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Dry Needling vs Acupuncture: Key Similarities & Differences

dry needling vs acupuncture

Dry Needling vs Acupuncture: Key Similarities & Differences

admin

October 10, 2024

dry needling vs acupuncture
Synapse Physiotherapy

Introduction

In recent years, dry needling and acupuncture have gained attention as popular techniques to alleviate pain and promote healing. While both involve inserting fine needles into specific points on the body, they have different philosophies, training requirements, and treatment objectives. Understanding these differences and similarities is essential for those considering these treatments. This article, written on behalf of Synapse, will delve into the nuances of dry needling vs acupuncture to help you make an informed decision on which method may suit your needs best.

Dry Needling vs Acupuncture: Similarities and Differences

The debate between dry needling vs acupuncture has become a hot topic, sparking widespread discussion and confusion. Many people are unsure about when to choose each treatment and which one is better suited to their specific needs. Both techniques offer distinct benefits when used in the right context, but understanding the differences and appropriate applications is key to making an informed decision.

What is Dry needling?

The term “dry needling” was coined to distinguish it from traditional acupuncture and wet needling, which involves injecting substances. This term highlights that no substances are injected. Beginning in the late 20th and early 21st centuries, dry needling became increasingly popular among physiotherapists and other professionals specializing in musculoskeletal health in Western countries. This rise in popularity was supported by evidence showing its effectiveness in treating musculoskeletal pain and dysfunction. Dry needling employs thin monofilament needles similar to those used in acupuncture but without any injections. It is commonly used on muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to address various neuromusculoskeletal pain syndromes. Organizations like the National Physical Therapy Association and several State Boards of Physical Therapy have updated the definition of dry needling. According to their guidelines, dry needling involves inserting needles into nodules found within tight muscle bands, known as “trigger points” or “myofascial trigger points” (MTrPs).

Benefits of dry needling

Relieving Muscle Tightness and Pain: Dry needling addresses the source of pain, known as the trigger point, causing the muscle to contract and then relax, which helps restore normal function. This process reduces both muscle tightness and tension, leading to decreased pain. Immediate relief is often felt after treatment, with more substantial improvement usually occurring after several sessions. For details on how long it takes to see results, check out our recent blog.

Improving Range of Motion: By targeting muscle tightness, tension, and trigger points, dry needling can enhance or restore range of motion. This improvement in flexibility helps boost overall function and reduce general discomfort.

Accelerating Recovery from Injuries: Recovery from injuries, especially for athletes and active individuals, can be a slow process. Dry needling may help speed up recovery, allowing clients to return to their normal activities more quickly compared to other therapies. This quicker recovery is likely due to the relaxation of muscles and increased blood flow, which supplies essential oxygen and nutrients to the injured area.

Side effect of dry needling

Mild side effects are common with dry needling, but serious side effects are rare. The most frequent side effects at the injection site include bruising, bleeding, and temporary soreness.

What happen during the dry needling session

Initially, your provider will clean the treatment area and get the needle ready. They use only single-use, sterile needles. One hand is used to locate the trigger point by feeling the area, while the other hand positions the needle with the help of a plastic guide tube. The guide tube ensures precise needle placement.

The provider will gently tap the needle into the outer layer of your skin (epidermis) and then remove the guide tube. Different techniques may be used:

  • Superficial: The needle is inserted 5 to 10 millimeters into the layer of skin just below the surface (subcutaneous tissue) near the trigger point.
  • Deep: The needle is inserted deeper into the muscle to reach the trigger point.

Depending on the approach, the needle might be left in place for as little as two seconds or as long as 20 minutes. The pistoning technique, which involves moving the needle rapidly up and down through the tissue, might also be used.

You may feel muscle soreness or twitching during the treatment, which is a normal response indicating that your muscles are reacting to the procedure.

What will you feel after the dry needling and acupuncture session?

Dry needling and acupuncture are generally less painful than you might expect. The needles used are so thin that you may not feel them going in, though you might sense a slight pinprick.

With dry needling, you might experience some discomfort or soreness because it targets trigger points, which are already sensitive and tight.

