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Dry Needling and Fibromyalgia: Reversing Centrally-Mediated Chronic Pain

July 1, 2016

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Electrical Dry Needling: The Physiological Mechanisms in Osteoarthritis

July 28, 2016

Over the past decade, dry needling for the treatment of pain and disability in neuromusculoskeletal conditions has gained in popularity within the physical therapy profession.  Specifically, many physical therapists have begun to incorporate dry needling into the conservative, multi-modal management of knee osteoarthritis with tremendous success. Osteoarthritis of the knee affects up to 37% of adults in the United States between 45 and 60 years of age. The physiological changes in osteoarthritis have been well documented and are characterized by degeneration of articular cartilage with osteophyte formation and subchondral plate thickening.[2, 3] Yet, the pathogenesis and temporal relationship of subchondral bone damage, chronic inflammation of synovial tissue, and cartilage erosion is largely unknown, and there are currently no curative treatments for osteoarthritis.[4] However, pro-inflammatory cytokines have been implicated as a major causal factor of cartilage destruction and the inflammatory cascade, particularly involving Interleukin (IL)-1β and tumor necrosis factor alpha (TNF-α), among others.[2, 4]

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