Dry Needling: Common Questions

What is dry needling?

Unlike wet needling which uses hollow bore needles to inject agents such as botulinum toxins or corticosteroids, dry needling involves insertion of very thin monofilament needles, as used in acupuncture, to treat muscles, ligaments, tendons, scar tissue, and neurovascular structures. Dry

needling cannot only relieve pain caused by myofascial trigger points (taught bands of skeletal muscle within a larger muscle group), but also stimulates neural, muscular, and connective tissues which can promote recovery and have a positive effect on the way our brain perceives pain.

Dry needling has been found to increase microcirculation and white blood cells within the joint, improve beta-endorphin levels, and reduce cortisol levels.

What conditions can dry needling be used to treat?

Dry needling can successfully reduce pain in individuals with knee osteoarthritis, carpal tunnel syndrome, headaches, neck and back pain, temporomandibular joint disorder, and tendinopathies in addition to other pathologies. Outcomes are often improved when used in conjunction with other physical therapy treatments.

Is dry needling painful?

It is most common to feel only a slight pinprick or twitch with dry needling treatment, however some soreness can occur during or following treatment which usually subsides within 24 to 72 hours. Most individuals feel an improvement in symptoms within 24 hours following treatment, however in some instances it can take 2 to 3 sessions. Dry needling may not be effective for every individual or pathology so if symptoms do not improve within in a few sessions, it is a good idea to explore alternative treatments.

Are there any risks to dry needling?

Dry needling can cause drowsiness, dizziness or even fainting in a small number of patients (1-3%). Minor bleeding, bruising, or temporary soreness following treatment can occur.  Serious side effects are unlikely but can occur such as pneumothorax (.01%), nerve or blood vessel damage (very rare and usually temporary), infection (1 per 66,000), or damage to internal organs (1 per 200,000). Your practitioner certified in dry needling should screen for any contra-indications or relative contraindications to dry needling which may include metal allergies, electrical implants, anticoagulants, recent infection, damaged heart valve, pregnancy, metal prosthesis, metal allergies, diabetes, or infections disease.

What should I do to prepare for dry needling treatment?

Be sure to wear clothes that allow for access to the body part being treated. Eat and drink water within 2 hours of treatment. Let your practitioner know if you have any contraindications or precautions, or if you are feeling nervous regarding treatment.

For more questions regarding dry needling or other treatment methods contact us for a consultation at (313) 802-0418 or nicole.hppt@gmail.com