Daniel Waldman

Dry Needling

Dry Needling

Dry needling is a technique that I use to treat musculoskeletal pain and movement issues. During this treatment, I insert thin, sharp needles through your skin to treat underlying myofascial trigger points.

In the word “myofascial,” “myo” means “muscle.” Fascia is the thin, white connective tissue wrapped around your muscles. Trigger points are knotted, tender areas that develop in your muscles. These trigger points are highly sensitive and can be painful when touched. Sometimes, a trigger point may be near the location of your pain. But they’re also often the cause of referred pain that affects another part of your body.

I use needles to alleviate your trigger points. When dry needling is applied to your muscles and tissues, it can decrease tightness, increase blood flow, and reduce local and referred pain. These solid needles do not contain any kind of medication. This is why the technique is called “dry.” Nothing is injected into your body.

How does dry needling work?

When your muscle is overused, it goes into an energy crisis where the muscle fibers aren’t getting an adequate blood supply. When they don’t get the normal blood supply, they don’t get the oxygen and nutrients that allow your muscle to go back to its normal resting state.

When this happens, the tissue near your trigger point becomes more acidic. Your nerves are sensitized, which makes the area sore and painful.

Stimulating a trigger point with a needle helps draw normal blood supply back to flush out the area and release tension. The prick sensation can also fire off nerve fibers that stimulate your brain to release endorphins, the body’s homemade pain medication.

Once I locate a trigger point, I’ll insert a needle through your skin directly into it. I might move the needle around a little to try to get what’s called a local twitch response — a quick spasm of your muscle. This reaction can be a good sign that your muscle is reacting.

Some people feel improvement in their pain and mobility almost immediately after a dry needling session. For others, it takes more than one session.

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