Dry needing in the treatment of myofascial pain associated with temporomandibular dysfunction: a systematic review
DOI:
https://doi.org/10.33448/rsd-v10i16.23773Keywords:
Temporomandibular Joint Dysfunction Syndrome; Pain; Dry needling; Treatment.Abstract
Myofascial pain is a muscle disorder that is often associated with temporomandibular disorders, affects the masticatory muscles and can lead to functional limitations. This systematic review aims to identify the scientific literature on the effects of superficial and deep dry needling for the treatment of pain in patients with myofascial temporomandibular disorder (TMD). This is a systematic review seeking primary studies in the PubMed and Virtual Health Library - VHL databases (combining databases such as LILACS - Latin American and Caribbean Literature in Health Sciences, MEDLINE - Medical Literature Analysis and Retrieval System Online, SciELO - Scientific Electronic Library Online, among others) with the descriptors “temporomandibular joint disorders dry needling”, or “myofascial temporomandibular dysfunction dry needling”, or “temporomandibular dysfunction dry needling”, as well as articles in English, Portuguese or Spanish that respond the guiding question of the use of dry needling in the treatment of myofascial TMD were included; theses, monographs, treatment associations, articles that were in languages other than those mentioned above, and systematic reviews were excluded. Nine studies were considered eligible. One study compared superficial and deep dry needling. Four studies used only deep dry needling and another 4 studies did not specify the type of needling used. Therefore, the results found suggest that there is not enough data to draw solid conclusions about which type of dry needling is best for the treatment of myofascial pain associated with TMD. Low risk of bias randomized controlled trials are strongly needed.
References
Aksu, Ö. (2019). Comparison of the efficacy of dry needling and trigger point injections with exercise in temporomandibular myofascial pain treatment. Turkish Journal of Physical Medicine and Rehabilitation, 65(3), 228–235. https://doi.org/10.5606/tftrd.2019.1802
Alonso-Blanco, C., Fernández-de-las-Peñas, C., De-la-Llave-Rincón, A. I., Zarco-Moreno, P., Galán-del-Río, F., & Svensson, P. (2012). Characteristics of referred muscle pain to the head from active trigger points in women with myofascial temporomandibular pain and fibromyalgia syndrome. The Journal of Headache and Pain, 13(8), 625–637. https://doi.org/10.1007/s10194-012-0477-y
Baldry, P. (2002). Superficial versus Deep Dry Needling. Acupuncture in Medicine, 20(2–3), 78–81. https://doi.org/10.1136/aim.20.2-3.78
Baldry, P. (2004). Acupuncture, Trigger Points and Musculoskeletal Pain (C. Livingstone (ed.); 3rd ed.).
Barão, V. A. R., Gallo, A. K. G., Zuim, P. R. J., Garcia, A. R., & Assunção, W. G. (2011). Effect of occlusal splint treatment on the temperature of different muscles in patients with TMD. Journal of Prosthodontic Research, 55(1), 19–23. https://doi.org/10.1016/j.jpor.2010.06.001
Blasco-Bonora, P. M., & Martín-Pintado-Zugasti, A. (2017). Effects of Myofascial Trigger Point Dry Needling in Patients with Sleep Bruxism and Temporomandibular Disorders: A Prospective Case Series. Acupuncture in Medicine, 35(1), 69–74. https://doi.org/10.1136/acupmed-2016-011102
Bron, C., & Dommerholt, J. D. (2012). Etiology of Myofascial Trigger Points. Current Pain and Headache Reports, 16(5), 439–444. https://doi.org/10.1007/s11916-012-0289-4
