Dry Needling

Exploring Dry Needling: Understanding Its Benefits, Contraindications, and the Expertise of Acupuncturists

In recent years, alternative therapies have gained popularity as people seek holistic approaches to manage pain and enhance their well-being. Dry needling is one such technique that has emerged as a promising option for those seeking relief from musculoskeletal issues. Navigating the landscape of dry needling requires an understanding of its fundamentals and the expertise required for its application. In this blog post, we delve into the intricacies of dry needling, explore its key differentiators from acupuncture, and highlight the unique perspective that acupuncturists bring to this practice.

What is Dry Needling?

Dry needling is a technique used to treat musculoskeletal pain and dysfunction. Unlike acupuncture, which is rooted in traditional Chinese medicine, dry needling is based on modern anatomical and neurophysiological principles. During a dry needling session, fine needles are inserted into specific trigger points within muscles, tendons, ligaments, or near nerves to stimulate healing and alleviate pain. The term "dry" distinguishes it from "wet" needling, which involves injecting substances such as saline or anesthetics into the body.

Contraindications of Dry Needling:

While dry needling can be highly effective for many individuals, it's crucial to recognize that certain contraindications and precautions exist. Some common contraindications include:

1. Bleeding Disorders: Individuals with bleeding disorders or those taking anticoagulant medications may be at increased risk of bleeding or bruising at the needle insertion sites.

2. Skin Infections or Lesions: Active skin infections or lesions at the needling sites can increase the risk of introducing pathogens into the body, potentially leading to further complications.

3. Pregnancy: While there's limited research on the effects of dry needling during pregnancy, it's generally advisable to avoid invasive procedures unless deemed necessary by a healthcare professional.

4. Severe Needle Phobia: Individuals with severe needle phobia may experience heightened anxiety or distress during dry needling sessions, which could interfere with the effectiveness of the treatment.

It's important for practitioners to conduct a thorough assessment and obtain a comprehensive medical history from patients to identify any contraindications or factors that may affect the safety and efficacy of dry needling.

Difference Between Dry Needling and Acupuncture

One of the most common misconceptions is the interchangeable use of the terms dry needling and acupuncture. While both techniques involve the insertion of fine needles into the body, they differ significantly in their underlying principles and therapeutic goals.

Acupuncture, originating from traditional Chinese medicine, aims to restore the flow of Qi (pronounced "chee"), or vital energy, along meridians or pathways in the body. By stimulating specific acupuncture points, practitioners seek to rebalance the body's energy and promote self-healing. Further, acupuncturists are extensively trained to understand the ways in which emotions can be “held in the body”, and may be triggered to release during a musculoskeletal treatment.

In contrast, dry needling targets myofascial trigger points, which are hyperirritable spots within taut bands of skeletal muscle. The goal is to release muscle tension, improve blood flow, and alleviate pain by directly addressing muscular dysfunction and neurogenic inflammation.

Why Choose an Acupuncturist for Dry Needling?

While dry needling is often performed by physical therapists, chiropractors, or medical doctors, seeking treatment from a licensed acupuncturist offers distinct advantages. Acupuncturists undergo extensive training in traditional Chinese medicine, which encompasses a deep understanding of needling techniques, meridian pathways, acupuncture points able to affect non-local areas of pain via a variety of mechanisms (some of which require no muscular stimulation to relieve pain), and an overall holistic approach to health and wellness.

Acupuncturists undergo a minimum of 6 semesters of classes in needling techniques alone, whereas a physical therapist or MD will undergo only a few weeks of training in needling technique.

Acupuncturists possess a unique perspective that integrates the principles of traditional Chinese medicine with modern evidence-based practices. Their comprehensive training enables them to not only perform dry needling safely and effectively, but also to tailor treatments to address underlying imbalances in the body's energy system.

Furthermore, acupuncturists emphasize the importance of individualized care and holistic healing, taking into account the interconnectedness of physical, emotional, and spiritual aspects of health. The first “step” before insertion of any needle is a beautiful concept known in Chinese as “Ding Shen” - “Calm Spirit”. The meaning of this phrase is to ensure that the patient feels safe, supported, and informed of the potential emotional release that needling can induce prior to their physical treatment. This ensures that any release performed on a physical level is grounded in an awareness of the deeper mind-body-emotional connection.

By choosing an acupuncturist for dry needling, patients can benefit from a personalized approach that addresses their specific needs and promotes overall well-being. The deeper examination of “where tension is coming from” allows for the patient to potentially make more long-term, long-lasting changes to their life outside the treatment space. As the body opens, so too does the mind, the emotional body, and the awareness of the relationship between them.

In Conclusion

Dry needling offers a promising therapeutic option for individuals seeking relief from musculoskeletal pain and dysfunction. Understanding its principles, potential contraindications, and the expertise of practitioners is essential for making informed decisions about its utilization. While dry needling and acupuncture share similarities in their use of needles, they differ in their underlying philosophies and therapeutic approaches. Choosing an acupuncturist for dry needling not only ensures safe and effective treatment, but also provides a holistic perspective that prioritizes the integration of mind, body, and spirit in the journey toward wellness.

Book here to try Dry Needling at the Inner Body Data™ Community Acupuncture Clinic with Dr. Sinéad Corrigan, LAc, DACM