1. How does it work?
Integrative Dry Needling is not acupuncture
(traditional Chinese medicine). It is based on
neuroanatomy, a 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 are considered trigger
points to your pain. Dry needling works by causing a
micro lesion 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.
2. What conditions can be treated?
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).
3. Are the needles sterile?
Yes, we only use sterile, disposable needles.
4. 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
electrical shock, cramp or an ache sensation. These
sensations are perfectly normal and even a desirable
response. Your PT will make every effort to make your
experience comfortable and therapeutic.
5. 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 the next
day. 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. Larger bruising may also occur but is
rare. Application of ice on the bruise will help with the
soreness, and the skin discoloration will last several
days but is not harmful. 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, inform your PT to allow
adjustment of your program and enhance your
comfort the next time. This does not mean that
needling will not be beneficial to your condition.
6. Will I continue to do exercises or receive other
Yes, your personalized physical therapy program
will still integrate traditional physical therapy
methods including manual therapy, therapeutic
exercise, endurance training, stabilization and posture
7. 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 biochemical 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
8. 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
Wear lose fitting clothing, shorts, or bathing
suit for easy access to your painful areas.
9. 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 or
ice over the area, gentle stretches and modifications
10. Is Dry Needling treatment covered by my
This is dependent on your insurance plan. Most
insurance companies do not cover dry needling. In
this case, dry needling will be provided as a cash pay
service and billed out depending on the number of
needles and body area needled. Estimated cost is
$25.00 for 1-4 muscles, $50.00 for half the body, and
$70.00 for the whole body.
Not all medical or physical therapy professionals
are trained to perform the IDN treatment technique.
The physical therapist at YOUR CLINIC has advanced
training and has been certified through the
Integrative Dry Needling Institute.
D R Y N E E D L I N G
Integrative Dry Needling (IDN) is a highly effective
form of physical therapy for the treatment of a
multitude of musculoskeletal and neuromuscular
conditions. It is not appropriate for all conditions or
pathologies, and the use of the technique will be at
the discretion of your Physical Therapist.
Tuesday-Friday 7:00 AM-5:00 PM