A Bidirectional Reframe of Myofascial Trigger Points and Dry Needling (dgs-academy.com)

• Traditional unidirectional models of dry needling may be incomplete.
• Proposed bidirectional reframe integrates peripheral and central mechanisms.
• New framework has direct implications for physiotherapy treatment protocols.

"This article critically examines current models of myofascial trigger points (MTrPs) and dry needling, proposing a bidirectional reframe that integrates both peripheral and central mechanisms. The authors argue that traditional unidirectional views may limit clinical effectiveness. The reframe emphasizes the interplay between local tissue changes and central nervous system modulation, with implications for treatment protocols. The article calls for a paradigm shift in understanding and applying dry needling in physiotherapy."