ClinicalTrials.gg
Not yet recruitingNCT07637760PEDNUpdated Sep 9, 2026

Dry Needling or Percutaneous Electrolysis for Managing Myofascial Trigger Points?

An interventional study of Dry needling and Percutaneous electrolysis (Low Intensity - Long Time) in Shoulder Pain, sponsored by Universidad Complutense de Madrid. Not yet recruiting at 2 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Universidad Complutense de Madrid · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 52 studies in Shoulder Pain with a site in Spain — 10 open to participants now, 10 under way, none of them phase 3. Shoulder Pain · Spain.

Planned enrollment
20th of 49
60 · median 50
Started
2026
with 4 others
No phase
47 of 52
10 open now
Registered
52nd of 52
by date

Among the 52 studies in Shoulder Pain with a site in Spain, this one is the 20th largest by planned enrollment of the 49 interventional ones, is one of 5 that started in 2026, is one of 47 with no phase, and was the 52nd registered.

By phase

52 studies; the count open now beside each. This study's row is marked.

No phasethis study47 · 10 open
Observational3 · 0 open
Phase 11 · 0 open
Phase 21 · 0 open

By the year they started

First in 2007; this study’s year is marked. 5 started in 2026.

What they test

Size and results

Median enrollment 50 across the 49 interventional studies, 159 across the 3 observational. Of the 34 that completed or were terminated, 1 (3%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 52 studies in Shoulder Pain with a site in Spain, or all of them as a file.
02

Study summary

Dry needling (DN) and percutaneous electrolysis (PE) are minimally invasive physiotherapy techniques commonly used for the management of myofascial trigger points. DN consists of inserting a fine filiform needle into a hyperirritable area within a taut band of skeletal muscle, with the aim of eliciting local twitch responses and reducing myofascial pain. PE follows a similar needle-based approach but combines the mechanical stimulus of the needle with the application of a galvanic electrical current, producing an electrochemical reaction in the targeted tissue. Both techniques have been increasingly used in clinical practice for musculoskeletal pain conditions, including shoulder pain, although the evidence comparing their relative effectiveness remains limited.

Shoulder pain is one of the most prevalent musculoskeletal disorders and is frequently associated with the presence of active myofascial trigger points. Among the shoulder muscles, the infraspinatus has been identified as a clinically relevant structure because its trigger points may reproduce referred pain patterns commonly reported by patients with shoulder symptoms and may contribute to pain, reduced strength, altered mobility, and functional disability. Previous studies have suggested that invasive treatment of infraspinatus trigger points may produce short-term improvements in pain sensitivity and shoulder-related symptoms. However, most available research has examined dry needling or percutaneous electrolysis separately, and direct comparisons between both interventions in patients with shoulder pain remain scarce.

The physiological mechanisms underlying these techniques are not yet fully understood. Dry needling is thought to act through mechanical and neurophysiological mechanisms, including disruption of dysfunctional motor endplates, reduction of local nociceptive input, elicitation of local twitch responses, and activation of segmental and descending inhibitory pathways. Percutaneous electrolysis may share some of these needling-related effects, while also adding a galvanic current that may induce local biochemical changes and promote tissue recovery processes. Nevertheless, it remains unclear whether the addition of electrical current provides superior clinical effects compared with dry needling alone.

Since limited research has directly compared dry needling and percutaneous electrolysis applied to active myofascial trigger points of the infraspinatus in patients with shoulder pain, the present study aimed to compare the effectiveness of both techniques as complementary interventions to manual therapy and therapeutic exercise. Specifically, this study sought to determine whether percutaneous electrolysis or dry needling produced greater short-term improvements in pain intensity and shoulder-related disability.

03

Conditions studied

  • Shoulder Pain

Keywords

  • Dry needling
  • Percutaneous electrolysis
  • Physiotherapy
  • Manual therapy
  • Exercise
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults
  • Presence of shoulder pain for at least 3 months.
  • Shoulder pain intensity greater than 3 points on the visual analogue scale (VAS).
  • Shoulder-related disability greater than 20 points on the DASH questionnaire.
  • Presence of at least one active myofascial trigger point in the infraspinatus muscle.
  • Reproduction of the patient's familiar shoulder pain during palpation of the infraspinatus trigger point.
  • Ability to understand the study procedures and provide written .

Exclusion criteria

Exclusion Criteria:

  • Previous shoulder surgery or traumatic shoulder injury in the affected region.
  • Presence of severe structural or systemic pathology affecting the shoulder region, such as fracture, tumour, infection, inflammatory disease, or neurological disorder.
  • Clinical signs suggestive of cervical radiculopathy or other neurological conditions that could explain the shoulder symptoms.
  • Use of physiotherapy treatment, invasive therapy, or analgesic/anti-inflammatory medication during the week before participation.
  • to dry needling or percutaneous electrolysis, including needle phobia, anticoagulant therapy, bleeding disorders, pregnancy, pacemaker or implanted electrical devices, local skin infection, or altered skin sensitivity in the treatment area.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Experimental Group - High intensity and short time electrolysis dose

    Combination of manual therapy, therapeutic exercise and percutaneous electrolysis

    Other: Manual therapy · Behavioral: Therapeutic exercise · Other: Percutaneous Electrolysis (High Intensity - Short Time)

