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Related Experiment Video

Updated: May 22, 2026

A Mechanical Construction to Enhance the Stability and Safety of Lifting and Thrusting Manipulation of Acupuncture
07:29

A Mechanical Construction to Enhance the Stability and Safety of Lifting and Thrusting Manipulation of Acupuncture

Published on: January 10, 2025

Trigger point needling: techniques and outcome.

Simon Vulfsons1, Motti Ratmansky, Leonid Kalichman

  • 1Institute of Pain Medicine, Rambam Health Care Campus and Rappaport School of Medicine, Technion, Spencer Building, 6 Ephron Street, Haifa 31096, Israel. s_vulfsons@rambam.health.gov.il

Current Pain and Headache Reports
|May 22, 2012
PubMed
Summary
This summary is machine-generated.

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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

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Dry needling effectively treats myofascial trigger points (MTrPs) by altering inflammatory mediators and activating pain control pathways. Recent advancements include noninvasive imaging and distal needling techniques for enhanced patient comfort and treatment efficacy.

Area of Science:

  • Pain Management
  • Musculoskeletal Rehabilitation
  • Neurology

Background:

  • Myofascial trigger points (MTrPs) are associated with persistent pain and tenderness due to elevated inflammatory mediators.
  • Previous research established dry needling as a treatment for MTrPs, but recent advancements require review.

Purpose of the Study:

  • To review recent advancements in the basic science, imaging, efficacy, and safety of dry needling for MTrPs.
  • To highlight new understanding of MTrP pathophysiology and pain modulation mechanisms.

Main Methods:

  • Review of recent scientific literature on dry needling of MTrPs.
  • Inclusion of studies on basic science, imaging techniques, clinical efficacy, and safety.
  • Focus on advancements within the last year.

Related Experiment Videos

Last Updated: May 22, 2026

A Mechanical Construction to Enhance the Stability and Safety of Lifting and Thrusting Manipulation of Acupuncture
07:29

A Mechanical Construction to Enhance the Stability and Safety of Lifting and Thrusting Manipulation of Acupuncture

Published on: January 10, 2025

Main Results:

  • Dry needling is confirmed as an effective and safe MTrP treatment by trained professionals.
  • Elevated inflammatory mediators at MTrP sites change with local twitch response.
  • New noninvasive imaging modalities (sonoelastography, magnetic resonance elastography) for MTrPs have been introduced.
  • Dry needling activates supraspinal pain control via the periaqueductal gray matter.
  • Distal muscle needling reduces proximal pain through diffuse noxious inhibitory control.

Conclusions:

  • Dry needling is a validated treatment for MTrPs, supported by updated basic science and imaging.
  • Understanding of pain modulation mechanisms, including supraspinal and diffuse noxious inhibitory control, is enhanced.
  • Distal needling offers a viable alternative for sensitive patients, initiating treatment away from the primary pain source.