The Effect of Dry Needling of the Gluteus Medius Muscle in Patients With Chronic Low Back Pain

  • End date
    Jun 5, 2023
  • participants needed
  • sponsor
    University of Haifa
Updated on 5 June 2022
back pain
low back pain
dry needling


The effectiveness of dry needling of the Gluteus Medius muscle in combination with active exercises will be examined compared with sham needling with active exercises in low back pain (LBP) patients.


Objectives: To examine if dry needling in combination with active physiotherapy is more effective in reducing pain and increase activity of daily living, range of motion and muscle strength in patients with chronic low back pain compared to sham dry needling in combination with active physiotherapy.

Methods: the study will include individuals with non-specific LBP over 3 months.

Subjects will be divided randomly into two research groups, both will receive physiotherapy including mobility, strengthening and stretching exercises. Intervention group, additionally to exercises, will receive dry needling to the Gluteus Medius muscle by inserting a needle to a trigger point until a visible involuntary twitch in the muscle appears. Sham needling will be applied by needling with pre-cut and smoothed needles that will not penetrate the skin.

Both groups will receive two treatments per week and up to six treatments overall, evaluation will be performed before and after the series of treatments.

Condition Low Back Pain
Treatment Dry needling, Sham Dry Needling
Clinical Study IdentifierNCT04498572
SponsorUniversity of Haifa
Last Modified on5 June 2022


Yes No Not Sure

Inclusion Criteria

Main complaint of nonspecific LBP over a 3 month period
VAS > 3 at baseline

Exclusion Criteria

two or more of the following signs are present on physical examination: lower extremity weakness in a myotome distribution, decreased sensation in a dermatomal distribution, altered lower extremity deep tendon reflexes, pathological reflexes, a positive straight leg raise (SLR) test, crossed SLR or femoral nerve stretch test
Symptoms began immediately after a significant trauma (motor vehicle accident, fall from a height) and subjects were not been screened for possible fractures
Physical therapy or chiropractic treatment for LBP was provided during the 6 months prior to participation in the study or are currently being treated
presence of contraindication for dry needling
past back or pelvic surgery
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