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Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

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Expert Consensus on Dry Needling Practices for Headache: An International Delphi Study Protocol.

Thomas Perreault1, Jan Dommerholt2, César Fernandez-de-Las-Peñas3,4

  • 1Department of Physical Therapy, Wentworth Douglass Hospital, Dover, NH 03820, USA.

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|March 17, 2025
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Summary

This study aims to establish clinical guidelines for dry needling (DN) in headache treatment. Developing consensus-driven recommendations will improve research and patient care for headaches treated with DN.

Keywords:
Delphiconsensusdry needlingheadache

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Area of Science:

  • Neurology
  • Physical Therapy
  • Pain Management

Background:

  • Dry needling (DN) is a common treatment for headaches, but approaches vary.
  • Existing evidence supports DN for headache pain relief.
  • Lack of standardized guidelines hinders consistent application and research.

Purpose of the Study:

  • To develop evidence-based clinical recommendations for dry needling in headache management.
  • To establish consensus among experts on optimal dry needling techniques for headaches.
  • To provide a framework for future research and clinical practice.

Main Methods:

  • Utilizing the Delphi method with a panel of experts in dry needling and headache treatment.
  • Conducting three rounds of questionnaires to achieve expert consensus.
  • Defining consensus as 75% agreement among the expert panel.

Main Results:

  • A literature review informed the initial survey development.
  • A steering committee will refine survey items and guide the Delphi process.
  • Percentage agreement will be the primary metric for consensus.

Conclusions:

  • Consensus-driven recommendations will standardize dry needling for headaches.
  • Guidelines will aid researchers in designing future studies.
  • Clinical guidelines will enhance patient care and treatment consistency.