Citation: Pm & R. 2018 Jul 20.Journal: PM & R : the journal of injury, function, and rehabilitation.Published: 2018ISSN: 1934-1482.Full author list: Berrigan WA; Whitehair C; Zorowitz R.UI/PMID: 30036680.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar National Rehabilitation NetworkActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1016/j.pmrj.2018.07.009 (Click here)Abbreviated citation: PM R. 2018 Jul 20.Abstract: Dry needling is a procedure commonly performed for the relief of myofascial pain disorders. The procedure is generally well tolerated. Adverse events often are mild, but severe complications have been reported. This case report describes an acute spinal epidural hematoma as a complication of dry needling. It is a reminder to the performing physician or therapist to take specific precautions when placing a needle near the spine. Sudden onset of neuropathic pain post-needling therapy in and around the spine should prompt emergent assessment with possibly advanced spine imaging to evaluate the integrity of the spinal cord.Abstract: Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.