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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 1/2020

01-02-2020 | Acupuncture | Hot Topic

Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review

Authors: Vladimir Stoychev, Aharon S. Finestone, Leonid Kalichman

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2020

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Abstract

Purpose of Review

Tendinopathy describes a combination of pain, swelling, and impaired performance of the tendon and around structures. There are various treatment options for tendinopathy with unclear efficacy. Dry needling involves inserting needles into the affected tendon, and it is thought to disrupt the chronic degenerative process and encourage localized bleeding and fibroblastic proliferation. The purpose of this review is to review the use of dry needling as a treatment modality for tendinopathy.

Recent Findings

The effectiveness of dry needling for treatment of tendinopathy has been evaluated in 3 systematic reviews, 7 randomized controlled trials, and 6 cohort studies. The following sites were studied: wrist common extensor origin, patellar tendon, rotator cuff, and tendons around the greater trochanter. There is considerable heterogeneity of the needling techniques, and the studies were inconsistent about the therapy used after the procedure. Most systematic reviews and randomized controlled trials support the effectiveness of tendon needling. There was a statistically significant improvement in the patient-reported symptoms in most studies. Some studies reported an objective improvement assessed by ultrasound. Two studies reported complications.

Summary

Current research provides initial support for the efficacy of dry needling for tendinopathy treatment. It seems that tendon needling is minimally invasive, safe, and inexpensive, carries a low risk, and represents a promising area of future research. In further high-quality studies, tendon dry needling should be used as an active intervention and compared with appropriate sham interventions. Studies that compare the different protocols of tendon dry needling are also needed.
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Metadata
Title
Dry Needling as a Treatment Modality for Tendinopathy: a Narrative Review
Authors
Vladimir Stoychev
Aharon S. Finestone
Leonid Kalichman
Publication date
01-02-2020
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2020
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-020-09608-0

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