The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

The Deep Dry Needling Techniques, and Interventional Muscle & Nerve Stimulation (IMS) for the Treatment of Chronic Pain

만성통증 치료에서 Deep Dry Needling의 모델들과 중재적 근육 및 신경자극 요법

  • Lee, Young Jin (Joint-Muscle Chronic Pain Center, Pochon Jungmun University Medical College) ;
  • Ahn, Kang (Joint-Muscle Chronic Pain Center, Pochon Jungmun University Medical College) ;
  • Lee, Sang Chul (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
  • 이영진 (포천중문의과대학교 강남차병원 만성통증센터) ;
  • 안강 (포천중문의과대학교 강남차병원 만성통증센터) ;
  • 이상철 (서울대학교 의과대학 마취통증의학교실)
  • Received : 2006.04.13
  • Accepted : 2006.06.07
  • Published : 2006.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Chronic pain can cause disability, mild to severe suffering and high medical costs. Some unfortunate patient do not improve despite administering conservative treatment and then the various interventional therapies, including oriental medical treatment and/or surgery, and they find themselves in search of a more effective pain relief. Deep dry needling is one of the newer treatment modalities for these patients. The last 10 years have seen a lot of progress in understanding the neural pathways and the type and extent of tissue involvement during chronic pain. This in turn has stimulated the development of new treatment techniques, and deep dry needling is one of them. So, the authors of this paper discuss the individual theories, the characteristics and future directions of several deep dry needling techniques, and we examine the new dry needling technique that has been recently developed in Korea.

