FAQ





What conditions can be treated?

Conditions include, but are not limited to: neck, back, shoulder, arm (tennis elbow, carpal tunnel, golfer's elbow), headache to include migraines and tension-type headaches, jaw, buttock and leg pain (sciatica, hamstrings strains, calf tightness/spasms).



Are the needles sterile?

Yes, we only use sterile disposable needles.  Needles are disposed of in a biohazard container.



Is the procedure painful?

The fine filament needle is very thin, solid and flexible, which allows for the needle to be pushed through the skin versus cutting the skin.  This helps reduce any discomfort that may occur with the procedure.  We strive to make the treatment virtually painless, however, at times a local twitch response of the muscle may be felt.  When the needle is inserted into the pathological tissue the local twitch response sensation is normal and is felt only momentarily.  Many patients describe this twitch response as a little electric shock, cramp or ache sensation.  These sensations are perfectly normal and even a desirable response.  We make every effort to make your experience comfortable and therapeutic.  



How will I feel after the dry needling treatment?

This will vary from patient to patient, but many 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 the next day.  The soreness, if present, will usually last 1 - 2 days; use of heat, 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.  Larger bruising may also occur, but is rare.  

It is uncommon, but possible, that the treatment may temporarily increase your symptoms.  This is unusual, but if it continues past the 1- to 2-day window, inform your PT to allow adjustment of your program to enhance your comfort next time.  This does not mean that dry needling will not be beneficial to your condition



Will I continue to do exercises or receive other treatments?
​​
Yes, your individualized physical therapy/personal training program will still integrate any of, but not limited to, the following if deemed appropriate by your PT: manual therapy, taping, therapeutic exercise, endurance training, stabilization and postural training, etc. 



How many treatments will I need?

This will depend on the category you fit in, which is determined by the state of the injury and your overall health.  Remember we are attempting to cause mechanical and biomechanical changes without any pharmacological means.  Therefore, we are looking for a cumulative response to break the pain cycle.  Your PT will be able to give you more insight after your evaluation.



What should I do to prepare for the treatment?

  • Do not eat 30 minutes prior to your treatment
  • Be well hydrated but empty your bladder before treatment
  • Wear loose fitting-clothing, shorts, or bathing suit for easy access to your painful areas.  Patient gowns will be available if needed. 



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

Our recommendations vary depending on the amount of soreness you have and on the individual response to the treatment.  Recommendations may include increasing your water intake, applying heat over the treatment area, gentle stretches and modifications of activities.​
How does it work?

Dry needling is not acupuncture (traditional Chinese medicine).  Dry needling is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems.  A very fine monofilament needle is inserted through the skin and into deeper tissues that are considered trigger points to your pain.  Dry needling works by causing a microlesion within the pathological tissue, thus breaking up shortened tissues, inhibiting a reflex arc from the nervous system to the tissue, normalizing the inflammatory response and centrally mediating the pain.  This mechanical and neuromuscular effect provides an environment that enhances the body's ability to heal, which ultimately reduces pain.  
HOW DOES IT WORK
DRY NEELDING
IS IT FOR ME
WHAT TO EXPECT
SIDE EFFECTS
RESEARCH
​​​​​
What conditions can be treated?

Conditions include, but are not limited to: neck, back, shoulder, arm (tennis elbow, carpal tunnel, golfer's elbow), headache to include migraines and tension-type headaches, jaw, buttock and leg pain (sciatica, hamstrings strains, calf tightness/spasms).
​​​​​​​

Are the needles sterile?

Yes, we only use sterile disposable needles.  Needles are disposed of in a biohazard container.
​​​​​


Is the procedure painful?

The fine filament needle is very thin, solid and flexible, which allows for the needle to be pushed through the skin versus cutting the skin.  This helps reduce any discomfort that may occur with the procedure.  We strive to make the treatment virtually painless, however, at times a local twitch response of the muscle may be felt.  When the needle is inserted into the pathological tissue the local twitch response sensation is normal and is felt only momentarily.  Many patients describe this twitch response as a little electric shock, cramp or ache sensation.  These sensations are perfectly normal and even a desirable response.  We make every effort to make your experience comfortable and therapeutic.  

​​​​​​​​



How will I feel after the dry needling treatment?

This will vary from patient to patient, but many 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 the next day.  The soreness, if present, will usually last 1 - 2 days; use of heat, 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.  Larger bruising may also occur, but is rare.  

It is uncommon, but possible, that the treatment may temporarily increase your symptoms.  This is unusual, but if it continues past the 1- to 2-day window, inform your PT to allow adjustment of your program to enhance your comfort next time.  This does not mean that dry needling will not be beneficial to your condition. 

​​​​​​​​How many treatments will I need?

This will depend on the category you fit in, which is determined by the state of the injury and your overall health.  Remember we are attempting to cause mechanical and biomechanical changes without any pharmacological means.  Therefore, we are looking for a cumulative response to break the pain cycle.  Your PT will be able to give you more insight after your evaluation.



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

Our recommendations vary depending on the amount of soreness you have and on the individual response to the treatment.  Recommendations may include increasing your water intake, applying heat over the treatment area, gentle stretches and modifications of activities.​​​​​
​​​​​​




Will I continue to do exercises or receive other treatments?
​​
Yes, your individualized physical therapy/personal training program will still integrate any of, but not limited to, the following if deemed appropriate by your PT: manual therapy, taping, therapeutic exercise, endurance training, stabilization and postural training, etc. 

What should I do to prepare for the treatment?

  • Do not eat 30 minutes prior to your treatment
  • Be well hydrated but empty your bladder before treatment
  • Wear loose fitting-clothing, shorts, or bathing suit for easy access to your painful areas.  Patient gowns will be available if needed. ​​
MORE RESOURCES