Dry Needling is also known as intramuscular stimulation (IMS) and trigger point dry needling (TDN). It is a safe, effective and efficient treatment used to:
- Relax myofascial trigger points
- Restore normal muscle tones, muscle length, coordination, function and strength
Dry needling involves insertion and repetitive manipulation of a “dry”, solid filament needle in a trigger point in order to produce an involuntary spinal cord reflex, also known as a local twitch response (LTR). This results in lasting muscle relaxation due to the release of shortened bands of muscle fibers for overactive (tight) muscles or the activation of under-active (weak) muscles. Deactivation of the trigger points can bring immediate relief of symptoms, so the therapist can immediately train the muscles to work with the newly gained pain free range of motion (ROM).
Dry Needling vs. Acupuncture
Dry needling is similar to acupuncture in the sense that a dry, solid filament needle is inserted and manipulated under the skin to release endorphins and serum cortisol for pain relief. The difference is that dry needling is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous systems. Acupuncture is based on traditional Chinese medicine (TCM). It creates balance in the body by influencing the flow of Qi (energy) in pathways called meridians to achieve pain relief and alleviate inflammation.
Conditions Treated by Dry Needling
Dry needling has successfully been used to treat a variety of conditions including:
- Head and Neck Pain – including whiplash and headaches / migraines, degenerative joint disease, degenerative disk disease or osteoarthritis
- Otological (Ear) and Opthamological (Eye) Pain – including tinnitus and eye strain
- Dental (Teeth) and Orthodontic (Jaw and Occlusal) Pain – including cavities, temporomandibular joint (TMJ) dysfunction, tooth impaction and root problems
- Shoulder Pain – including rotator cuff muscle tears, bursitis, adhesive capsulitis (frozen shoulder), tendonitis and impingement syndrome
- Elbow Pain – including lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer’s elbow)
- Hand and Wrist Pain – including gamekeeper’s thumb, DeQuervain’s syndrome, carpal tunnel syndrome, degenerative joint disease and osteoarthritis
- Back and Hip Pain – including lumbar degenerative disc disease, arthritic changes and herniated discs
- Knee Pain – including degenerative joint disease or osteoarthritis
- Shin / Ankle / Foot Pain – including shin splints, gout, metatarsalgia and Morton’s neuroma
- Plantar Fasciitis (Heel Pain)
- Acute and Chronic Tendonitis
- Athletic and Sports-related Overuse Injuries
- Post-surgical Pain
- Post-traumatic Injuries, Motor Vehicle Accidents (MVA), and Work-related Injuries
- Other Chronic Pain Conditions – including myofascial pain and myofascial pain syndrome (MPS)
FAQs
What is dry needling?
Dry needling is a therapeutic technique used by physical therapists and other healthcare professionals to treat pain and dysfunction in the musculoskeletal system. It involves inserting thin, sterile needles into trigger points or tight bands of muscle to reduce pain, release tension, and promote healing.
How does dry needling work?
Dry needling works by targeting trigger points of muscle fibers that can cause pain and restrict movement. Inserting needles into these trigger points helps to increase blood flow and promote the body’s natural healing process.
What conditions can be treated with dry needling?
Dry needling can be used to treat various conditions, including muscle strains, joint pain, headaches, nerve pain, whiplash, sports injuries, fibromyalgia, and TMJ disorders, among others.
Is dry needling the same as acupuncture?
While both techniques use thin, sterile needles, dry needling and acupuncture have different principles and treatment goals. Acupuncture is based on Traditional Chinese Medicine and aims to restore balance and energy flow in the body. In contrast, dry needling targets specific trigger points to address musculoskeletal pain and dysfunction.
How is dry needling different from traditional physical therapy?
Dry needling is a complementary technique that can be used alongside traditional physical therapy methods. While physical therapy may involve exercises, manual manipulation, and other modalities, dry needling is another tool to target trigger points, alleviate pain, and promote healing.
What should I expect during a dry needling session?
During a dry needling session, the practitioner will first assess your condition and determine the appropriate treatment areas. They will then insert thin, sterile needles into the trigger points. You may feel a brief muscle twitch or cramping sensation as the needle is inserted.
