of gross hemorrhage were noted.

Conclusions: TrP and paraspinal dry needling is suggested to be a better method than TrP dry needling only for treating myofascial pain syndrome in elderly patients.

Publication types

  • Controlled Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acupuncture Analgesia / methods*
  • Acupuncture Points*
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myofascial Pain Syndromes / therapy*
  • Neck Pain / therapy
  • Pain Measurement / methods
  • Range of Motion, Articular
  • Single-Blind Method
  • Treatment Outcome