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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 33, 2017 - Issue 5
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Case Report

Effect of fascia dry needling on non-specific thoracic pain – A proposed dry needling grading system

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Pages 420-428 | Received 22 Aug 2015, Accepted 30 Apr 2016, Published online: 08 May 2017
 

ABSTRACT

This case report describes a 42-year-old female who presented with complaints of diffuse pain in her thoracic paraspinal region from T2 to T7. Physical examination revealed tenderness, increased turgor and restriction of her superficial fascia. A potential first time description of successful management utilizing fascia dry needling is described in this report with improvements noted in pain, range of motion, and functional activities. The patient was discharged from physiotherapy after four treatment sessions, and a follow-up after 3 months revealed that she was pain free and fully functional. A grading system (Sudarshan and Murugavel Dry Needling Grading Scale©) is proposed describing the various grades of dry needling to guide clinical reasoning and decision-making.

Acknowledgment

The authors thank Megan Sawatsky MPT MCPA for her assistance in preparing this manuscript.

Declaration of interest

The author reports no declarations of interest.

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