Dry Needling Intervention in Treating Musculoskeletal Disorders: A Scoping Review
DOI:
https://doi.org/10.70411/MJHAS.2.2.2025126Keywords:
physical therapy, musculoskeletal disorder, ultrasound-guided dry needling, dry needling techniques, global perspectiveAbstract
Dry Needling (DN) has emerged as an effective treatment for various musculoskeletal disorders (MSDs), although the specifics of its application and the range of treated disorders remain unclear. The objective is to map and summarise dry needling practices from a global perspective. This scoping review employs the Joanna Briggs Institute technique, utilising the PCC framework (Participants, Concept, Context) to establish eligibility criteria based on the PRISMA Scoping Review checklist. Searches in PubMed, PEDro, and Google Scholar aim to identify evidence on dry needling, either as a standalone intervention or combined with other treatments, with clinical outcomes such as short-term or long-term effects on pain and physical function. The review includes systematic reviews, RCTs, meta-analyses, literature reviews, and quasi-experimental studies. DN, widely adopted in Europe and gaining traction in North America and Asia, effectively addresses MSDs like myofascial pain syndrome, knee osteoarthritis, and patellofemoral pain syndrome. Studies highlight DN's effectiveness in reducing pain and enhancing muscle function. Further research, incorporating extended follow-up periods of 6 months to 1 year, is crucial to comprehensively evaluate DN's long-term impact on pain, functionality, and overall quality of life.
References
Al-Boloushi, Z., Gómez-Trullén, E. M., Bellosta-López, P., López-Royo, M. P., Fernández, D., & Herrero, P. (2019). Comparing two dry needling interventions for plantar heel pain: a protocol for a randomized controlled trial. Journal of orthopaedic surgery and research, 14(1), 31.
Almushahhim, M., Nuhmani, S., Joseph, R., Muslem, W. H. A., & Abualait, T. (2022). Short-term effects of dry needling with a standard exercise program on pain and quality of life in patients with chronic mechanical neck pain. Journal of Clinical Medicine, 11(20), 6167.
Amani, M., Shafizadegan, Z., & Taheri, N. (2022). Effects of dry needling on pain in patients with knee osteoarthritis: A preliminary study. Advanced Biomedical Research, 11(1), 47.
Bazzaz-Yamchi, M., Naghdi, S., Nakhostin-Ansari, A., Hadizadeh, M., Ansari, N. N., Moghimi, E., & Hasson, S. (2021). Acute and short‐term effects of dry needling in patients with chronic nonspecific low back pain and hamstring tightness: A pilot study. The Scientific World Journal, 2021(1), 7259956.
Blanco-Diaz, M., Ruiz-Redondo, R., Escobio-Prieto, I., De la Fuente-Costa, M., Albornoz-Cabello, M., & Casana, J. (2022). A systematic review of the effectiveness of dry needling in subacromial syndrome. Biology, 11(2), 243.
Calvo-Lobo, C., Pacheco-da-Costa, S., Martínez-Martínez, J., Rodríguez-Sanz, D., Cuesta-Álvaro, P., & López-López, D. (2018). Dry needling on the infraspinatus latent and active myofascial trigger points in older adults with nonspecific shoulder pain: a randomized clinical trial. Journal of geriatric physical therapy, 41(1), 1-13.
Ceballos-Laita, L., Jiménez-del-Barrio, S., Marín-Zurdo, J., Moreno-Calvo, A., Marín-Boné, J., Albarova-Corral, M. I., & Estébanez-de-Miguel, E. (2019). Effects of dry needling in HIP muscles in patients with HIP osteoarthritis: a randomized controlled trial. Musculoskeletal Science and Practice, 43, 76-82.
Ceballos-Laita, L., Medrano-de-la-Fuente, R., Estébanez-De-Miguel, E., Moreno-Cerviño, J., Mingo-Gómez, M. T., Hernando-Garijo, I., & Jiménez-del-Barrio, S. (2021). Effects of dry needling in teres major muscle in elite handball athletes. A randomised controlled trial. Journal of Clinical Medicine, 10(18), 4260.
Chys, M., De Meulemeester, K., De Greef, I., Murillo, C., Kindt, W., Kouzouz, Y., Lescroart, B., & Cagnie, B. (2023). Clinical effectiveness of dry needling in patients with musculoskeletal pain—an umbrella review. Journal of Clinical Medicine, 12(3), 1205.