When a needle is placed into a trigger point, you might notice a muscle twitch, which indicates that the needle is in the correct spot. Research suggests that more twitches might lead to longer-lasting benefits from dry needling.

After both dry needling and acupuncture, you might feel some soreness. Drinking plenty of water can help reduce soreness and improve mobility.

What is acupuncture?

Acupuncture, a fundamental part of Traditional Chinese Medicine (TCM), has been practiced as a holistic approach to healthcare for thousands of years. TCM takes a comprehensive view of wellness, including the prevention, diagnosis, and treatment of various conditions. A key concept in TCM is qi, the vital energy that flows through the body along pathways called meridians. When qi is balanced, it signifies overall well-being, including spiritual, emotional, and physical health. Disruptions in qi can lead to illness, as blockages interfere with the balance between yin and yang, which are fundamental principles in Chinese philosophy. To restore balance between yin and yang, TCM employs various methods, with acupuncture being a major one.

Acupuncturists identify over 2,000 acupuncture points connected by meridians and use acupuncture to remove blockages or stagnant qi, promoting its smooth flow and improving health. This technique involves inserting fine needles into specific points along the meridians, which can be stimulated manually or electrically.

Similarities

Dry needling and acupuncture share several similarities:

  1. Needle Use: Both techniques use thin needles to address musculoskeletal issues. The needles are inserted into the skin at specific points to achieve therapeutic effects.
  2. Targeted Points: Both methods focus on specific points on the body. In acupuncture, these are known as acupuncture points along meridians, while in dry needling, they target trigger points within muscles.
  3. Treatment Goals: Both aim to relieve pain and improve function. They seek to alleviate discomfort and promote healing, though their approaches and underlying philosophies differ.
  4. Minimal Discomfort: Both procedures generally involve minimal discomfort. The needles used are very fine, and many patients report only a slight sensation or no pain at all.
  5. Technique Variations: Both practices may involve variations in technique. Acupuncturists and dry needling practitioners may use different methods for inserting and manipulating the needles based on the patient’s needs and responses.
  6. Evidence-Based Benefits: Both techniques have been studied and found to provide benefits for various conditions. They are used to treat pain and musculoskeletal issues, though research and clinical evidence may vary.

Differences 

  1. Philosophical Background:
    • Acupuncture: Originates from Traditional Chinese Medicine (TCM) and is based on the concept of balancing qi (vital energy) along meridians to promote overall health and well-being.
    • Dry Needling: Rooted in Western medicine, it focuses on relieving muscle pain and dysfunction by targeting myofascial trigger points, without the traditional TCM framework.
  2. Needle Placement:
    • Acupuncture: Involves inserting needles into specific acupuncture points along meridians, which are mapped according to TCM principles.
    • Dry Needling: Targets trigger points within muscles, which are specific areas of muscle tissue that are tight and painful. These points are not based on meridians but rather on muscle and fascial anatomy.
  3. Technique and Manipulation:
    • Acupuncture: Needles may be left in place for a period of time and can be stimulated manually or electrically. The technique often involves precise placement according to TCM principles.
    • Dry Needling: Needles are often inserted directly into trigger points and may be manipulated or left in place for a shorter duration. Techniques can include pistoning (moving the needle up and down) to release muscle tension.
  4. Treatment Goals:
    • Acupuncture: Aims to balance the body’s energy system and address a wide range of conditions, including emotional and physical health issues.
    • Dry Needling: Specifically targets muscle pain and dysfunction, aiming to relieve symptoms such as pain, tightness, and restricted range of motion.
  5. Training and Certification:
    • Acupuncture: Practitioners typically undergo extensive training in TCM and acupuncture techniques. Certification often requires specialized education and training in acupuncture.
    • Dry Needling: Practitioners, often physiotherapists or other musculoskeletal specialists, receive training in dry needling techniques, which may be less extensive than traditional acupuncture training.
  6. Scientific Basis:
    • Acupuncture: Has a long history and is deeply rooted in TCM philosophy, with varying levels of scientific evidence supporting its effectiveness.
    • Dry Needling: Generally supported by Western scientific research focusing on its effects on muscle pain and dysfunction, with evidence showing its efficacy in treating specific musculoskeletal issues.

