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Updated: Jun 22, 2025

Author Spotlight: Unveiling the Therapeutic Effects of FSN Treatment – Bridging Research and Clinical Applications in Neuropathic Pain
Published on: June 30, 2023
The effect of combining physiotherapy with dry needling in patients with cervical spondylosis: A randomized
Alper Mengi1, Gül Tugba Bulut2
1Department of Pain Management, Edirne Sultan 1. Murat State Hospital, Edirne, Turkey.
Background:
There are no data on the additional contribution of dry needling (DN) for trigger points (TPs) accompanying patients with cervical spondylosis (CS).
Objective:
To analyse the contribution of DN applied to concomitant active TPs in the upper trapezius muscle on the treatment outcomes of physiotherapy in CS.
Methods:
In this prospective randomized controlled study, 70 patients with CS and active TPs in the upper trapezius muscle were included. The first group received physiotherapy for 5 days per week for 3 weeks. The second group received DN with the same program. All participants were evaluated before treatment (day 0) and at the end of treatment (day 21) in terms of pain, functional status, quality of life, anxiety/depression scores, and number of TPs.
Results:
33 patients in the first group and 32 patients in the second group completed the study. While the change over time was found significant in all variables, the change was not different between groups. The group-time interaction effect was not found to be statistically significant in any variable. Percentage changes of all variables were similar between the groups.
Conclusion:
DN treatment added to the physiotherapy did not contribute to recovery in patients with CS.

