{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:07:46Z","timestamp":1791914866695,"version":"4.3.4"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"12","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Myofascial pain syndrome (MPS) is a common source of pain in primary care or pain clinics. There are many different ways to manage and treat MPS, such as physical exercise, trigger points massage, and dry needling.<\/jats:p><jats:p>\n          Objective\u2003The objective of this overview is to highlight and discuss the evidence-based treatment of myofascial pain by dry needling in patients with low back pain.<\/jats:p><jats:p>\n          Methods\u2003A systematic review was made based on meta-analysis (MA) and randomized controlled trials (RCTs) related to dry needling treatment for myofascial pain in patients with lumbar pain, published from 2000 to 2023.<\/jats:p><jats:p>\n          Results\u2003A total of 509 records were identified at first. Seventy were published before 2000, so they were excluded. From the remaining 439 studies, ninety-two were RCTs or MA, of which 86 additional studies were excluded for the following reasons: not related to dry needling treatment (n\u2009=\u200979), not published in English (n\u2009=\u20094), duplicated (n\u2009=\u20091), project protocol (n\u2009=\u20091), and not related to myofascial pain (n\u2009=\u20091). So, this review was based on 4 RCTs and two MA. These studies compared dry needling efficacy to other treatments, such as acupuncture, sham dry needling, laser therapy, physical therapy, local anesthetic injection, ischemic compression, and neuroscience education. Despite outcomes and follow-up period varied between them, they showed that dry needling can decrease post-intervention pain intensity and pain disability.<\/jats:p><jats:p>\n          Conclusion\u2003Dry needling is an effective procedure for the treatment of myofascial pain in patients with acute and chronic low back pain. Further high-quality studies are needed to clarify the long-term outcomes.<\/jats:p>","DOI":"10.1055\/s-0043-1777731","type":"journal-article","created":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T00:05:43Z","timestamp":1703894743000},"page":"1169-1178","source":"Crossref","is-referenced-by-count":24,"title":["Treating myofascial pain with dry needling: a systematic review for the best evidence-based practices in low back pain"],"prefix":"10.1055","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4249-4179","authenticated-orcid":false,"given":"Fab\u00edola","family":"Dach","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina de Ribeir\u00e3o Preto, Ribeir\u00e3o Preto SP, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1979-9580","authenticated-orcid":false,"given":"Karen S.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Suroit Hospital, Department of Neurology, Salaberry-de-Valleyfield, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"ref1","volume-title":"Pain sciences and myofascial pain","author":"J RD Dommerholt","year":"2019"},{"issue":"09","key":"ref2","doi-asserted-by":"publisher","first-page":"2077","DOI":"10.12998\/wjcc.v9.i9.2077","article-title":"Expert consensus on the diagnosis and treatment of myofascial pain syndrome","volume":"9","author":"Q W Cao","year":"2021","journal-title":"World J Clin Cases"},{"issue":"01","key":"ref3","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1097\/j.pain.0000000000001390","article-title":"The IASP classification of chronic pain for ICD-11: chronic primary pain","volume":"160","author":"M Nicholas","year":"2019","journal-title":"Pain"},{"issue":"05","key":"ref4","doi-asserted-by":"publisher","first-page":"e1023","DOI":"10.1097\/PR9.0000000000001023","article-title":"Chronic musculoskeletal pain: traps and pitfalls in classification and management of a major global disease burden","volume":"7","author":"R D Treede","year":"2022","journal-title":"Pain Rep"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"694","DOI":"10.3390\/life13030694","article-title":"Myofascial Pain Syndrome: A Nociceptive Condition Comorbid with Neuropathic or Nociplastic Pain","volume":"13","author":"C Fern\u00e1ndez-de-las-Pe\u00f1as","year":"2023","journal-title":"Life"},{"issue":"01","key":"ref6","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1186\/s12891-018-2307-0","article-title":"Evaluation of mitochondrial function in chronic myofascial trigger points - a prospective cohort pilot study using high-resolution respirometry","volume":"19","author":"M J Fischer","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1002\/(SICI)1098-2353(1999)12:4<266::AID-CA5>3.0.CO;2-G","article-title":"Morphology and histochemistry of myogelosis","volume":"12","author":"A Windisch","year":"1999","journal-title":"Clin Anat"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1097\/PHM.0000000000001231","article-title":"Differences in the mitochondrial and lipid droplet morphology in female office workers with trapezius myalgia, compared with healthy controls: a muscle biopsy study","volume":"98","author":"K De Meulemeester","year":"2019","journal-title":"Am J Phys Med Rehabil"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1093\/pm\/pnx207","article-title":"International consensus on diagnostic criteria and clinical considerations of myofascial trigger points: A Delphi study","volume":"19","author":"C Fern\u00e1ndez-de-Las-Pe\u00f1as","year":"2018","journal-title":"Pain Med"},{"issue":"02","key":"ref10","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1016\/ j.apmr.2015.09.021","article-title":"Prevalence of myofascial trigger points in spinal disorders: a systematic review and meta-analysis","volume":"97","author":"A Chiarotto","year":"2016","journal-title":"Arch Phys Med Rehabil"},{"key":"ref11","volume-title":"The concise book of trigger points. 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