To wrap up, dry needling by a physiotherapist is ideal for targeting musculoskeletal problems, while acupuncture with a licensed practitioner may be better for a broader range of health issues. Results differ from person to person. Synapse Physiotherapy offers dry needling—reach out to us for more details or to schedule a session.

Frequently Asked Questions (FAQs)

Dry needling can cause mild discomfort as the needle targets trigger points, while acupuncture tends to be gentler, focusing on energy pathways.

Results vary, but many patients experience relief after a few sessions. Some conditions may require longer treatment durations for lasting effects.

Yes, some practitioners offer integrative treatments that combine both methods to maximize therapeutic benefits.

Both treatments are generally safe when performed by trained professionals. Mild bruising, soreness, or lightheadedness may occur temporarily.

Consultation with a licensed practitioner is key. They will assess your health history, condition, and goals to recommend the best option for you.

Conclusion

Whether you’re leaning towards dry needling or acupuncture, Synapse offers a range of holistic and therapeutic services tailored to your needs. Our expert practitioners will guide you through each option, helping you make informed decisions about your health and wellness. Experience relief, recovery, and rejuvenation with treatments designed to support your unique body. Contact Synapse today to schedule a consultation and take the first step towards living pain-free.

Produced by MYSense

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dry needling vs acupuncture

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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What is more effective, acupuncture or dry needling?

dry needling vs acupuncture

What is more effective, acupuncture or dry needling?

admin

September 11, 2024

dry needling vs acupuncture
Synapse Physiotherapy

Which is more effective, acupuncture or dry needling?

Inserting needles into the skin might sound unusual, but surprisingly, many individuals with injuries or painful conditions turn to this method as an alternative treatment for pain relief.

 

Dry needling and acupuncture are two popular therapies that involve piercing the skin with fine, stainless steel needles for healing purposes. Although both aim to alleviate pain, they differ significantly in their approach. At a glance, dry needling vs acupuncture may appear identical, as both use thin needles inserted into the skin and both claim to ease pain. However, one has roots in traditional Chinese medicine, dating back thousands of years, and has a solid body of research behind it, while the other has only been in use for a few decades.

 

Acupuncture works by stimulating the nervous system and releasing endorphins, whereas dry needling targets muscle knots and trigger points to release tension.

 

Finding the right treatment to manage your pain can be challenging, especially if you’re unsure of the underlying cause. Let’s explore the differences between dry needling and acupuncture to help you decide which might be the better option for you.

What is Dry Needling?

Dry needling is a contemporary treatment aimed at reducing muscle pain, and it has been gaining popularity. In a dry needling session, a practitioner inserts several fine, stainless steel filiform needles into the skin. These needles are not used to inject any substance, which is why the technique is referred to as “dry.” The needles are placed into “trigger points” within the muscle or tissue—areas of tight or hardened muscle. This method is sometimes called intramuscular stimulation. Practitioners believe that the needles help release muscle knots, alleviating pain and muscle spasms.

Technique

Dry needling involves inserting fine needles into muscle “trigger points” to relieve pain and tension. After identifying these tight spots, the practitioner inserts the needles into the muscle and may manipulate them by gently moving or twisting them. This manipulation is designed to elicit a local twitch response—an involuntary muscle contraction—that helps release the tension in the muscle. The twitch response improves blood flow and reduces pain, promoting relaxation of the tight muscle. The needles are left in for a few minutes before removal, and additional exercises may follow to enhance the treatment’s effect.

Post-event

Suppose you’re experiencing pain from an injury like a sprain, strain, or fracture. In that case, a physiotherapist can assist in your recovery after your doctor’s initial treatment by prescribing exercises and therapies that help restore your strength, flexibility, and range of motion. Additionally, if your injury resulted from a fall, a physiotherapist can work with you to enhance your balance and coordination, reducing the risk of future falls and further injury.

 

For instance, if you’ve recently fractured your ankle in a fall, a physiotherapist can create a personalized exercise program aimed at improving balance, proprioception, and coordination. Exercises such as standing on one leg, walking heel-to-toe, and practicing weight shifts can enhance your balance and decrease the likelihood of future falls. This is especially crucial for older adults, as falls often lead to injury, reduced mobility, and a lower quality of life.