Keywords

References

  1. Osler W: The principle and ptactice of medicine. 8th ed. New York, Appleton. 1912, p 1131
  2. Travell J, Rinzlet SH: The myofascial genesis of pain. Postgrad Med 1952; 11: 425-34 https://doi.org/10.1080/00325481.1952.11694280
  3. Lewit K: The needle effect in the relief of myofascial pain. Pain 1979; 6: 83-90 https://doi.org/10.1016/0304-3959(79)90142-8
  4. Garvey TA, Marks MR, Wiesel SW: Prospective randomized double-blinded evaluation of trigger point injection therapy for low back pain. Spine 1989; 14: 962-4 https://doi.org/10.1097/00007632-198909000-00008
  5. Hong CZ: Lidocaine injection vetsus dry needling to myofascial trigger point. Am J Phy Med Rehab 1994; 73; 256-63 https://doi.org/10.1097/00002060-199407000-00006
  6. Cummings TM, White AR: Needling therapies in the management of myofascial trigger point pain; a systematic teview. Arch of Phys Med Rehab 2001; 82: 986-92 https://doi.org/10.1053/apmr.2001.24023
  7. Simon DG, Travell JG, Simons LS: Travell and Simon's myofascial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore, Williams and Wilkins. 1999
  8. Harden RN, Bluehl SP, Gass S, Niemiec C, Barbick B: Sign and symptom of myofascial pain syndrome: a national survey of pain management provider. Clin J Pain 2000; 16: 64-72 https://doi.org/10.1097/00002508-200003000-00010
  9. Bajaj P: Trigger points in patients with low limb osteoarthritis. J Musculoskeletal Pain 2001; 9: 17-33
  10. Hsueh TC, Yu S, Kuan TS, Hong CZ. Association of active myofascial trigger points and cervical disc lesions. Formos Med Assoc 1998; 97: 174-80
  11. Kleier DJ. Referred pain from a myofascial trigger point mimicking pain of endodontic origin. J Endod 1985; 11: 408-11 https://doi.org/10.1016/S0099-2399(85)80030-3
  12. Ling FW, Slocumb JC: Use of trigger points injection in chronic pelvic pain. Obstet Gynecol Clin North Am 1993; 20: 809-15
  13. Mennel J: Myofascial ttigger points as a cause of headache. J Manupulativ Physiol Ther 1989; 12: 308-13
  14. Hubbard DR, Berkoff GM: Myofascial trigger point show spontaneous needle EMG activity. Spine 1993; 18: 1803-7 https://doi.org/10.1097/00007632-199310000-00015
  15. Couppe C: Spontaneous needle EMG activity in myofascial trigger points in the infraspinatus muscle. A blinded assessment. J Mus-culoskeltal Pain 2001; 3: 7-17
  16. Simons DG, Hong CZ, Simons LS: Endplate potentials are common to midfiber myofascial trigger points. Am J Phys Med Rehabil 2002; 81: 212-22 https://doi.org/10.1097/00002060-200203000-00010
  17. Shah J: A novel microanalytical technique fot assaying soft tissue demonstrate significant quantitative biochemical difference in 3 clinically distinct group; normal, latent, active. Arch Phys Med Rehabil 2003; 84: A4
  18. Granzier HL, Labeit S: The giant muscle protein titin is an adjustable molecular spring. Exerc Sport Sci Rev 2006; 34: 50-3 https://doi.org/10.1249/00003677-200604000-00002
  19. Windish A, Reitinger A, Traxler H: Morphology and histoche-mistty of myogelosis. Clin Anat 1999; 12: 266-71 https://doi.org/10.1002/(SICI)1098-2353(1999)12:4<266::AID-CA5>3.0.CO;2-G
  20. Mense S, Hoheisel U: New development in the understanding of the pathophysiology of the muscle pain. J Musculoskeletal Pain 1999; 7: 13-24 https://doi.org/10.1300/J094v07n01_03
  21. Gunn CC: The Gunn approach to the treatment of chronic pain-intramuscular stimulation for myofascial pain of radiculopathic origin. 2th ed. London, Churchill Livingstone. 1996, pp 11-9
  22. Gunn CC: Neuropathic myofascial pain syndrome. Bonica's management of pain. 3rd ed. Edited by Loeser JD: Lippincott, Williams and Wilkins. 2001, pp 265-72
  23. Gunn CC, Milbrandt WE: Tennis elbow and cetvical spine. Can Med Associ J 1978; 114: 803-25
  24. Gunn CC, Milbrandt WE: Tenderness at motor point: an aid in the diagnosis of pain in the shoulder referred from the cervical spine. JAOA 1977; 77: 196-212
  25. Gunn CC: Ptespondylosis and some pain syndrome following denervation supersensitivity. Spine 1978; 5: 185-92 https://doi.org/10.1097/00007632-198003000-00014
  26. Klein L, Dawson MH, Heiple KG: Turnover of collagen in the adult tat after denervation. J Bone Joint Surg 1977; 59A: 1065-67
  27. Park YK, Woo JW, Ahn SL, Kim JA, Youn DK, Park SH, et al: Effectiveness of intramuscular stimulation therapy in patients with osteoatthritis of the knee joint. J Korean Getiatt Soc 1991; 5: 318-28
  28. Ahn K, Lee YJ, Lee SC, Lee CW, Lee YC: Clinical effect of fluoroscopy guided interventional muscle and netve stimulation (imns) on intractable spinal origin pain. Korean J Anesthesiol 2004; 47: 96-100 https://doi.org/10.4097/kjae.2004.47.1.96
  29. Cannon WB, Rosenblueth A: The supetsensitivity of denervated structure, a law of denervation. New York, MacMillan. 1949, pp 185-203
  30. Sharpless SK: Supsersensitivity-like phenomena in central nervous syste. Fed Pore 1975; 34: 1990-97
  31. Culp WJ, Ochoa J: Abnotmal netves and muscles as impulse generators. New York, Oxford University Press. 1982
  32. Thesleff S, Sellin LC: Denervation supersensitivity. Trends Neurosci 1980; 122-6
  33. Kim JK, Lim KJ, Kim C, Kim HS: Intramusculat stimulation therapy in failed back surgery syndrome patients. J Korean Pain Soc 2003; 16: 60-7
  34. Langevin HM, Churchill DL, Cipolla MJ: Mechanical signaling through connective tissue; a mechanism fot the therapeutic effects of acupuncture. Faseb J 2001; 15: 2275-82 https://doi.org/10.1096/fj.01-0015hyp
  35. Rose R, Vogel: The platelet derived growth function. Cell 1978; 14: 203-10 https://doi.org/10.1016/0092-8674(78)90107-1
  36. Gunn CC: Dry needling of muscle motor points for chronic low back pain. Spine 1980; 5: 279-91 https://doi.org/10.1097/00007632-198005000-00011
  37. Ahn SL, Woo JW, Kim JA, Yoon DK, Cho KH, Jang JA, et al: A Comparison of NSAID and Intramuscular Stimulation Therapy Effectiveness in the Female Patient with Chronic Shoulder Pain. J Korean Geriatr Soc 2002; 6: 55-66
  38. Chu J: Dry needling (IMS) in myofascial pain related to lumbosacral radiculopathy. European J Phy Med Rehab 1995; 5: 106-21
  39. Chu J: Twitch obtaining IMS; effectiveness fot long-term treatment of myofascial pain related to cervical radiculopathy. Arch Phy Med Rehab 1997; 78: 1042-9
  40. Chu J: Twitch obtaining IMS; Observation in the management of radiculopathic chronic low back pain. J Musculoskeletap Pain 1999; 7: 131-146
  41. Baldry PE: Superficial versus deep dry needling. Acupunture in Medicine 2002; 20: 78-81 https://doi.org/10.1136/aim.20.2-3.78
  42. Fisher AA. Treatment of myofascial pain. J Musculoskeletal Pain 1999; 7: 131-42
  43. Racz GB, Heavner JE, Diede JH: Lysis of epidural adhesion utilizing the epidural approach. In: Interventional management of pain. Edited by Waldmann SD: Philadelphia, WB Saunders. 1996, pp 339-51
  44. Kushlich SD, Ulsttom CL, Michael CJ: The tissue origin of low back pain and sciatica. Ortho Clin North Am 1991; 22: 181-7
  45. Stolker RJ, Vervest ACM, Gerbrand JG: The management of chronic spinal pain by blockades: a review. Pain 1994; 58: 1-19 https://doi.org/10.1016/0304-3959(94)90180-5
  46. Viesa CO, Racz GB, Day MR: Special technique in pain management: lysis of adhesions. Anesthesiology Clin N Am 2003; 21: 745-66 https://doi.org/10.1016/S0889-8537(03)00088-9
  47. Manchikanti L, Saini B, Singh V: Spinal endoscopy and lysis of epidural adhesion in the management of chronic low back pain. Pain Physian 2001; 4: 240-65
  48. Manchikanti L, Statts PS, Singh V: Evidence based pratice guideline for interventional techinique in the management of chronic spinal pain. Pain Physian 2003; 6: 3-81
  49. Manchikanti L, Singh V, Pampati V: Evaluation of the relative contribution of vatious structures in chronic low back pain. Pain Physian 2001; 4: 308-16
  50. Lord SM, Barnsley L, Bogduk N: The utility of comparative local anesthetic blocks versus placebo controlled blocks for the diagnosis of cervical zygoapophyseal joint pain. Clin J Pain 1995; 11: 208-13 https://doi.org/10.1097/00002508-199509000-00008