112773 20240319080953.0 doi 10.1155/2022/1363477 sideral 128196 ART-2022-128196 eng Muñoz, María Dry Needling and Antithrombotic Drugs 2022 Access copy available to the general public Unrestricted Many 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. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.9 2022 CLINICAL NEUROLOGY 116 / 212 = 0.547 2022 Q3 T2 0.562 2022 Anesthesiology and Pain Medicine 2022 Q2 Neurology 2022 Q3 4.0 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Dommerholt, Jan Pérez-Palomares, Sara Universidad de Zaragoza (orcid)0000-0002-5770-5146 Herrero, Pablo Universidad de Zaragoza (orcid)0000-0002-9201-0120 Calvo, Sandra Universidad de Zaragoza (orcid)0000-0002-1674-7788 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 2022 (2022), 1363477 [10 pp.] Pain res. manag. Pain research and management 1203-6765 1320099 http://zaguan.unizar.es/record/112773/files/texto_completo.pdf Versión publicada 2588545 http://zaguan.unizar.es/record/112773/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:112773 articulos driver 2024-03-18-13:16:39 ARTICLE