Butts, R., Dunning, J., Perreault, T., Mettille, J., & Escaloni, J. (2017). Pathoanatomical characteristics of temporomandibular dysfunction: Where do we stand? (Narrative review part 1). Journal of Bodywork and Movement Therapies, 21(3), 534–540. https://doi.org/10.1016/j.jbmt.2017.05.017
Carvalho, F. R., Barros, R. Q., Gonçalves, A. S., & Freitas, P. M. (2019). Photobiomodulation therapy on the palliative care of temporomandibular disorder and orofacial/cervical skull pain: study protocol for a randomized controlled clinical trial. Trials, 20(1), 200. https://doi.org/10.1186/s13063-019-3294-7
Ceccherelli, F., Bordin, M., Gagliardi, G., & Caravello, M. (2001). Comparison Between Superficial and Deep Acupuncture in the Treatment of the Shoulder’s Myofascial Pain: A Randomized and Controlled Study. Acupuncture & Electro-Therapeutics Research, 26(4), 229–238. https://doi.org/10.3727/036012901816355938
Cummings, T. M., & White, A. R. (2001). Needling therapies in the management of myofascial trigger point pain: A systematic review. Archives of Physical Medicine and Rehabilitation, 82(7), 986–992. https://doi.org/10.1053/apmr.2001.24023
Dalewski, B., Kamińska, A., Szydłowski, M., Kozak, M., & Sobolewska, E. (2019). Comparison of Early Effectiveness of Three Different Intervention Methods in Patients with Chronic Orofacial Pain: A Randomized, Controlled Clinical Trial. Pain Research and Management, 2019, 1–9. https://doi.org/10.1155/2019/7954291
Dincer, F., & Linde, K. (2003). Sham interventions in randomized clinical trials of acupuncture—a review. Complementary Therapies in Medicine, 11(4), 235–242. https://doi.org/10.1016/S0965-2299(03)00124-9
Dıraçoğlu, D., Vural, M., Karan, A., & Aksoy, C. (2012). Effectiveness of dry needling for the treatment of temporomandibular myofascial pain: A double-blind, randomized, placebo controlled study. Journal of Back and Musculoskeletal Rehabilitation, 25(4), 285–290. https://doi.org/10.3233/BMR-2012-0338
Dommerholt, J., Hooks, T., Chou, L.-W., & Finnegan, M. (2019). Myofascial pain and treatment: Editorial. Journal of Bodywork and Movement Therapies, 23(3), 521–531. https://doi.org/10.1016/j.jbmt.2019.06.009
Dommerholt, J., Mayoral del Moral, O., & Gröbli, C. (2006). Trigger Point Dry Needling. Journal of Manual & Manipulative Therapy, 14(4), 70E-87E. https://doi.org/10.1179/jmt.2006.14.4.70E
Dunning, J., Butts, R., Mourad, F., Young, I., Flannagan, S., & Perreault, T. (2014). Dry needling: a literature review with implications for clinical practice guidelines. Physical Therapy Reviews, 19(4), 252–265. https://doi.org/10.1179/108331913X13844245102034
Edwards, J., & Knowles, N. (2003). Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial. Acupuncture in Medicine, 21(3), 80–86. https://doi.org/10.1136/aim.21.3.80
Ezzati, K., Sarrafzadeh, J., Ebrahimi Takamjani, I., & Khani, S. (2018). Research Paper: 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(15), 152–158. https://doi.org/10.29252/cjns.4.15.152
Fernandes, A., Moura, D., Da Silva, L., De Almeida, E., & Barbosa, G. (2017). Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review. Journal of Oral & Facial Pain and Headache, 31(3), 225–232. https://doi.org/10.11607/ofph.1719
Fernández-Carnero, J., Touche, R. La, Ortega-Santiago, R., Galan-del-Rio, F., Pesquera, J., Ge, H.-Y., & Fernández-de-Las-Peñas, C. (2010). Short-term effects of dry needling of active myofascial trigger points in the masseter muscle in patients with temporomandibular disorders. J Orofac Pain, 24(1), 106–112.