Does dry needling hurt?
The sensation varies among individuals. Some people may feel a slight sting or cramp, while others feel very little discomfort.
How long does a dry needling session last?
A typical session can last anywhere from 15 to 60 minutes, depending on the condition being treated.
How many treatments will I need?
The number of treatments required varies depending on the individual and their condition. Some patients may experience relief after just one session, while others may require multiple treatments to achieve optimal results.
What qualifications should a dry needling practitioner have?
Dry needling practitioners should be licensed physical therapists who have received specific postgraduate training in dry needling.
Is dry needling safe?
When performed by a qualified practitioner, dry needling is generally considered safe.
Are there any side effects or risks associated with dry needling?
Some common side effects include temporary soreness, bruising, and mild swelling at the treatment site. More serious complications are rare but can include infection, nerve damage, or puncturing an organ.
What types of needles are used in dry needling?
Dry needling uses thin, sterile, single-use needles made of stainless steel. These needles are similar to those used in acupuncture but are often slightly thicker and longer to reach deeper muscles
Can dry needling be used in conjunction with other treatments?
Yes, dry needling is often used in combination with other physical therapy techniques.
How soon can I expect to see results after a dry needling session?
Some patients may feel relief immediately after treatment, while others may notice improvement after a few sessions.
Can dry needling help with chronic pain?
Yes, dry needling can be an effective treatment for certain types of chronic pain.
Is dry needling covered by insurance?
Coverage for dry needling varies by insurance provider and plan. It’s best to check with your insurance company.
Can I exercise after dry needling treatment?
It’s generally advisable to avoid strenuous exercise immediately after a dry needling session. Mild to moderate activity may be acceptable, but it’s important to consult with your healthcare provider for personalized advice.
Are there any precautions I should take before or after dry needling?
Before treatment, ensure you are well-hydrated and have eaten a light meal. After treatment, avoid strenuous activity for a few hours, stay hydrated, and apply heat if you’re experiencing muscle soreness.
Can dry needling help with muscle stiffness and knots?
Yes, dry needling is often used specifically to target and relieve muscle knots or trigger points, which can contribute to stiffness and pain.
Is dry needling appropriate for children or the elderly?
Dry needling can be safely administered to a wide range of ages, including children and the elderly, as long as the practitioner adjusts the technique and approach appropriately. However, it’s essential to consult with a healthcare provider to determine if it’s suitable for the individual’s specific health status and needs.
Is there scientific research supporting the efficacy of dry needling?
While more research is needed, several studies have suggested that dry needling can be effective for reducing pain and improving function in conditions like myofascial pain syndrome, chronic lower back pain, and others.
How do I prepare for a dry needling session?
Ensure you are well-hydrated, have eaten a light meal, and wear loose, comfortable clothing. You should also be prepared to discuss your medical history and current symptoms with your practitioner.
Can I go back to work after a dry needling session?
Most people can return to work after a dry needling session. However, if your job involves heavy physical labor, you may want to schedule your session towards the end of your workday or on a day off.
What are the contraindications for dry needling?
Contraindications may include certain skin conditions, infections, bleeding disorders, severe fear of needles, and pregnancy, particularly over the abdomen or low back. Always consult with a healthcare provider to determine if dry needling is safe for you.
How do I know if dry needling is right for me?
A physical therapist can help determine if dry needling is suitable for you based on your medical history, current health status, and specific needs and goals.
Will I experience muscle soreness after dry needling?
Some muscle soreness after a dry needling session is normal and usually subsides within 24-48 hours. Applying heat and staying hydrated can help alleviate this discomfort.
Can dry needling treat conditions like fibromyalgia, sciatica, and migraines?
While individual experiences vary, some research suggests that dry needling may be beneficial in managing conditions like fibromyalgia, sciatica, and migraines. However, it’s essential to discuss this treatment option with your healthcare provider to determine if it’s suitable for your specific needs.
To learn more about our dry needling services or request an appointment, give us a call.
