What is dry needling?
Dry needling is an invasive procedure in which a solid filament needle is inserted into the skin and muscle directly at a myofascial trigger point. A myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle.
Trigger Point Dry Needling at FYZICAL Therapy
Myofascial pain, or “trigger point” pain is often the source of chronic pain and dysfunction, yet it is widely ignored by many health care providers. For this reason, we assess our patients with a detailed and specific muscle examination to determine a individualized treatment plan that may include dry needling procedures. Physical therapists at FYZICAL Physical Therapy have advanced credentials in the technique of dry needling.
What type of problems can be treated with dry needling?
Dry needling can be used for a variety of musculoskeletal problems. Muscles are thought to be a primary contributing factor to the symptoms. Such conditions include, but are not limited to:
The treatment of muscles has the greatest effect on reducing pain mechanisms in the nervous system.
How does dry needling work?
The exact mechanisms of dry needling are not known. There are mechanical and biochemical effects. Based on the pioneering studies by Dr. Jay Shah and colleagues at the National Institutes of Health, we know that inserting a needle into trigger points can cause favorable biochemical changes, which assist in reducing pain. It is essential to elicit so-called local twitch responses, which are spinal cord reflexes. Getting local twitch responses with dry needling is the first step in breaking the pain cycle.
Is the procedure painful?
Most patients do not feel the insertion of the needle. The local twitch response elicits a very brief (less than a second) painful response. Some patients describe this as a little electrical shock; others feel it more like a cramping sensation. Again, the therapeutic response occurs with the elicitation of local twitch responses and that is a good and desirable reaction.
What side effects can I expect after the treatment?
Most patients report being sore after the procedure. The soreness is described as muscle soreness over the area treated and into the areas of referred symptoms. Typically, the soreness lasts between a few hours and two days.
What should I do after having the procedure done?
Our recommendations vary depending on the amount of soreness you have and on the individual response to the treatment. Recommendations may include applying heat or ice over the area, gentle stretches and modifications of activities.
- neck/back/shoulder pain
- tennis elbow
- carpal tunnel
- golfer’s elbow
- tension headaches and migraines
- hamstrings strains
- calf tightness/spasms