Fernández-de-las-Peñas, C., Galán-del-Río, F., Alonso-Blanco, C., Jiménez-García, R., Arendt-Nielsen, L., & Svensson, P. (2010). Referred Pain from Muscle Trigger Points in the Masticatory and Neck-Shoulder Musculature in Women With Temporomandibular Disoders. The Journal of Pain, 11(12), 1295–1304. https://doi.org/10.1016/j.jpain.2010.03.005
Fernández-de-Las-Peñas, C., & Nijs, J. (2019). Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. Journal of Pain Research, Volume 12, 1899–1911. https://doi.org/10.2147/JPR.S154728
Ferreira, C. L. P., Silva, M. A. M. R. da, & Felício, C. M. de. (2016). Sinais e sintomas de desordem temporomandibular em mulheres e homens. CoDAS, 28(1), 17–21. https://doi.org/10.1590/2317-1782/20162014218
Fung, P. (2009). Probing the mystery of Chinese medicine meridian channels with special emphasis on the connective tissue interstitial fluid system, mechanotransduction, cells durotaxis and mast cell degranulation. Chinese Medicine, 4(1), 10. https://doi.org/10.1186/1749-8546-4-10
Gauer, R. L., & Semidey, M. J. (2015). Diagnosis and treatment of temporomandibular disorders. Am Fam Physician, 15(91), 378–386.
Gonzalez-Perez, L., Infante-Cossio, P., Granados-Nunez, M., & Urresti-Lopez, F. (2012). Treatment of temporomandibular myofascial pain with deep dry needling. Medicina Oral Patología Oral y Cirugia Bucal, e781–e785. https://doi.org/10.4317/medoral.17822
Gonzalez-Perez, L., Infante-Cossio, P., Granados-Nunez, M., Urresti-Lopez, F., Lopez-Martos, R., & Ruiz-Canela-Mendez, P. (2015). Deep dry needling of trigger points located in the lateral pterygoid muscle: Efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction. Medicina Oral Patología Oral y Cirugia Bucal, e326–e333. https://doi.org/10.4317/medoral.20384
Grillo, C. M., Canales, G. D. la T., Wada, R. S., Alves, M. C., Barbosa, C. M. R., Berzin, F., & de Sousa, M. da L. R. (2015). Could Acupuncture Be Useful in the Treatment of Temporomandibular Dysfunction? Journal of Acupuncture and Meridian Studies, 8(4), 192–199. https://doi.org/10.1016/j.jams.2014.12.001
Kang, K.-W., Kim, W.-Y., Kim, T.-H., Shin, B.-C., Jung, S.-Y., Kim, A.-R., & Choi, S.-M. (2012). Adjacent, distal, or combination of point-selective effects of acupuncture on temporomandibular joint disorders: A randomized, single-blind, assessor-blind controlled trial. Integrative Medicine Research, 1(1), 36–40. https://doi.org/10.1016/j.imr.2012.09.004
Kothari, S. F., Kothari, M., Baad-Hansen, L., & Svensson, P. (2012). Comparison of techniques for evaluation of deep pain sensitivity in the craniofacial region. Comparative Study, 26(3), 225–232.
Leeuw, R. de, & Klasser, G. D. (2018). Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management (5th ed.).
