Abstract Introduction Therapeutic dry needling (DN) is effective in reducing the discomfort of chronic somatosensory tinnitus in patients with myofascial trigger points (MTP)s. Objective To evaluate the efficacy of DN in chronic somatosensory tinnitus discomfort in patients with MTP. Methods Placebo-controlled paired trial that included 16 patients with a diagnosis of somatosensory chronic tinnitus and with the presence of at least one active or latent MTP. Treatment was performed in two phases: (1) four sessions (one session per week for four consecutive weeks) of placebo DN and (2) four sessions of therapeutic DN with a gap (washout) of 15 days between these phases. Results The Tinnitus Handicap Inventory (THI) variable and its emotional domain had a statistically significant reduction in therapeutic DN when compared with placebo DN (p= 0.024 and p = 0.011, respectively). The tinnitus visual analogic scale (VAS) signaled a reduction in tinnitus discomfort when compared with moments before and after therapeutic DN (p< 0.05). Conclusion The therapeutic DN technique for MTP in patients with chronic tinnitus of somatosensory origin proved effective in reducing symptom discomfort, as measured by the THI (total score) and its emotional domain when compared with placebo DN.

O presente trabalho, à luz da teoria de Winnicott, que elucida a importância do ambiente e da relação interpessoal para a constituição de um ser humano saudável, pretende apresentar uma proposta de intervenção para trabalhar com os pais de bebês que nascem com alguma deficiência. É no apontar a dois que se confirma a realidade, que se vê nos olhos do outro o seu próprio olhar. Para tanto, o primeiro cuidador, instrumentalizado com informações e orientações poderá propiciar meios para que esse bebê se desenvolva plenamente. Respeitando as suas iniciativas espontâneas e originais, seu modo de se expressar, e sendo contingente em retorno, proporcionará a essa criança um sentido de aceitação e de compreensão de suas expressões, inserindo-a adequadamente no meio circundante.

The present article, using Winnicott's theory as a background, which elucidates the importance of the environment and of social relations to constitute a healthy human being, intends to present an intervention proposal with parents of a newborn deficient baby. It is by pointing at reality two by two that one sees in the eyes of the other his own eyes. In spite of this, the first caregiver, instructed with information and orientations, will be able to offer conditions for this deficient baby to develop himself completely. It is by respecting the spontaneous and original initiatives of the baby, his own way of expressing himself, and by being contingent in return, that this child will be able to acknowledge a sense of acceptance and comprehension of his own expressions, positioning him adequately into the environment.