Dry needling is an invasive procedure where a fine needle is inserted into the skin and muscle. It is aimed at myofascial trigger points which are hyperirritable spots in skeletal muscle that are associated with a hypersensitive palpable nodule in a taut band. A thin monofilament needle penetrates the skin and treats underlying muscular trigger points for the management of neuromusculoskeletal pain and movement impairments.
Dry needling treats muscle tissue, and its goal is to reduce pain, inactivate trigger points and restore function.
- Identification of myofascial trigger points in the muscle through palpation
- Deep dry needling reproduces the patient's pattern of pain
- Identification of 'Jump' and 'Shout' sign on palpation on myofascial trigger points MTrP
The minimum criteria for diagnosis of myofascial trigger points are spot tenderness in a palpable band of skeletal musle, subject recognition of pain with palpation and clinical presentation.