title: Myofascial trigger point therapy: laser therapy and dry needling.
abstract: The aim of the present review is to discuss two forms of treatment for myofascial pain: laser therapy and dry needling. Although studies have reported the deactivation of myofascial trigger points with these two methods, clinical trials demonstrating their efficacy are scarce. The literature reports greater efficacy with the use of laser over dry needling. It has been suggested that improvements in microcirculation through the administration of laser therapy may favor the supply of oxygen to the cells under conditions of hypoxia and help remove the waste products of cell metabolism, thereby breaking the vicious cycle of pain, muscle spasm and further pain. While laser therapy is the method of choice for patients with a fear of needles and healthcare professionals inexperienced with the dry needling technique, further controlled studies are still needed to prove the greater efficacy of this method.
authors.affiliation: Faculdade de Odontologia (Departamento de Odontotécnica), UFF, Rua São Paulo, 28. Campos do Valonguinho, Centro, Niterói, RJ, CEP, 24020-150, Brazil. lucianauemoto@hotmail.com
authors.forename: Luciana
authors.initials: L
authors.lastname: Uemoto
authors.forename: Rosany
authors.initials: R
authors.lastname: Nascimento de Azevedo
authors.forename: Thays
authors.initials: T
authors.lastname: Almeida Alfaya
authors.forename: Renata
authors.initials: R
authors.lastname: Nunes Jardim Reis
authors.forename: Cresus Vinicius
authors.initials: CV
authors.lastname: Depes de Gouvêa
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Cavalcanti Garcia
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D009209:Myofascial Pain Syndromes / Q000628:therapy*; D009339:Needles; D061028:Trigger Points
references.citation: Cranio. 2004 Jul;22(3):234-40
references.pmid: 15293779
references.citation: Am Fam Physician. 2002 Feb 15;65(4):653-60
references.pmid: 11871683
references.citation: Phys Ther. 2000 Oct;80(10):997-1003
references.pmid: 11002435
references.citation: Oral Surg Oral Med Oral Pathol. 1985 Dec;60(6):615-23
references.pmid: 3865133
references.citation: Glob J Health Sci. 2012 Jul 15;4(5):46-52
references.pmid: 22980377
references.citation: Evid Based Complement Alternat Med. 2012;2012:705327
references.pmid: 23346211
references.citation: Acupunct Med. 2002 Aug;20(2-3):78-81
references.pmid: 12216605
references.citation: Pain. 1977 Feb;3(1):3-23
references.pmid: 69288
references.citation: J Am Dent Assoc. 2000 Sep;131(9):1307-15
references.pmid: 10986831
references.citation: Cranio. 2009 Oct;27(4):243-7
references.pmid: 19891258
references.citation: Lasers Surg Med. 2003;33(5):339-43
references.pmid: 14677161
references.citation: Pain Med. 2009 Jan;10(1):54-69
references.pmid: 18992040
references.citation: J Orofac Pain. 2010 Winter;24(1):106-12
references.pmid: 20213036
references.citation: J Altern Complement Med. 2003 Feb;9(1):91-103
references.pmid: 12676038
references.citation: Pain. 1979 Feb;6(1):83-90
references.pmid: 424236
references.citation: Exp Physiol. 2007 Mar;92(2):437-47
references.pmid: 17138618
references.citation: J Altern Complement Med. 2008 May;14(4):353-9
references.pmid: 18576919
references.citation: Reg Anesth. 1997 Jan-Feb;22(1):89-101
references.pmid: 9010953
references.citation: J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6
references.pmid: 20823359
references.citation: Lasers Med Sci. 2012 Sep;27(5):1039-43
references.pmid: 22205470
references.citation: J Altern Complement Med. 2011 Aug;17(8):755-62
references.pmid: 21745098
references.citation: Acupunct Electrother Res. 1990;15(2):107-19
references.pmid: 1978502
references.citation: Acupunct Med. 2001 Dec;19(2):84-92
references.pmid: 11829164
references.citation: Clin Rheumatol. 2013 Mar;32(3):309-15
references.pmid: 23138883
references.citation: Pain. 1997 Jan;69(1-2):65-73
references.pmid: 9060014
references.citation: Ann N Y Acad Sci. 2005 Dec;1066:166-80
references.pmid: 16533926
references.citation: Eur J Pain. 2009 Jan;13(1):3-10
references.pmid: 18395479
references.citation: Curr Pain Headache Rep. 2009 Oct;13(5):365-9
references.pmid: 19728962
references.citation: J Oral Sci. 2013;55(2):175-81
references.pmid: 23748458
references.citation: Am J Phys Med Rehabil. 1994 Jul-Aug;73(4):256-63
references.pmid: 8043247
references.citation: J Clin Laser Med Surg. 1996 Aug;14(4):163-7
references.pmid: 9456632
references.citation: Photomed Laser Surg. 2004 Aug;22(4):306-11
references.pmid: 15345173