30 Participants Needed

Dry Needling for Shoulder Pain

JB
SW
Overseen BySharon Wang-Price, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Texas Woman's University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether dry needling, a technique using thin needles, can improve blood flow and muscle strength in individuals with neck and shoulder pain. Researchers focus on how this treatment affects muscles controlled by the C5-6 spinal segments. Individuals with neck or shoulder pain, at least one tender point in specific muscles, and daily discomfort might be suitable candidates. As an unphased trial, this study offers a unique opportunity to contribute to scientific understanding and potentially find relief from persistent pain.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are taking a blood thinner.

What prior data suggests that dry needling is safe for treating shoulder pain?

Research has shown that dry needling can effectively reduce pain. For example, in one study, participants reported a significant decrease in their pain levels, with scores dropping from 6.30 to 2.40 on a pain scale. Another study found that dry needling reduced pain and increased the pressure needed to cause pain. Additionally, dry needling with electrical stimulation helped alleviate pain and disability in people with shoulder problems. These studies suggest that dry needling is generally well-tolerated and safe for treating pain, although its effects on shoulder pain specifically may vary.12345

Why are researchers excited about this trial?

Researchers are excited about dry needling for neck-shoulder pain because it offers a different approach compared to standard treatments like physical therapy and medications. Unlike these options, dry needling targets specific muscle knots, or trigger points, using thin needles to relieve pain and improve mobility. This technique is thought to directly address muscle tension and spasms, potentially offering faster relief without the systemic side effects associated with oral medications. By focusing on the multifidus muscles in the cervical spine, dry needling could provide targeted pain relief that standard treatments might not achieve.

What evidence suggests that dry needling is effective for shoulder pain?

Studies have shown that dry needling can help reduce pain and improve movement, particularly for those with neck pain. However, evidence for its effectiveness in treating shoulder pain remains less robust. In this trial, participants with neck-shoulder pain will receive dry needling to the C5-C6 multifidus of the cervical spine. Dry needling may increase blood flow to the area, potentially improving muscle function and reducing pain over time. It has been found to decrease pain and make muscles less sensitive to pressure, which might reduce pain when pressure is applied to muscles. While current research is promising, more studies are needed to confirm its benefits specifically for shoulder pain.23678

Are You a Good Fit for This Trial?

This trial is for individuals experiencing shoulder and neck pain, possibly due to hyperexcitable spinal segments. Participants should have signs like muscle weakness, brisk reflexes, or tenderness in the neck area. Those with conditions that might interfere with dry needling or who cannot commit to the study duration are likely excluded.

Inclusion Criteria

I have pain in at least one of the specified muscles near my neck or shoulder.
I experience neck or shoulder pain averaging 2 or more out of 10.

Exclusion Criteria

I have cancer.
I have had surgery on my neck before.
Currently pregnant
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 visit
1 visit (in-person)

Pre-intervention Assessment

Participants undergo assessments for blood flow, shoulder range of motion, and shoulder external rotation strength

1 visit
1 visit (in-person)

Dry Needling Intervention

Participants receive dry needling at the C5-C6 multifidus of the cervical spine

1 visit
1 visit (in-person)

Post-intervention Assessment

Participants are assessed for changes in blood flow, shoulder range of motion, number of tender points, and shoulder external rotation strength

1 visit
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after the intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Dry Needling
Trial Overview The trial tests if Dry Needling (DN) at the C5-6 spinal level can improve blood flow to muscles, increase shoulder movement and strength, and reduce pain over time. It also looks at whether DN decreases tender points in affected muscles.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Experimental: Individuals with neck-shoulder painExperimental Treatment1 Intervention

Dry Needling is already approved in United Kingdom, United States for the following indications:

🇬🇧
Approved in United Kingdom as Dry Needling for:
🇺🇸
Approved in United States as Dry Needling for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Texas Woman's University

Lead Sponsor

Trials
90
Recruited
5,900+

Published Research Related to This Trial

In a study involving 39 physiotherapists and 7629 treatments, trigger point dry needling (TrP-DN) was found to have a high incidence of mild adverse events (AEs), with 1463 reported cases, but no significant AEs occurred, indicating a very low risk of serious complications (≤ 0.04%).
Common mild AEs included bruising (7.55%) and bleeding (4.65%), but the overall safety profile suggests that TrP-DN is a safe treatment option for myofascial pain when performed by trained physiotherapists.
Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists.Brady, S., McEvoy, J., Dommerholt, J., et al.[2022]
Myofascial trigger points are linked to various systemic and psychological factors, making it essential for clinicians to thoroughly screen patients for underlying conditions before using dry needling as a treatment.
Clinicians should be aware of specific medical conditions and comorbidities that could affect the safety and efficacy of dry needling, including those that may present with similar symptoms to musculoskeletal issues.
New perspectives on dry needling following a medical model: are we screening our patients sufficiently?Kearns, G., Fernández-De-Las-Peñas, C., Brismée, JM., et al.[2020]
A single session of dry needling targeting both a latent and an active myofascial trigger point in the infraspinatus muscle significantly reduced pain intensity and increased pressure pain threshold in older adults with nonspecific shoulder pain.
The treatment showed benefits immediately and one week post-intervention, but did not result in significant improvements in grip strength, indicating its primary efficacy in pain management rather than functional strength.
Dry Needling on the Infraspinatus Latent and Active Myofascial Trigger Points in Older Adults With Nonspecific Shoulder Pain: A Randomized Clinical Trial.Calvo-Lobo, C., Pacheco-da-Costa, S., Martínez-Martínez, J., et al.[2022]

Citations

Clinical Effectiveness of Dry Needling in Patients with ...In general, there was low quality evidence suggesting a positive effect at mid- and long-term for neck pain, but not for shoulder pain (mid-term results were in ...
The Effectiveness of Trigger Point Dry Needling for ...Studies provided evidence that dry needling may decrease pain and increase pressure pain threshold when compared to control/sham or other treatment.
Effects of dry needling trigger point therapy in the shoulder ...There was very low evidence that trigger point dry needling of the shoulder region is effective for reducing pain and improving function in the short term.
Effectiveness of Dry Needling in Chronic Neck Pain.Objectives: To investigate the effect of combining real or placebo dry needling with therapeutic exercise in self-reported pain, pressure pain sensitivity, ...
Effectiveness of Dry Needling for Myofascial Trigger Points ...Low to moderate evidence suggests that dry needling can be effective for improving pain intensity and pain-related disability in individuals with neck pain ...
Dry needling has lasting analgesic effect in shoulder painResults: Dry needling led to significant larger pain intensity reduction (from 6.30 ± 2.05 to 2.40 ± 2.45 in the active group; P = 0.02, effect size = −1.3 (95 ...
The Impact of Dry Needling with Electrical Stimulation on ...Conclusions. DNES may provide clinically significant improvements in pain and disability in patients with shoulder pain. However, DNES does not provide ...
Study Details | NCT03539588 | Trigger Point Dry Needling ...The purpose of this study is to evaluate if trigger point dry needling with intramuscular electrical stimulation is more effective in decreasing pain and ...
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