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Dry needling (DN) is being increasingly used by physical therapists in the management of CTTH; however, to date, the supporting evidence is limited. The purpose of this case report was to describe how three sessions of DN targeting myofascial trigger points in the levator scapulae (LS) muscle and its distal enthesis was used to treat a 63\u2010year\u2010old male patient who presented with work\u2010related CTTH associated with levator scapulae syndrome (LSS). The patient was treated for five visits over the course of 2\u2009months. At discharge and 6\u2010month follow\u2010up, the patient reported full resolution of symptoms. Self\u2010report outcomes included the numeric pain rating scale and the Neck Disability Index. The use of DN to the LS muscle and its distal enthesis may be a valuable addition to a multi\u2010modal plan of care in the treatment of work\u2010related CTTH associated with LSS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8858","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:38:50Z","timestamp":1714523930000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dry needling in the management of chronic tension\u2010type headache associated with levator scapulae syndrome: A case report"],"prefix":"10.1002","volume":"12","author":[{"given":"Peter","family":"Gagnon","sequence":"first","affiliation":[{"name":"American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy  Montgomery Alabama USA"},{"name":"Physical Therapy of Boulder  Boulder Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1194-0108","authenticated-orcid":false,"given":"James","family":"Dunning","sequence":"additional","affiliation":[{"name":"American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy  Montgomery Alabama USA"},{"name":"Montgomery Osteopractic Physical Therapy &amp; Acupuncture  Montgomery Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Bliton","sequence":"additional","affiliation":[{"name":"American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy  Montgomery Alabama USA"},{"name":"William S. 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