Does Dry Needling Affect Treatment Outcomes of Interlaminar Epidural Steroid Injection in Cervical Disc Herniation?

Exclusion Criteria

• •Previous surgical/interventional procedure for the cervical region
• •Previous application of dry needling/acupuncture to any part of the body
• •Presence of other musculoskeletal disorders (such as lateral epicondylitis, tendinitis, entrapment neuropathy) that may cause diagnostic confusion in terms of pain pattern and localization
• •Signs of trauma, fracture, malignancy, or active infection
• •Rheumatological (RA, AS, etc.), endocrinological (such as osteoporosis, Paget's disease) or another systemic disease that may change the anatomical or physiological structure of the relevant regions
• •Presence of coagulopathy
• •History of whiplash injury, cervical spinal stenosis, cervical spondylosis
• •Have a diagnosis of fibromyalgia
• •Being pregnant and breastfeeding
• •Presence of mental deterioration or psychiatric/neurological disease that can affect flow of the study.