• Julian Simpson

Dry Needling or Corticosteroid injection for pain and disability?

Dry Needling or Corticosteroid injection for pain and disability?


This is one of my biggest questions i get

should i try dry needling or just get a CS injection

a 2021 study is giving more information into the question

It is showing that there was no differences between dry needling and CS injection in pain and disability for myofascial pain

There is little evidence saying that CS injections can be superior to dry needling at shorter follow up periods for plantar fasciitis and lateral epicondylitis

IF you want more information. Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors

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Reference

Corticosteroid injection or dry needling for musculoskeletal pain and disability? A systematic review and GRADE evidence synthesis.

Sousa Filho LF, Barbosa Santos MM, Dos Santos GHF, da Silva Júnior WM. Chiropr Man Therap. 2021 Dec 2;29(1):49. doi: 10.1186/s12998-021-00408-y.

Results

Six studies were included (n = 384 participants). Four musculoskeletal conditions were investigated. There is very low-quality evidence that CSI is superior to DN for reducing heel pain (plantar fasciitis) and lateral elbow pain at short- and medium-term follow-up, but not for myofascial pain and greater trochanteric pain. There is very low-quality evidence that DN is more effective than CSI at long-term follow-up for reducing pain in people with plantar fasciitis and lateral epicondylitis. Very low-certainty evidence shows that there is no difference between DN and CSI for disability at short-term follow-up. One study showed that CSI is superior to DN at medium-term follow-up and another observed that DN is superior to CSI for reducing disability at long-term.

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