  • Active comparator
    Control group

    Combination of manual therapy, therapeutic exercise and dry needling

    Other: Dry needling · Other: Manual therapy · Behavioral: Therapeutic exercise

  • Experimental
    Experimental Group - Low intensity and long time electrolysis dose

    Combination of manual therapy, therapeutic exercise and percutaneous electrolysis

    Other: Percutaneous electrolysis (Low Intensity - Long Time) · Other: Manual therapy · Behavioral: Therapeutic exercise

Interventions

  • OtherDry needling

    Dry needling will be performed on the most symptomatic active myofascial trigger point of the infraspinatus muscle. Participants will be placed in prone, and the skin will be disinfected with 2% chlorhexidine. A sterile solid filiform needle will be inserted into the trigger point using Hong's technique, consisting of repeated fast-in and fast-out needle movements for 30 seconds, with the aim of eliciting 3-5 local twitch responses. During the 30 seconds procedure, the needle will be connected to the percutaneous electrolysis device (without current) for blinding purposes.

  • OtherPercutaneous electrolysis (Low Intensity - Long Time)

    Percutaneous electrolysis will be applied to the most symptomatic active myofascial trigger point of the infraspinatus muscle. Participants will be positioned in prone, and the skin will be cleaned with 2% chlorhexidine. A sterile solid filiform needle will be inserted into the trigger point using a fast-in and fast-out needling approach, with the aim of eliciting 3-5 local twitch responses. During the procedure, a galvanic current of 0.3 mA was applied for 30 seconds.

  • OtherManual therapy

    Manual therapy interventions consist of soft tissue techniques targeting the upper, middle, and lower trapezius, levator scapulae, rhomboids, teres minor, and infraspinatus muscles. The pressure will be adapted to each participant's tolerance and will not exceed moderate pain intensity. Scapular mobilization techniques will be also performed in side-lying, including elevation, depression, protraction, retraction, upward rotation, and downward rotation.

  • BehavioralTherapeutic exercise

    The programme include assisted mobility exercises for shoulder flexion, abduction, external rotation, and internal rotation, followed by strengthening exercises for flexion, extension, abduction, internal rotation, and external rotation. Anterior and posterior shoulder capsule stretching and unloaded Codman pendulum exercises will be also included. Participants will be instructed to perform the exercises once daily until the follow-up assessment, keeping pain below 3-4 points on the visual analogue scale.

  • OtherPercutaneous Electrolysis (High Intensity - Short Time)

    Percutaneous electrolysis will be applied to the most symptomatic active myofascial trigger point of the infraspinatus muscle. Participants will be positioned in prone, and the skin will be cleaned with 2% chlorhexidine. A sterile solid filiform needle will be inserted into the trigger point using a fast-in and fast-out needling approach, with the aim of eliciting 3-5 local twitch responses. During the procedure, a galvanic current of 3 mA was applied for 3 seconds.

06

What researchers measure

Primary outcomes

  1. Pain intensity

    Pain intensity will be assessed using a 10-point visual analogue scale (VAS), where 0 indicates no pain and 10 represents the worst imaginable pain. Participants will be asked to rate their perceived shoulder pain before the intervention and at the 7-day follow-up. Higher scores indicated greater pain intensity.

    Time frame: Baseline (before the intervention on Day 1) and 7 days after the intervention

Secondary outcomes

  1. Shoulder disability

    Shoulder-related disability will be evaluated using the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH). This instrument assesses the patient's ability to perform daily activities involving the upper limb. Scores range from 0 to 100, with higher scores indicating greater disability.

    Time frame: Baseline (before the intervention on Day 1) and 7 days after the intervention

  2. Adverse effects

    Adverse effects will be recorded by asking participants to report any undesirable symptoms or sequelae occurring during or after the interventions. These include any short- or medium-term symptoms considered intolerable by the patient or requiring additional care.

    Time frame: From completion of the intervention on Day 1 to 7 days after the intervention

  3. Interventions tolerance

    How patients tolerate the invasive physiotherapy procedures will be assessed using a 10-point visual analogue scale (VAS), where 0 indicated no pain and 10 represented the worst imaginable pain. Participants will be asked to rate how painful they perceived the assigned intervention. Higher scores indicated greater pain intensity.

    Time frame: Immediately after completion of the intervention on Day 1

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Jan 2027, 4 months later.

Of 349 non-industry interventional studies with no phase under Shoulder Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 27. This study's planned 4 months is below that.

Counting every sponsor, half of 354 studies reached it within 11 months; a quarter within 4 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
May 30, 2026
First posted
Jun 10, 2026
StartEst.
Sep 15, 2026
Primary completionEst.
Jan 30, 2027
CompletionEst.
Feb 1, 2027
Last update
Sep 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07637760
Responsible party
JUAN ANTONIO VALERA CALERO (Principal Investigator, Universidad Complutense de Madrid) — Principal investigator
First posted
Jun 10, 2026
Start date
Sep 15, 2026 (estimated)
Primary completion
Jan 30, 2027 (estimated)
Completion
Feb 1, 2027 (estimated)
Last update
Sep 9, 2026

Study contacts

Juan Antonio Valera Calero, PhD
Contact
juavaler@ucm.es
0034653766841

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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