Check our our team’s new publication that is open access in IJSPT!
Today I had the opportunity to present to the OSU DPT students on a case that I’m passionate about. This was the 3rd year I’ve presented the case to OSU DPT. Also I’ve presented it at the OPTA annual conference, AAOMPT annual conference, and to our OSU ortho/sports PT residents and OMPT fellows in training.
The case report in question is available to read in the journal Physiotherapy Theory & Practice.
Even though I’ve presented this case report at the local, state, and national levels. I still needed to do a run thru of the lecture and tune it up a bit. I’ve always found that providing a little pressure during practice sessions helps with the performance the day of. So, I recorded my practice session for the blog to create that added pressure. It is rough to say the least, but doing this helped me knock the presentation out of the park this morning. Also, I was reminded of how crucial having an audience for a presentation is. You feed off the audience a lot as a presenter (even when it’s on Zoom). The discussions we had this morning and questions the students asked were excellent.
So, if you’re interested, here is my practice session of the presentation I gave today, on my couch in my basement: https://osu.box.com/s/105ds8b9qfby36g4r8wk29kp0w5gyzk3
If you want to save time, just download and read the case report instead 🙂
Check out our team’s latest publication in PTJ!
The current version of the manuscript is the uncorrected version. It is a must read when trying to better understand why people no show their evaluation PT appointment.
Excited to present our Academy of Orthopaedic Physical Therapy platform presentation next month at CSM.
Abstract can be found in JOSPT: https://www.jospt.org/doi/abs/10.2519/jospt.2021.51.1.CSM1
Follow all updates on Twitter @MansfieldCody
Had a great time this morning speaking with Dr. Nick Gulla on the new podcast he’s co-hosting.
Still waiting on my December JOSPT issue to be delivered to the house, but I’m excited I can view our MSK imaging article online for now.
“This case demonstrates the importance of differential reasoning by a physical therapist in a post-operative patient and timely communication to the referring surgeon.”
Favorite response online to the article so far:
Had a great time talking with Jason Ward from the Mechanical Care Forum about our work involving the Sharp Purser Test. You can read about this work in Physiotherapy Theory & Practice and Journal of Manual and Manipulative Therapy. He has featured our interview together in his new forum for members called Inside the Science MSK.
My Favorite References: Dry Needling Edition
One of my favorite presentations on dry needling that I’ve given for the Ohio Physical Therapy Association and our orthopaedic manual physical therapy fellowship is titled The Wild West of Dry Needling: Why Research Needs to Catch Up to Clinical Practice. Often times I’m asked for my references from this presentation.
Below is a curated list of my favorite dry needling articles to read.
History of Dry Needling: Of these articles my favorite is the Zhou and Brogan paper. I think it gives an excellent look at the history of dry needling and acupuncture, and has a measured view of the debate between acupuncture and dry needling. Dunning et al. and Unverzagt et al. give great perspectives as well.
- Zhou K, Ma Y, Brogan MS. Dry needling versus acupuncture: the ongoing debate. Acupuncture in Medicine. 2015 Dec;33(6):485-90.
- Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Physical therapy reviews. 2014 Aug 1;19(4):252-65.
- Unverzagt C, Berglund K, Thomas JJ. Dry needling for myofascial trigger point pain: a clinical commentary. International journal of sports physical therapy. 2015 Jun;10(3):402.
Classic Paper: After performing a systematic review on the effects of needle therapies on muscle force produciton in JOSPT, when it came to dossage of trigger point dry needling, almost every study cited this article from Hong.
- Hong CZ. Lidocaine injection versus dry needling to myofascial trigger point: the importance of the local twitch response. American journal of physical medicine & rehabilitation. 1994 Jul 1;73(4):256-63.
Safety of Dry Needling: When it comes to safety of dry needling as performed by physical therapist, this Brady et al. paper is probably the most mentioned, and classic paper to read. I’m a fan of the latest research from Boyce et al. which gives an updated perspective on adverse events with dry needling by physical therapists and does an excellent job comparing their results to the Brady et al. paper. The Hall et al. part one and part two papers are excellent in regard to practical safety considerations with dry needling, and papers I wish I would have read sooner.
- Brady S, McEvoy J, Dommerholt J, Doody C. Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists. Journal of Manual & Manipulative Therapy. 2014 Aug 1;22(3):134-40.
- Boyce D, Wempe H, Campbell C, Fuehne S, Zylstra E, Smith G, Wingard C, Jones R. Adverse events associated with therapeutic dry needling. International Journal of Sports Physical Therapy. 2020 Feb;15(1):103.
- Halle JS, Halle RJ. Pertinent dry needling considerations for minimizing adverse effects–PART ONE. International journal of sports physical therapy. 2016 Aug;11(4):651.
- Halle JS, Halle RJ. Pertinent dry needling considerations for minimizing adverse effects–part two. International journal of sports physical therapy. 2016 Oct;11(5):810.
Accuracy of Dry Needling and Safety: There needs to be more research investigating the accuracy and safety of various dry needling procedures. For our paper on the safety of dry needling to the lumbar spine we were inspired by the paucity of evidence in the scientific literature and the work from Dr. Kearns and Dr. Fernández-de-Las-Peñas.
