ArticleThe Journal of manual & manipulative therapy2014
Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists.
Article in The Journal of manual & manipulative therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07672093 (Effects of Dry Needling and Electrical Dry Needling on Latent Myofascial Trigger Points of the Extensor Digitorum Communis), which is not on this map. Cited by 63 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Dry Needling and Electrical Dry Needling on Latent Myofascial Trigger Points of the Extensor Digitorum Communis: A Randomized Clinical Trial
Who cites it
63 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Safety and anatomical accuracy of dry needling procedures in musculoskeletal system: a systematic review of cadaveric studies.The Journal of manual & manipulative therapy · 2026Pooled it
- Effects of dry needling on recovery, neuromuscular function, and injury outcomes in sports athletes: a systematic review targeting the neck and related regions.Frontiers in public health · 2026Pooled it
- Dry Needling in Sports and Sport Recovery: A Systematic Review with an Evidence Gap Map.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Risk of Hepatitis C Virus Transmission through Acupuncture: A Systematic Review and Meta-Analysis.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023Pooled it
- Corticosteroid injection or dry needling for musculoskeletal pain and disability? A systematic review and GRADE evidence synthesis.Chiropractic & manual therapies · 2021Pooled it
- Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis.Pain research & management · 2021Pooled it
- Intramuscular electrical stimulation added to home exercise for myofascial shoulder pain: a randomized controlled trial.Scientific reports · 2026Trial
- Ultrasound-guided percutaneous electrolysis versus dry needling in patients with chronic low back pain a double-blind randomized clinical trial.Scientific reports · 2026Trial
- Short-term effectiveness of dry needling on pain and ankle range of motion in athletes with medial tibial stress syndrome- a randomized control trial.The Journal of manual & manipulative therapy · 2025Trial
- Effectiveness of Repetitive Peripheral Magnetic Stimulation (rPMS) in Relieving Post-Needling Soreness in Patient with Upper Trapezius Myofascial Pain Syndrome: A Double-Blind, Randomized Clinical Trial.Journal of pain research · 2025Trial
- Effect of dry needling on lumbar muscle stiffness in patients with low back pain: A double blind, randomized controlled trial using shear wave elastography.The Journal of manual & manipulative therapy · 2022Trial
- Rate and maintenance of improvement of myofascial pain with dry needling alone vs. dry needling with intramuscular electrical stimulation: a randomized controlled trial.The Journal of manual & manipulative therapy · 2021Trial
- Immediate Effects of Dry Needling on the Autonomic Nervous System and Mechanical Hyperalgesia: A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- The Influence of Verbal Suggestion on Post-Needling Soreness and Pain Processing after Dry Needling Treatment: An Experimental Study.International journal of environmental research and public health · 2021Trial
- Trigger point dry needling, manual therapy and exercise versus manual therapy and exercise for the management of Achilles tendinopathy: a feasibility study.The Journal of manual & manipulative therapy · 2020Trial
- Comparing two dry needling interventions for plantar heel pain: a randomised controlled trial.BMJ open · 2020Trial
- Low-Intensity Continuous Ultrasound for the Symptomatic Treatment of Upper Shoulder and Neck Pain: A Randomized, Double-Blind Placebo-Controlled Clinical Trial.Journal of pain research · 2020Trial
- The consistency of reporting adverse events associated with dry needling: a narrative review.The Journal of the Canadian Chiropractic Association · 2026Article
- Clinical Practice Patterns in the Physiotherapy Management of Tension-Type Headache Among Spanish Physiotherapists.Journal of clinical medicine · 2026Article
- A review of the synergistic mechanisms of Yijinjing, meridian sinew therapy, dry needling, and Fascial Manipulation in chronic cervical myofascial pain based on the fascia-meridian sinew continuum.Frontiers in medicine · 2026Review
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTrigger point dry needling (TrP-DN) is commonly used to treat persons with myofascial pain, but no studies currently exist investigating its safety. The aim of this study was to determine the incidence of Adverse Events (AEs) associated with the use of TrP-DN by a sample of physiotherapists in Ireland.
methodsA prospective survey was undertaken consisting of two forms recording mild and significant AEs. Physiotherapists who had completed TrP-DN training with the David G Simons Academy (DGSA) were eligible to take part in the study. Data were collected over a ten-month period.
resultsIn the study, 39 physiotherapists participated and 1463 (19.18%) mild AEs were reported in 7629 treatments with TrP-DN. No significant AEs were reported giving an estimated upper risk rate for significant AEs of less than or equal to (≤) 0.04%. Common AEs included bruising (7.55%), bleeding (4.65%), pain during treatment (3.01%), and pain after treatment (2.19%). Uncommon AEs were aggravation of symptoms (0.88%), drowsiness (0.26%), headache (0.14%), and nausea (0.13%). Rare AEs were fatigue (0.04%), altered emotions (0.04%), shaking, itching, claustrophobia, and numbness, all 0.01%. DISCUSSION: While mild AEs were very commonly reported in this study of TrP-DN, no significant AEs occurred. For the physiotherapists surveyed, TrP-DN appeared to be a safe treatment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.