Dunning, J., Butts, R., Henry, N., Mourad, F., Brannon, A., Rodriguez, H., Young, I., Arias-Buría, J. L., & Fernández-de-Las-Peñas, C. (2018). Electrical dry needling as an adjunct to exercise, manual therapy and ultrasound for plantar fasciitis: A multi-center randomized clinical trial. Plos one, 13(10), e0205405.
Dunning, J., Butts, R., Young, I., Mourad, F., Galante, V., Bliton, P., Tanner, M., & Fernández-de-Las-Peñas, C. (2018). Periosteal electrical dry needling as an adjunct to exercise and manual therapy for knee osteoarthritis: a multicenter randomized clinical trial. The Clinical journal of pain, 34(12), 1149-1158.
Ebrahimi Takamjani, I., Ezzati, K., Khani, S., Sarrafzadeh, J., & Tabatabaei, A. (2020). The effects of ultrasound-guided dry needling on patients with myofascial pain syndrome. Iranian Rehabilitation Journal, 18(4), 369-376.
Ezzati, K., Sarrafzadeh, J., Ebrahimi Takamjani, I., & Khani, S. (2018). The efficacy of superficial and deep dry needling techniques on functional parameters in subjects with upper trapezius myofascial pain syndrome. Caspian Journal of Neurological Sciences, 4(4), 152-158.
Fernández-Carnero, J. (2021). Effectiveness of dry needling with percutaneous electrical nerve stimulation of high frequency versus low frequency in patients with myofascial neck pain. Pain Physician, 24, 135-143.
Fernández-De-Las-Peñas, C., Plaza-Manzano, G., Sanchez-Infante, J., Gomez-Chiguano, G. F., Cleland, J. A., Arias-Buria, J. L., Lopez-de-Uralde-Villanueva, I., & Navarro-Santana, M. J. (2021). Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta‐Analysis. Pain Research and Management, 2021(1), 8836427.
Funk, M. F., & Frisina-Deyo, A. J. (2020). Dry needling for spine related disorders: a scoping review. Chiropractic & Manual Therapies, 28(1), 23.
Gildir, S., Tüzün, E. H., Eroğlu, G., & Eker, L. (2019). A randomized trial of trigger point dry needling versus sham needling for chronic tension-type headache. Medicine, 98(8), e14520.
Griswold, D., Gargano, F., & Learman, K. (2019). A randomized clinical trial comparing non-thrust manipulation with segmental and distal dry needling on pain, disability, and rate of recovery for patients with non-specific low back pain. Journal of Manual & Manipulative Therapy, 27(3), 141-151.
Jimenez-del-Barrio, S., Medrano-de-la-Fuente, R., Hernando-Garijo, I., Mingo-Gomez, M. T., Estebanez-de-Miguel, E., & Ceballos-Laita, L. (2022). The effectiveness of dry needling in patients with hip or knee osteoarthritis: a systematic review and meta-analysis. Life, 12(10), 1575.
Khan, I., Ahmad, A., Ahmed, A., Sadiq, S., & Asim, H. M. (2021). Effects of dry needling in lower extremity myofascial trigger points. JPMA. The Journal of the Pakistan Medical Association, 71(11), 2596-2603.
Koppenhaver, S. L., Weaver, A. M., Randall, T. L., Hollins, R. J., Young, B. A., Hebert, J. J., Proulx, L., & Fernández-de-Las-Peñas, C. (2022). Effect of dry needling on lumbar muscle stiffness in patients with low back pain: A double blind, randomized controlled trial using shear wave elastography. Journal of Manual & Manipulative Therapy, 30(3), 154-164.
Lara-Palomo, I. C., Gil-Martínez, E., Antequera-Soler, E., Castro-Sánchez, A. M., Fernández-Sánchez, M., & García-López, H. (2022). Electrical dry needling versus conventional physiotherapy in the treatment of active and latent myofascial trigger points in patients with nonspecific chronic low back pain. Trials, 23(1), 238.
Lew, J., Kim, J., & Nair, P. (2021). Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. Journal of Manual & Manipulative Therapy, 29(3), 136-146.
Martín-Sacristán, L., Calvo-Lobo, C., Pecos-Martín, D., Fernández-Carnero, J., & Alonso-Pérez, J. L. (2022). Dry needling in active or latent trigger point in patients with neck pain: a randomized clinical trial. Scientific reports, 12(1), 3188.