- Kearns G, Gilbert KK, Allen B, Sizer Jr PS, Brismée JM, Pendergrass T, Lierly M, York D. Accuracy and safety of dry needle placement in the piriformis muscle in cadavers. Journal of Manual & Manipulative Therapy. 2018 Mar 15;26(2):89-96.
- Mansfield CJ, Harr M, Briggs M, Onate J, Boucher LC. Safety of dry needling to the upper lumbar spine: a pilot cadaver study. Journal of Manual & Manipulative Therapy. 2020 Mar 14;28(2):111-8.
- Ball AM, Finnegan M, Koppenhaver S, Freres W, Dommerholt J, Mayoral del Moral O, Bron C, Moore R, Ball EE, Gaffney EE. The relative risk to the femoral nerve as a function of patient positioning: potential implications for trigger point dry needling of the iliacus muscle. Journal of Manual & Manipulative Therapy. 2019 May 27;27(3):162-71.
- Fernández-de-Las-Peñas C, Layton M, Dommerholt J. Dry needling for the management of thoracic spine pain. Journal of Manual & Manipulative Therapy. 2015 Jul 1;23(3):147-53.
Effects of Dry Needling: I think both of these papers are good introductions to the effects of dry needling.
- Butts R, Dunning J, Perreault T, Mourad F, Grubb M. Peripheral and spinal mechanisms of pain and dry needling mediated analgesia: a clinical resource guide for health care professionals. Int J Phys Med Rehabil. 2016;4(2):2-18.
- Dommerholt J. Dry needling—peripheral and central considerations. Journal of Manual & Manipulative Therapy. 2011 Nov 1;19(4):223-7.
Dry Needling for Tendinopathy: AW McDevitt and PE Mintken presented an excellent talk at APTA CSM in New Orleans and packed two ball rooms wall to wall on the topic of dry needling and tendinopathy. Hands down one of the best talks I’ve seen at CSM and a great summation of the evidence.
- McDevitt AW, Snodgrass SJ, Cleland JA, Leibold MB, Krause LA, Mintken PE. Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. Physiotherapy theory and practice. 2020 Mar 3;36(3):397-407.
- Jayaseelan DJ, Moats N, Ricardo CR. Rehabilitation of proximal hamstring tendinopathy utilizing eccentric training, lumbopelvic stabilization, and trigger point dry needling: 2 case reports. journal of orthopaedic & sports physical therapy. 2014 Mar;44(3):198-205.
Systematic Reviews: There have been numerous systematic reviews on the topic of dry needling. Below are some of our favorites. Majority of the reviews assessed the effects of dry needling on pain, which is what motivated us to analyze the effects of needling therapies on muscle force production.
- Mansfield CJ, Vanetten L, Willy R, Di Stasi S, Magnussen R, Briggs M. The effects of needling therapies on muscle force production: a systematic review and meta-analysis. journal of orthopaedic & sports physical therapy. 2019 Mar;49(3):154-70.
- Kietrys DM, Palombaro KM, Azzaretto E, Hubler R, Schaller B, Schlussel JM, Tucker M. Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis. journal of orthopaedic & sports physical therapy. 2013 Sep;43(9):620-34.
- Morihisa R, Eskew J, McNamara A, Young J. Dry needling in subjects with muscular trigger points in the lower quarter: a systematic review. International journal of sports physical therapy. 2016 Feb;11(1):1.
- Gattie E, Cleland JA, Snodgrass S. The effectiveness of trigger point dry needling for musculoskeletal conditions by physical therapists: a systematic review and meta-analysis. journal of orthopaedic & sports physical therapy. 2017 Mar;47(3):133-49.
- Griswold D, Wilhelm M, Donaldson M, Learman K, Cleland J. The effectiveness of superficial versus deep dry needling or acupuncture for reducing pain and disability in individuals with spine-related painful conditions: a systematic review with meta-analysis. Journal of Manual & Manipulative Therapy. 2019 May 27;27(3):128-40.
Placebo Mechanisms: Our systematic review identified many methodological flaws in dry needling studies, however a major concern was that few studies actually controlled for the placebo effect. The study by Mayoral et al. is one of my favorite examples of a dry needling study controlling for the placebo effect and a very unique example of the participants actually being blinded to which treatment group they were in. A super rare find and worth a read. In regard to placebo mechanisms, my favorite viewpoint article from JOSPT on the topic was written by Bialosky et al. This articles scores extra points with me because they reference Indiana Jones in Raiders of the Lost Ark.
- Bialosky JE, Bishop MD, Penza CW. Placebo mechanisms of manual therapy: a sheep in wolf’s clothing?. journal of orthopaedic & sports physical therapy. 2017 May;47(5):301-4.
Mayoral O, Salvat I, Martín MT, Martín S, Santiago J, Cotarelo J, Rodríguez C. Efficacy of myofascial trigger point dry needling in the prevention of pain after total knee arthroplasty: a randomized, double-blinded, placebo-controlled trial. Evidence-Based Complementary and Alternative Medicine. 2013 Oct;2013.
Interesting Case Reports: Journal of Manual and Manipulative Therapy had a special issue on dry needling where they published a case report by Snyder. My jaw dropped when I read this case, from the first word to the last.
- Snyder DD. Acupuncture gone awry: a case report of a patient who required surgical removal of two single-use filament needles following acupuncture treatment. Journal of Manual & Manipulative Therapy. 2019 May 27;27(3):180-4.
Those are my favorites. Hope you found one to add to your own reading list.