{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T04:28:06Z","timestamp":1783830486775,"version":"3.55.0"},"reference-count":7,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Dry needling is a widely used alternative therapy for musculoskeletal disorders, such as myofascial pain. The procedure involves placing a solid monofilament needle into myofascial trigger points or connective tissue to relieve pain. Some of the complications secondary to this procedure include cardiac tamponade, hematoma, infection, nerve injury, and pneumothorax. Although the incidence is low, the complications can be potentially life threatening. We present the case of a 44-year-old man who had dry needling of the infraspinatus, supraspinatus, rhomboid, and paraspinal muscles with subsequent development of a left apical pneumothorax. Given that the pneumothorax was small, the patient had good recovery with supplemental oxygen. Although the incidence of pneumothorax is very low, it is an important diagnosis to consider for a patient presenting with dry cough, malaise, chest pain, or shortness of breath after a dry needling procedure. Patients should be made aware of these potential complications as part of an informed consent.<\/jats:p>","DOI":"10.7556\/jaoa.2019.009","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T10:50:25Z","timestamp":1547031025000},"page":"59-62","source":"Crossref","is-referenced-by-count":11,"title":["Dry Needling\u2013Induced Pneumothorax"],"prefix":"10.1515","volume":"119","author":[{"given":"Niyati","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manali","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Poustinchian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2019,1,1]]},"reference":[{"issue":"7","key":"2022022617382921811_j_jaoa.2019.009_ref_001","doi-asserted-by":"publisher","first-page":"746","DOI":"10.1016\/j.pmrj.2015.01.024","article-title":"Myofascial trigger points then and now: a historical and scientific perspective","volume":"7","author":"Shah","year":"2015","journal-title":"PM R"},{"issue":"4","key":"2022022617382921811_j_jaoa.2019.009_ref_002","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/j.jbmt.2008.06.006","article-title":"Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome","volume":"12","author":"Shah","year":"2008","journal-title":"J Bodyw Mov Ther"},{"issue":"4","key":"2022022617382921811_j_jaoa.2019.009_ref_003","first-page":"651","article-title":"Pertinent dry needling considerations for minimizing adverse effects\u2014part one","volume":"11","author":"Halle","year":"2016","journal-title":"Int J Sports Phys Ther"},{"key":"2022022617382921811_j_jaoa.2019.009_ref_004","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/1749-8546-7-4","article-title":"Point specificity in acupuncture","volume":"7","author":"Choi","year":"2012","journal-title":"Chin Med"},{"issue":"1","key":"2022022617382921811_j_jaoa.2019.009_ref_005","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11655-016-2630-y","article-title":"Evidence and expert opinions: dry needling versus acupuncture (I): the American Alliance for Professional Acupuncture Safety (AAPAS) white paper 2016.","volume-title":"Chin J Integr Med.","volume":"23","author":"Fan","year":"2017"},{"issue":"2","key":"2022022617382921811_j_jaoa.2019.009_ref_006","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1159\/000209315","article-title":"Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form","volume":"16","author":"Witt","year":"2009","journal-title":"Forsch Komplementmed"},{"issue":"2","key":"2022022617382921811_j_jaoa.2019.009_ref_007","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1378\/chest.119.2.590","article-title":"Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement","volume":"119","author":"Baumann","year":"2001","journal-title":"Chest"}],"container-title":["Journal of Osteopathic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2019.009\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2019.009\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T17:41:01Z","timestamp":1645897261000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2019.009\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,1]]},"published-print":{"date-parts":[[2019,1,1]]}},"alternative-id":["10.7556\/jaoa.2019.009"],"URL":"https:\/\/doi.org\/10.7556\/jaoa.2019.009","relation":{},"ISSN":["2702-3648"],"issn-type":[{"value":"2702-3648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,1]]}}}