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Author Response

Matthew P. Cotchett, Shannon E. Munteanu, Karl B. Landorf
DOI: 10.2522/ptj.2014.94.11.1680.1 Published 1 November 2014
Matthew P. Cotchett
M.P. Cotchett, BPod, Department of Allied Health, La Trobe Rural Health School, La Trobe University, PO 199 Bendigo, Victoria, Australia 3552, and Department of Podiatry and Lower Extremity and Gait Studies Program, La Trobe University, Bundoora, Melbourne, Victoria, Australia.
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Shannon E. Munteanu
S.E. Munteanu, PhD, Department of Podiatry and Lower Extremity and Gait Studies Program, La Trobe University.
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Karl B. Landorf
K.B. Landorf, PhD, Department of Podiatry and Lower Extremity and Gait Studies Program, La Trobe University.
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Thank you to Dunning and colleagues for their letter to the editor1 on our study.2 The comments primarily focused on the reliability of trigger point examination and the optimal dose of dry needling for plantar heel pain. We thank the authors for their comments and provide a broad response below.

First, and importantly, we clearly outlined that one of the limitations of our trial was that there was a lack of evidence for the reliability of trigger point examination. Although we accept this as a limitation, clinicians still use the method outlined in our work, and as such, our pragmatically designed trial is a worthwhile addition to the evidence relating to the dry needling intervention outlined in our study. Just because a reliable and clinically usable method of trigger point examination is not yet available does not in any way indicate that current methods should not be evaluated for their effectiveness in robust randomized trials.

Second, the optimal dose of trigger point dry needling for plantar heel pain is unknown. This is a conundrum of many musculoskeletal interventions at present and is not isolated to dry needling. With this in mind, we developed a pragmatic, consensus-driven dry needling treatment, using a recognized research method, which was supported by experts worldwide.3 We believe that the protocol we developed was an advance on what had been used previously.

We again thank Dunning and colleagues for their comments. We hope that clinicians take note of our findings in light of the limitations we outlined and that other researchers use our trial to inform future trials on this intriguing intervention.

Footnotes

  • This letter was posted as a Rapid Response on September 26, 2014. at ptjournal.apta.org.

  • © 2014 American Physical Therapy Association

References

  1. ↵
    1. Dunning J,
    2. Butts R,
    3. Perreault T
    . Letter to the editor on “Effectiveness of trigger point dry needling for plantar heel pain: a randomized controlled trial.” Phys Ther. 2014;94:1677–1680.
    OpenUrlFREE Full Text
  2. ↵
    1. Cotchett MP,
    2. Munteanu SE,
    3. Landorf KB
    . Effectiveness of trigger point dry needling for plantar heel pain: a randomized controlled trial. Phys Ther. 2014;94:1083–1094.
    OpenUrlAbstract/FREE Full Text
  3. ↵
    1. Cotchett MP,
    2. Landorf KB,
    3. Munteanu SE,
    4. Raspovic AM
    . Consensus for dry needling for plantar heel pain (plantar fasciitis): a modified Delphi study. Acupunct Med. 2011;29:193–202.
    OpenUrlAbstract/FREE Full Text
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Vol 94 Issue 11 Table of Contents
Physical Therapy: 94 (11)

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Author Response
Matthew P. Cotchett, Shannon E. Munteanu, Karl B. Landorf
Physical Therapy Nov 2014, 94 (11) 1680; DOI: 10.2522/ptj.2014.94.11.1680.1

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Author Response
Matthew P. Cotchett, Shannon E. Munteanu, Karl B. Landorf
Physical Therapy Nov 2014, 94 (11) 1680; DOI: 10.2522/ptj.2014.94.11.1680.1
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  • Randomized Controlled Trials
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