UBC Graduate Research

Myofascial pain and dry needling for the trapezius muscle Brown, Li-an Sarah

Abstract

Purpose: The purpose of this project is to first conduct an extensive review of recent literature on myofascial pain syndrome and trigger point dry needling, and the clinical evidence for the use of dry needling for myofascial pain in the trapezius muscle. Second, to write a manuscript for publication to disseminate the knowledge to nurse practitioners. Background: Musculoskeletal pain is a common complaint in the general medical clinic and can have large implications on quality of life. Myofascial pain can be difficult to diagnose and manage. Results: There are many different theories about the physiology behind myofascial pain and myofascial trigger points. These theories include peripheral and central sensitization components. Studies have shown that patients with myofascial pain have more inflammatory mediators and sensitizing substances present, and show changes in spontaneous electrical activity in end plate zones. There also are many theories on how dry needling physiologically addresses myofascial pain but no basic research has proven these theories recently that the author is aware of. Conclusion: Trigger point dry needling is a good therapeutic option for addressing and managing myofascial trigger points and myofascial pain in the trapezius muscle. Further research and replication of results is needed on this topic to strengthen the evidence supporting use of dry needling. Additionally, a clear, agreed upon, defined procedure for using needling will be needed to further study and promote it as a therapeutic option.

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Attribution-NonCommercial-NoDerivatives 4.0 International