Dry Needling is also known as intramuscular stimulation (IMS) and trigger point dry needling (TDN). It is a safe, effective and efficient treatment used to:
- Relax myofascial trigger points
- Restore normal muscle tones, muscle length, coordination, function and strength
- Reduce pain sensitivities
Dry needling involves the insertion of a “dry,” solid filament needle. This can be applied in one of two ways:
- The needle can be placed in a trigger point in order to produce an involuntary spinal cord reflex, also known as a local twitch response (LTR). This results in lasting muscle relaxation due to the release of shortened bands of muscle fibers for overactive (tight) muscles or the activation of under-active (weak) muscles. Deactivation of the trigger points can bring immediate relief of symptoms, so the therapist can immediately train the muscles to work with the newly gained pain-free range of motion (ROM).
- The needle can also be applied to treat pain in or near a structure of interest, such as the spine, knee joint, or rotator cuff muscles. The production of endogenous opioids is one of many mechanisms by which this technique reduces pain in the treatment area.
Dry Needling vs. Acupuncture
Dry needling is similar to acupuncture in the sense that a dry, solid filament needle is inserted and manipulated under the skin to release endorphins and serum cortisol for pain relief. The difference is that dry needling is based on western neuroanatomy and modern scientific study of the musculoskeletal and nervous systems. Acupuncture is based on traditional Chinese medicine (TCM). It creates balance in the body by influencing the flow of Qi (energy) in pathways called meridians to achieve pain relief and alleviate inflammation.