Treatments

Dry Needling

Thin sterile needles targeting trigger points to relieve muscular pain and restore movement — evidence-based, not acupuncture.

Dry needling is a treatment technique performed by trained physiotherapists using thin, sterile, single-use needles to target muscles, myofascial trigger points and connective tissue. Unlike acupuncture, which is based on Traditional Chinese Medicine principles, dry needling is based on modern anatomy, neuroscience and pain science to address musculoskeletal pain and movement dysfunction.

Dry needling is often used as part of a comprehensive physiotherapy treatment plan and is combined with exercise, manual therapy and patient education for optimal results.

Conditions we treat

  • Neck and back pain
  • Shoulder pain and rotator cuff disorders
  • Tennis and golfer's elbow
  • Hip and gluteal pain
  • Knee pain
  • Plantar heel pain
  • Tendinopathies
  • Muscle strains
  • Myofascial pain syndrome
  • TMJ-related muscle pain
  • Tension headaches and cervicogenic headaches

How does it work?

Dry needling targets dysfunctional muscle tissue and trigger points to help restore normal muscle function and reduce pain. Physiological effects may include:

  • Reduction in muscle tension and trigger-point sensitivity
  • Modulation of the nervous system to decrease pain
  • Improved local blood flow and tissue oxygenation
  • Normalization of muscle activation patterns
  • Reduction of pain-related protective muscle guarding
  • Improved joint mobility and movement quality
  • Stimulation of the body's natural healing response
  • Improved tolerance to rehabilitation exercises

Dry needling works best when combined with an individualized exercise and rehabilitation program rather than as a stand-alone treatment.

What to expect

Your physiotherapist will identify the appropriate muscles through a detailed assessment before inserting fine, sterile needles into specific tissues. You may experience a brief pinching sensation during needle insertion, a muscle twitch response, and temporary muscle soreness similar to post-exercise soreness for 24–48 hours. Sessions are individualized based on your condition and response to therapy.

Is it right for you?

Your physiotherapist will review your medical history and determine whether dry needling is safe for you. It may not be appropriate for individuals with needle phobia, active infection, certain bleeding disorders, or other medical conditions where needling is contraindicated.

Frequently asked questions

Is dry needling the same as acupuncture?

No. Dry needling uses the same type of thin needle but is based on modern anatomy, neuroscience and pain science to target muscles and trigger points — not on Traditional Chinese Medicine principles.

Does it hurt?

You may feel a brief pinch on insertion and sometimes a quick muscle twitch. Mild soreness similar to post-exercise soreness can last 24–48 hours.

How many needles are used?

It depends on your assessment and how you respond. Your physiotherapist targets the specific muscles involved and adjusts each session accordingly.

Selected references

  1. Fernández-de-Las-Peñas C, et al. JOSPT. Clinical Practice Guideline for Neck Pain, 2017.
  2. Boyles RE, et al. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions: A Systematic Review and Meta-analysis. Journal of Manual & Manipulative Therapy.
  3. Liu L, et al. Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck and Shoulder Pain: A Systematic Review and Meta-analysis. Archives of Physical Medicine and Rehabilitation.
  4. American Physical Therapy Association (APTA). Dry Needling Clinical Resources.

The information on this page is general and educational, and is not a substitute for an individual assessment or medical advice. Suitability for any treatment is determined by your physiotherapist.