 

If you suddenly experience severe pain, such as waking up with intense neck pain or suddenly developing severe lower back pain that disrupts your daily activities, work, or sleep, it’s advisable to seek prompt evaluation from a physiotherapist. They can assess your condition, recommend strategies to relieve your pain, and help you regain full function as swiftly as possible. Additionally, they may screen for any signs of serious underlying medical issues that could require further medical evaluation.

 

If your pain persists despite rest or over-the-counter medications, it’s important to consult a physiotherapist. They can identify the underlying cause of your pain and offer targeted treatment to relieve it.

 

For instance, Achilles tendon pain might improve with rest but could return when you resume activities like running. In such situations, a physiotherapist can develop a rehabilitation plan to address the issue and help prevent its recurrence.

Benefits

Alleviating Muscle Tightness and Pain: Dry needling effectively targets trigger points in the muscles, prompting them to contract and relax, which helps restore normal function and alleviate pain and tightness. Many patients experience immediate relief, with more significant benefits typically seen after several sessions.

 

Enhancing Range of Motion: By addressing muscle tension and trigger points, dry needling can improve or restore range of motion, leading to better overall function and decreased discomfort.

 

Speeding Up Recovery: For athletes and active individuals, dry needling can expedite the recovery process. It promotes muscle relaxation and increases blood circulation, providing vital oxygen and nutrients to the injured areas, which facilitates quicker healing.

Side effect

Mild side effects are common with dry needling, while serious complications are rare.

The most frequent side effects at the needle insertion site include:

  • Bruising
  • Minor bleeding
  • Temporary soreness

What is acupuncture?

Acupuncture involves the insertion of ultra-fine needles into specific points on the body. A fundamental aspect of traditional Chinese medicine, it is primarily used to alleviate pain but is increasingly recognized for its role in promoting overall wellness, including stress management.

 

According to traditional Chinese medicine, acupuncture aims to balance the flow of energy, or life force, known as chi or qi (chee), which is believed to travel through pathways called meridians in the body. By placing needles at precise points along these meridians, acupuncture practitioners aim to restore harmony to the energy flow.

Technique

Traditionally, acupuncture is based on the belief that illness arises from blocked or disrupted qi, which is the healing energy that sustains your body. The practice aims to eliminate these blockages and restore a balanced flow of energy.

 

Needle Insertion: Acupuncture needles are inserted at varying depths into specific points on your body. Due to their thinness, the insertion typically causes minimal discomfort, and many people do not feel the needles at all. A standard treatment usually involves 5 to 20 needles, and you might experience a mild aching sensation when a needle reaches the appropriate depth.

 

Needle Manipulation: After insertion, your practitioner may gently move or twist the needles or apply heat or mild electrical pulses to enhance the treatment’s effects.

 

Needle Removal: The needles are generally left in place for 10 to 15 minutes while you relax. Removal is usually painless and causes no discomfort.

Benefits

Pain Relief: Acupuncture is highly effective for alleviating both acute and chronic pain, commonly used for back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. It works by reducing inflammation, triggering the release of endorphins, and adjusting the nervous system’s pain response.

 

Stress Reduction and Relaxation: Many find acupuncture sessions deeply calming. By targeting specific points, it helps regulate the body’s stress response, promoting relaxation and alleviating anxiety. Improved sleep quality is also frequently reported after treatment.

 

Mental Health: Acupuncture positively influences mood and mental wellness by balancing neurotransmitters like serotonin and dopamine. It is often used as a complementary therapy for conditions such as depression, anxiety, and PTSD.

 

Enhanced Immune Function: Acupuncture may boost the immune system by improving Qi flow and balancing internal systems. Regular sessions can strengthen the immune response and lower the risk of illness.

 

Better Digestive Health: Acupuncture can help regulate digestion and relieve gastrointestinal issues like IBS, acid reflux, bloating, and constipation. By enhancing energy flow and reducing stress, it may improve digestion and nutrient absorption.

