Acupuncture and Dry Needling
Acupuncture and dry needling techniques are similar.They are a form of treatment that utilises needles which can be inserted and manipulated at areas on the body with the aim of reducing pain or muscle spasm. There are different types of acupuncture however Scientists are studying the mechanisms and efficacy of its therapeutic use. Researchers using the protocols of evidence-based medicine have found good evidence that acupuncture and dry needling can be helpful in treating specific conditions.
While there is ongoing research into its efficiency, it is safe when administered by trained practitioners. In simple terms, acupuncture is believed to produce a descending inhibitory response from the brain which produces powerful pain relieving effects through the production of opiods. It is thought that Dry needling flushes neurotransmittors such as acetylcholine at the muscle itself and activiates endogenous opiods. Both styles are considered very useful, however since about 2005 dry needling has become extremely popular. Proper dry needling of a myofascial trigger point will elicit a local twitch response (LTR), which is an involuntary spinal cord reflex in which the affected muscle fibers contract - this response can reduce pain and muscle spasm/tightness. This makes it extremely helpful for a lot of soft tissue injuries.
Dry needling tends to target myofascial triggerpoints which are usually the direct and palpable source of patient pain, rather than the traditional “meridians”, accessed via acupuncture. Nowadays, western acupuncture has become very popular because it uses western medical philosophies to explain its actions. This makes a lot more sense to the western of thinking about what is happening in our body. What differentiates dry needling from traditional acupuncture is that it does not use the full range of traditional theories of Chinese Medicine - actually for most practitioners it probably doesn't consider them at all. Various research supports the notion that simultaneous paraspinal muscles needling (in addition to the distally affected muscle) can be helpful where perhaps damage to a nerve has been instrumental in the development of muscle spasm - for example we might place needles in the lumbar region while treating a calf sprain or in the neck while treating say, tennis elbow.
In practical terms acupuncture is thought to be more useful for chronic pain conditions and dry needling for acute muscle sprains or tightness. Both options are used extensively, primarily for the reason that many patients find value in it. Most patients ask "does it hurt" - if we hit a trigger point it can, but usually it is comfortable. Often we will start out quite gently with needle placement and depth, and steadily ramp up the points as your tolerance grows.