POS1284 FASCIAL ULTRASOUND: THE CONTEXT FOR DRY NEEDLING TRIGGER POINTS IN TREATMENT OF MYOFASCIAL PAIN, POSTURAL IMBALANCE

Background: Muscles and fascia are the major source of pain in rheumatic diseases. Dry needling under ultrasound guidance (DN-US) is a crucial therapeutic approach to treat muscle [1,2], definition `myo-fascial` calls for searching trigger points (TrPs) improve treatment effectiveness. Objectives: Aim was evaluate relevance fascial DN-US myo-fascial pain. Methods: We included 36 patients (21 females, 20-69 years old) with myofascial different localisations (low back, limbs, shoulder, neck pain), postural imbalance; did protocol according R. Bubnov [1]: were identified according, fine (28G) steel needle applied. Additionally considered structures detecting areas abnormalities (hypervascularity, heterogeinity, hypomotility, adhesions) aka `trigger points` potental nerve compression/irritation precise where appropriate. Results: In all movement restored decreaed after muscles DN; 30 additionally we detected successful as follows: thoracolumbar fascia, sacroiliac joint, pelvis ligaments, rotator cuff; potential compressions (e.g., arcade Frochse, soleus arcade); sheath surrounding nerves (sciatic nerve, brachial plexus) vessels (thoracic outlet syndrome), smaller joint capsule thickening. higher rates motility, improvement balance decrease, fewer sessions needed extensive protocol. Conclusion: Fascia dry accessible effective method treatment, may provide additional mechanical benefit help maintain effect. Affected can be relevant points, specific symptoms should validated. References: [1]Bubnov R Trigger Points Needling Under Ultrasound Guidance Low Back Pain Therapy. Comparative Study. Annals Rheumatic Diseases2015;74:624. http://dx.doi.org/10.1136/annrheumdis-2015-eular.2323 [2]Bubnov R, Kalika L, Babenko L. Dynamic multilevel evaluation motion posture lower extremity spine. Diseases 2018;77:1699. http://dx.doi.org/10.1136/annrheumdis-2018-eular.3949 Disclosure Interests: None declared