en Physical Therapy Physical Therapy case report case report <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal">Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">In this case report of a 31-year-old female, we describe the effects of dry needling on scar tissue following total hip arthroplasty. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Case report:</b> A 31-year-old woman underwent an elective bilateral total hip replacement due to a motor vehicle accident. Based on physical examination, the patient had burning pain at the incision site at the time of menstruation and limited hip range of motion worse on the right side. The treatment program consisted of six sessions of dry needling over a three-week period alongside infrared radiation for 20 minutes during each session. The needles were spaced along the entire length of the scar tissue and rotation was performed back and forth across the scar region to release the adhesion between the scar line and the underlying tissue, focusing more on the painful-to-touch spots and adhesive points. Following the completion of the dry needling treatments hip range of motion and the patient&rsquo;s functional outcome improved. Dry needling may be an effective and rapid treatment for scar tissue adhesion after surgical procedures. High-quality randomized-controlled studies are needed to verify the efficacy of this method.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal"></span></span></span></span></span></span></span></span><br> &nbsp; Dry Needling, Hypertrophic scar, Total hip arthroplasty, Scar treatment, Scar adhesion 1208 1212 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-7625-1&slc_lang=en&sid=1 Mehrdad Bahramian Mehrdad_bahramian_pt@yahoo.com 200319475328460075063 200319475328460075063 No Department of Physiotherapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran & Department of Physical Therapy, College of Health Science &Professions, University of North Georgia, Dahlonega, USA Narges Dabbaghipour n-dabbaghipour@razi.tums.ac.ir 200319475328460075064 200319475328460075064 Yes Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran Amir Aria aria.amir2022@gmail.com 200319475328460075065 200319475328460075065 No Department of Physiotherapy, School of Rehabilitation, Jondishapur University of Medical Sciences, Ahvaz, Iran Bahareh Sajadi moghadam fard tehrani Sbahar95@yahoo.com 200319475328460075066 200319475328460075066 No Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran Jan Dommerholt Jan@myopain4u.com 200319475328460075067 200319475328460075067 No Bethesda Physiocare, Bethesda, & Myopain Seminars, Bethesda, & Department of Physical Therapy and Rehabilitation Science, School of Medicine, University of Maryland, Baltimore, MD, USA