Morgan, B. C., Deyle, G. D., Petersen, E. J., Allen, C. S., & Koppenhaver, S. L. (2019). Dry needling in the management of patients meeting clinical diagnostic criteria for subacromial pain syndrome: a case series. International journal of sports physical therapy, 14(4), 637.
Navarro-Santana, M. J., Sanchez-Infante, J., Fernández-de-Las-Peñas, C., Cleland, J. A., Martín-Casas, P., & Plaza-Manzano, G. (2020). Effectiveness of dry needling for myofascial trigger points associated with neck pain symptoms: an updated systematic review and meta-analysis. Journal of Clinical Medicine, 9(10), 3300.
Pai, M. Y. B., Toma, J. T., Kaziyama, H. H. S., Listik, C., Galhardoni, R., Yeng, L. T., Teixeira, M. J., & de Andrade, D. C. (2021). Dry needling has lasting analgesic effect in shoulder pain: a double-blind, sham-controlled trial. Pain reports, 6(2), e939.
Pang, J. C., Fu, A. S., Lam, S. K., Peng, B., & Fu, A. C. (2022). Ultrasound-guided dry needling versus traditional dry needling for patients with knee osteoarthritis: A double-blind randomized controlled trial. Plos one, 17(9), e0274990.
Rahou-El-Bachiri, Y., Navarro-Santana, M. J., Gómez-Chiguano, G. F., Cleland, J. A., López-de-Uralde-Villanueva, I., Fernández-de-Las-Peñas, C., Ortega-Santiago, R., & Plaza-Manzano, G. (2020). Effects of trigger point dry needling for the management of knee pain syndromes: a systematic review and meta-analysis. Journal of Clinical Medicine, 9(7), 2044.
Rodríguez-Huguet, M., Vinolo-Gil, M. J., & Góngora-Rodríguez, J. (2022). Dry needling in physical therapy treatment of chronic neck pain: systematic review. Journal of Clinical Medicine, 11(9), 2370.
Schneider, E., Moore, E. S., Stanborough, R., & Slaven, E. (2022). Effects of trigger point dry needling on strength measurements and activation levels of the gluteus medius: a quasi-experimental randomized control study. International journal of sports physical therapy, 17(7), 1404.
Shariat, A., Noormohammadpour, P., Memari, A. H., Ansari, N. N., Cleland, J. A., & Kordi, R. (2018). Acute effects of one session dry needling on a chronic golfer’s elbow disability. Journal of Exercise Rehabilitation, 14(1), 138.
Sharif, F., Ahmad, A., Gilani, S. A., Bacha, R., Hanif, A., & Arif, M. A. (2022). Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial. Frontiers in Surgery, 9, 1023902.
Stoychev, V., Finestone, A. S., & Kalichman, L. (2020). Dry needling as a treatment modality for tendinopathy: a narrative review. Current reviews in musculoskeletal medicine, 13(1), 133-140.
Sutlive, T., Golden, A., Harm, K., Morris, W., Morrison, J., Moore, J., & Koppenhaver, S. (2015). EFFECTS OF TRIGGER POINT DRY NEEDLING ON PAIN AND DISABILITY IN INDIVIDUALS WITH PATELLOFEMORAL PAIN SYNDROME: OPL49. Journal of Orthopaedic & Sports Physical Therapy, 45(1), A39.
Vervullens, S., Meert, L., Baert, I., Delrue, N., Heusdens, C. H., Hallemans, A., Van Criekinge, T., Smeets, R. J., & De Meulemeester, K. (2022). The effect of one dry needling session on pain, central pain processing, muscle co-contraction and gait characteristics in patients with knee osteoarthritis: a randomized controlled trial. Scandinavian Journal of Pain, 22(2), 396-409.
Yehoshua, I., Rimon, O., Mizrahi Reuveni, M., Peleg, R., & Adler, L. (2022). Dry needling for the treatment of acute myofascial pain syndrome in general practitioners’ clinics: a cohort study. BMC Primary Care, 23(1), 339.
Ziaeifar, M., Arab, A. M., Mosallanezhad, Z., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: a randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152-161.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Modern Journal of Health and Applied Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.
The users are free to:
- Share — copy and redistribute the material in any medium or format.
- Adapt — remix, transform, and build upon the material.
The licensor cannot revoke these freedoms as long as you follow the license terms.


