Frequently Asked Questions about Dry Needling

Dry needling has become increasingly popular in physical therapy practices. While there is a crossover with acupuncture, physical therapist and acupuncturists have different training and methodologies. I am certified in Integrative Dry Needling which entails more than 50 hours of professional training beyond the Doctor of Physical Therapy degree. I have been doing dry needling since 2024 and it has really shaped the way I understand and practice physical therapy.

Dry needling needle inserted into muscle tissue

Frequently Asked Questions:

How does it work?

Integrative dry needling is not the same as acupuncture, despite having some similarities. Dry needling is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems. A very fine filament needle is inserted through the skin and into the deeper tissues that have inflammation, swelling, trigger points that produce pain. Dry needling works by causing a micro lesion within the pathological tissue improving blood flow, releasing shortened tissues, normalizing the inflammatory response, and centrally mediating your pain. This mechanical and neuromuscular effect provides an environment that enhances the body’s ability to rebuild the dysfunctional tissue improving your function.

What conditions can be treated?

Because of the neurophysiological effects described above dry needling can be effective for most neuromusculoskeletal conditions. These conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension- type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms).

Are the needles sterile?

Yes, I only use single use sterile disposable needles.

Is the procedure painful?

The fine filament needle is very thin, solid, and flexible, which allows for the needle to be inserted through the skin versus cutting the skin. I strive to make the treatment as comfortable as possible; however, I am attempting to create a sensation that is described as an ache, heaviness or reproduction of the familiar symptom. This is needed to achieve a physiological response that is needed to reduce your pain. You may also experience a momentary small muscle twitch (contraction) that will help release your muscle tightness and pain. These sensations are perfectly normal and are desirable responses. Your clinician closely monitors the process making modifications to the treatment to make your experience as comfortable and therapeutic as possible.

How will I feel after the Dry Needling treatment?

This will vary but many patients experience immediate relief of their symptoms and an increase in range of motion. Soreness can also be a common response from the needling but does not occur with all people. Some individuals may experience an immediate achiness or a delayed soreness that is reported like a post workout soreness. The soreness, if present, will usually last 1-2 days, use of heat and light massage and movement will be beneficial. Mild bruising may occur at the needling sites and is more prevalent in certain parts of the body. It is uncommon but possible that the treatment may temporarily increase your symptoms. This is not unusual but if this continues past the 1-2-day window, please let me know and I will adjust the treatment to enhance your comfort the next time.

Will I continue to do exercises or receive other treatments?

Yes, your personalized program will still integrate traditional physical therapy methods including manual therapy, therapeutic exercise, endurance training, stabilization and posture training.

How many treatments will I need?

This will depend on the state of your body and your overall health. Typically, improvement will be noticeable within the first session, with the goal of significant relief by the 2-4 sessions. I typically meet once a week or biweekly. It's important to remember that I am inducing mechanical and biochemical changes without any pharmacological means, and thus relief can be both immediate and/or progressive in nature. Sometimes, we need to sessions to achieve the cumulative effect that ultimately breaks the pain cycle.

What should I do to prepare for the treatment?

· Do not eat 30 minutes before the treatment

· Be well hydrated but empty your bladder prior to treatment

· Wear lose fitting clothing, tank top, and shorts for easy access to your painful areas

What should/can I do after treatment, what should I avoid?

Recommendations vary depending on the nature of the condition and your individual response to the treatment. However, general recommendations include increasing your water intake, gentle stretches, and continuing with normal daily activities.