Lopez-Martos, R., Gonzalez-Perez, L., Ruiz-Canela-Mendez, P., Urresti-Lopez, F., Gutierrez-Perez, J., & Infante-Cossio, P. (2018). Randomized, double-blind study comparing percutaneous electrolysis and dry needling for the management of temporomandibular myofascial pain. Medicina Oral Patología Oral y Cirugia Bucal, 0–0. https://doi.org/10.4317/medoral.22488
Maia, M. L. de M., Bonjardim, L. R., Quintans, J. de S. S., Ribeiro, M. A. G., Maia, L. G. M., & Conti, P. C. R. (2012). Effect of low-level laser therapy on pain levels in patients with temporomandibular disorders: a systematic review. Journal of Applied Oral Science, 20(6), 594–602. https://doi.org/10.1590/S1678-77572012000600002
Manfredini, D., Guarda-Nardini, L., Winocur, E., Piccotti, F., Ahlberg, J., & Lobbezoo, F. (2011). Research diagnostic criteria for temporomandibular disorders: a systematic review of axis I epidemiologic findings. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 112(4), 453–462. https://doi.org/10.1016/j.tripleo.2011.04.021
Mayoral del Moral, O. (2005). Fisioterapia invasiva del síndrome de dolor miofascial. Fisioterapia, 27(2), 69–75. https://doi.org/10.1016/S0211-5638(05)73419-2
Mense, S. (2003). The pathogenesis of muscle pain. Current Pain and Headache Reports, 7(6), 419–425. https://doi.org/10.1007/s11916-003-0057-6
Money, S. (2017). Pathophysiology of Trigger Points in Myofascial Pain Syndrome. Journal of Pain & Palliative Care Pharmacotherapy, 31(2), 158–159. https://doi.org/10.1080/15360288.2017.1298688
Özden, M. C., Atalay, B., Özden, A. V., Çankaya, A., Kolay, E., & Yıldırım, S. (2020). Efficacy of dry needling in patients with myofascial temporomandibular disorders related to the masseter muscle. CRANIO®, 38(5), 305–311. https://doi.org/10.1080/08869634.2018.1526848
Reis, L. D. O., De Oliveira, D. A., Dias, I. M., Leite, I. C. G., & Leite, F. P. P. (2017). Dry needling the masseter muscle in the treatment of myofascial pain: case reports. Brazilian Dental Science, 20(3). https://doi.org/10.14295/bds.2017.v20i3.1309
Rosted, P. (2001). Practical recommendations for the use of acupuncture in the treatment of temporomandibular disorders based on the outcome of published controlled studies. Oral Dis, 7(2), 109–115.
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J.-P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., … Dworkin, S. F. (2014). Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache, 28(1), 6–27. https://doi.org/10.11607/jop.1151
Scrivani, S. J., Keith, D. A., & Kaban, L. B. (2008). Temporomandibular Disorders. New England Journal of Medicine, 359(25), 2693–2705. https://doi.org/10.1056/NEJMra0802472
Sedighi, A., Nakhostin Ansari, N., & Naghdi, S. (2017). Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache. Journal of Bodywork and Movement Therapies, 21(4), 810–814. https://doi.org/10.1016/j.jbmt.2017.01.002
Shah, J. P., Danoff, J. V., Desai, M. J., Parikh, S., Nakamura, L. Y., Phillips, T. M., & Gerber, L. H. (2008). Biochemicals Associated With Pain and Inflammation are Elevated in Sites Near to and Remote From Active Myofascial Trigger Points. Archives of Physical Medicine and Rehabilitation, 89(1), 16–23. https://doi.org/10.1016/j.apmr.2007.10.018
Syrop, S. B. (2002). Initial management of temporomandibular disorders. Dent Today, 21(8), 52–57.
Tough, E. A., White, A. R., Cummings, T. M., Richards, S. H., & Campbell, J. L. (2009). Acupuncture and dry needling in the management of myofascial trigger point pain: A systematic review and meta-analysis of randomised controlled trials. European Journal of Pain, 13(1), 3–10. https://doi.org/10.1016/j.ejpain.2008.02.006
Tsai, C.-T., Hsieh, L.-F., Kuan, T.-S., Kao, M.-J., Chou, L.-W., & Hong, C.-Z. (2010). Remote Effects of Dry Needling on the Irritability of the Myofascial Trigger Point in the Upper Trapezius Muscle. American Journal of Physical Medicine & Rehabilitation, 89(2), 133–140. https://doi.org/10.1097/PHM.0b013e3181a5b1bc
Vulfsons, S., Ratmansky, M., & Kalichman, L. (2012). Trigger Point Needling: Techniques and Outcome. Current Pain and Headache Reports, 16(5), 407–412. https://doi.org/10.1007/s11916-012-0279-6
Yap, E.-C. (2007). Myofascial pain--an overview. Ann Acad Med Singap, 36(1), 43–48.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Tânia Ecí Santi Castro; Livia Assis; Paola da Mata Messut; Juliana Carolina Tarocco; Antonio Lucio Sant'Ana Neto; Carla Roberta Tim
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
