000112773 001__ 112773 000112773 005__ 20240319080953.0 000112773 0247_ $$2doi$$a10.1155/2022/1363477 000112773 0248_ $$2sideral$$a128196 000112773 037__ $$aART-2022-128196 000112773 041__ $$aeng 000112773 100__ $$aMuñoz, María 000112773 245__ $$aDry Needling and Antithrombotic Drugs 000112773 260__ $$c2022 000112773 5060_ $$aAccess copy available to the general public$$fUnrestricted 000112773 5203_ $$aMany clinicians increasingly use dry needling in clinical practice. However, whether patients'' intake of antithrombotic drugs should be considered as a contraindication for dry needling has not been investigated to date. As far as we know, there are no publications in analyzing the intake of antiplatelet or anticoagulant agents in the context of dry needling techniques. A thorough analysis of existing medications and how they may impact various needling approaches may contribute to improved evidence-informed clinical practice. The primary purpose of this paper is to review the current knowledge of antithrombotic therapy in the context of dry needling. In addition, reviewing guidelines of other needling approaches, such as electromyography, acupuncture, botulinum toxin infiltration, and neck ultrasound-guided fine-needle aspiration biopsy, may provide specific insights relevant for dry needling. Based on published data, taking antithrombotic medication should not be considered an absolute contraindication for dry needling techniques. As long as specific dry needling and individual risks are properly considered, it does not change the risk and safety profile of dry needling. Under specific circumstances, the use of ultrasound guidance is recommended when available. © 2022 María Muñoz et al. 000112773 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000112773 590__ $$a2.9$$b2022 000112773 592__ $$a0.562$$b2022 000112773 591__ $$aCLINICAL NEUROLOGY$$b116 / 212 = 0.547$$c2022$$dQ3$$eT2 000112773 593__ $$aAnesthesiology and Pain Medicine$$c2022$$dQ2 000112773 593__ $$aNeurology$$c2022$$dQ3 000112773 594__ $$a4.0$$b2022 000112773 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000112773 700__ $$aDommerholt, Jan 000112773 700__ $$0(orcid)0000-0002-5770-5146$$aPérez-Palomares, Sara$$uUniversidad de Zaragoza 000112773 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza 000112773 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo, Sandra$$uUniversidad de Zaragoza 000112773 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000112773 773__ $$g2022 (2022), 1363477 [10 pp.]$$pPain res. manag.$$tPain research and management$$x1203-6765 000112773 8564_ $$s1320099$$uhttps://zaguan.unizar.es/record/112773/files/texto_completo.pdf$$yVersión publicada 000112773 8564_ $$s2588545$$uhttps://zaguan.unizar.es/record/112773/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000112773 909CO $$ooai:zaguan.unizar.es:112773$$particulos$$pdriver 000112773 951__ $$a2024-03-18-13:16:39 000112773 980__ $$aARTICLE