CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(02): e233-e242
DOI: 10.1055/s-0041-1730429
Original Article

Effectiveness of Dry Needling in Bothersome Chronic Tinnitus in Patients with Myofascial Trigger Points

1   Otolaryngology Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
1   Otolaryngology Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
1   Otolaryngology Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
1   Otolaryngology Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
› Author Affiliations
Funding Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Faculdade de Medicina da Universidade de São Paulo


Introduction Therapeutic dry needling (DN) is effective in reducing the discomfort of chronic somatosensory tinnitus in patients with myofascial trigger points (MTP)s.

Objective To evaluate the efficacy of DN in chronic somatosensory tinnitus discomfort in patients with MTP.

Methods Placebo-controlled paired trial that included 16 patients with a diagnosis of somatosensory chronic tinnitus and with the presence of at least one active or latent MTP. Treatment was performed in two phases: (1) four sessions (one session per week for four consecutive weeks) of placebo DN and (2) four sessions of therapeutic DN with a gap (washout) of 15 days between these phases.

Results The Tinnitus Handicap Inventory (THI) variable and its emotional domain had a statistically significant reduction in therapeutic DN when compared with placebo DN (p = 0.024 and p = 0.011, respectively).

The tinnitus visual analogic scale (VAS) signaled a reduction in tinnitus discomfort when compared with moments before and after therapeutic DN (p < 0.05).

Conclusion The therapeutic DN technique for MTP in patients with chronic tinnitus of somatosensory origin proved effective in reducing symptom discomfort, as measured by the THI (total score) and its emotional domain when compared with placebo DN.

Publication History

Received: 13 October 2020

Accepted: 03 March 2021

Article published online:
30 August 2021

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