Eleven studies were selected for inclusion in this meta-analysis investigating the efficacy of dry needling for low back pain with associated myofascial trigger point. At post-intervention, dry needling was associated with a significant beneficial difference for pain and disability when compared control interventions. At follow-up time points, measures of pain and disability did not significantly differ between dry needling and control interventions. Clinical heterogeneity was present in analyses due to a range of control interventions, including sham dry needling, laser therapy, acupuncture, superficial needling, and local anaesthetic injection.