This study demonstrates that a single, brief, and safe dry needling treatment applied under anaesthesia in lower limb MTrPs reduced the pain in the first month after total knee replacement surgery, when pain is highest. Dry needling of MTrPs in the lower limb allowed patients to reach the same degree of pain reduction in 1- month as the subjects with a natural history or placebo intervention achieved in 6-months. It significantly decreased the need for postsurgical analgesia.
This study demonstrates that dry needling is superior to placebo in controlling myofascial pain after a knee arthroplasty. The study introduced a novel placebo methodology for dry needling with a real blinding procedure, which could be utilized in similar studies with different co-morbid conditions, or in studies of myofascial pain concomitant with other surgical conditions of other joints so as to avoid the possible interference of the surgical treatment with the intervention on MTrPs.
Link to Article in Evidence-Based Complementary and Alternative Medicine
Post Total Knee