<![CDATA[Treatment with botulinum toxin injections is preferred to microvascular decompressionsurgery therapy, but this injection is only effective in a few months and quite expensive. This studyis the first study to assess the effectiveness of dry needling on clinical improvement of hemifacialspasm compared to standard therapy of botulinum toxin injection. The study design was quasiexperimental. Total of 24 subjects were divided into two groups. The first group underwent dryneedling intervention while the other had botulinum injection. Clinical severity before and aftertreatment in both groups was assessed using Jankovic and HFS7 scores. In dry needling groupthere were significant differences between Jankovic and HFS7 score at baseline and at week 1, 2,3 and 4. While in botox group significant differences were also Jankovic and HFS7 score atbaseline and at weeks 2 and 4. There were also a significant difference of Jankovic and HFS7 scorewhen we compared dry needling group to botulinum toxin group. Dry needling can be analternative treatment for hemifacial spasm, although clinical improvements based on Jankovic andHFS7 scores in dry needling group were not as effective as those with botulinum toxin injections.]]>
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