Dry needling is a medical technique that uses thin, solid filament needles to release hyperirritable trigger points in muscle tissue. Unlike trigger point injections that deliver medication, dry needling uses no injectable substance. The needle itself produces a local twitch response in the tight muscle band, which releases tension, restores blood flow, and interrupts the pain-spasm cycle. It is one of the most effective treatments for chronic myofascial pain.
Dry needling and acupuncture both use thin needles, but they are fundamentally different treatments based on different medical frameworks.
Based on Western anatomy and neuroscience. Needles are inserted into specific myofascial trigger points identified through palpation. The goal is to produce a local twitch response that releases the contracted muscle band. Treatment targets are determined by physical examination findings, not meridian maps. Performed by physicians trained in musculoskeletal anatomy.
Based on Traditional Chinese Medicine. Needles are placed along meridian lines to balance energy flow (qi). Point selection follows TCM diagnostic patterns rather than Western anatomical trigger points. Different medical framework, different treatment rationale, different training pathway.
Dry needling + trigger point injections: For patients with severe or widespread trigger points, Dr. Vally may combine dry needling with trigger point injections. The dry needling releases the muscle tension while the injection delivers anti-inflammatory medication to the site. This combination often produces faster and more complete relief than either treatment alone.
Does dry needling hurt?
You'll feel a brief twitch or cramping when the needle hits the trigger point. This local twitch response lasts seconds and indicates the treatment is working. Many patients feel immediate relief after.
How is it different from trigger point injections?
Dry needling uses a solid needle with no medication. The needle itself releases the trigger point mechanically. Trigger point injections deliver anesthetic or corticosteroid into the knot. Both target the same muscle issue through different mechanisms and can be combined.
Is it covered by workers' comp?
May be covered when prescribed for documented work-related myofascial pain. We handle all treatment authorizations.
Dry needling targets the trigger points that massage, stretching, and medication can't reach. Available at all four Hawaii locations.
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