 

Hormonal Balance: Acupuncture can help regulate hormonal imbalances, benefiting those with conditions like PCOS, infertility, menopausal symptoms, and irregular periods by normalizing cycles and alleviating hormonal fluctuations.

Side effect

Possible side effects may include bruising, bleeding, and a mild, achy sensation at the needle insertion site.

Which is better?

Now that you’re familiar with the benefits and risks of dry needling and acupuncture, you might wonder which one is the better treatment option. Surprisingly, it largely comes down to personal preference. If your goal is to alleviate muscle pain and tightness, dry needling could be a great choice. On the other hand, if you’re addressing a specific medical condition, acupuncture might be more suitable.

 

Both treatments can leave you feeling relaxed or energized, but individual responses may vary. If your symptoms don’t improve within a few weeks, it’s possible that neither, or only one of the treatments, may be effective for you. It’s important to note that dry needling and acupuncture are not substitutes for conventional medical treatments such as physiotherapy or surgery.

 

This is why consulting your healthcare provider and seeking out highly qualified practitioners is essential before trying either treatment.

 

You might want to consider trying dry needling services offered by a professional and certified physiotherapist, like those at Synapse Physiotherapy. Their expertise ensures that you receive safe and effective treatment tailored to your specific needs.

Frequently Asked Questions (FAQs)

Most patients experience mild discomfort during the treatment, often described as a quick pinch or muscle twitch. This discomfort typically subsides immediately.

It depends on the severity of your condition. For most patients, 5–10 sessions yield noticeable improvements.

Yes, some practitioners use both methods together to address different aspects of pain and recovery.

Both dry needling and acupuncture are safe when performed by licensed and trained professionals. Always ensure your practitioner is certified.

Relief can vary. Some patients feel immediate improvement after dry needling, while acupuncture benefits often become noticeable after a few sessions.

Conclusion

Both acupuncture and dry needling are valuable treatments for pain relief and overall wellness. Dry needling focuses on addressing muscle-specific issues, making it ideal for athletes and individuals recovering from injuries. Acupuncture, with its holistic approach, is suitable for those seeking to manage chronic pain, stress, or other systemic conditions.

 

When considering which therapy is better, it ultimately depends on your unique needs. Consulting a healthcare professional is crucial to determine the most effective treatment plan. If you’re looking for a qualified practitioner, consider Synapse Physiotherapy, where experienced professionals offer personalized dry needling services designed to alleviate pain and restore function. Take the first step toward a healthier, pain-free life today!

Produced by MYSense

Tags :

dry needling vs acupuncture

Share This :

Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Dry Needling vs Acupuncture: How Long to Notice Results

dry needling vs acupuncture

Dry Needling vs Acupuncture: How Long to Notice Results

admin

June 13, 2024

dry needling vs acupuncture
Synapse Physiotherapy

Introduction

The general public often confuses dry needling with acupuncture. Many people are unsure about the distinct purposes and proper contexts for each treatment, which leads to the misconception that dry needling and acupuncture are the same. Although both practices involve inserting thin needles into the body, they differ greatly in their techniques, philosophies, and goals. “Dry Needling vs. Acupuncture” is a common topic of conversation among individuals.

I. What is dry needling?

The term “dry needling” was created to differentiate it from traditional acupuncture and wet needling, which involves injections. This term emphasizes that no substances are injected. Starting in the late 20th and early 21st centuries, dry needling gained popularity among physiotherapists and other musculoskeletal health professionals in Western countries. This increase in use was supported by evidence demonstrating its effectiveness in treating musculoskeletal pain and dysfunction. Dry needling utilizes thin monofilament needles, similar to those used in acupuncture, but without any injections. This method is often applied to muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to treat various neuromusculoskeletal pain syndromes. The definition of dry needling has been updated by organizations such as the National Physical Therapy Association and several State Boards of Physical Therapy. According to their guidelines, dry needling involves inserting needles into nodules found within taut muscle bands, known as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Benefits of dry needling 

Relieving Muscle Tightness and Pain Dry needling targets the source of pain (the trigger point), causing the muscle to contract and relax, restoring normal function. This alleviates both muscle tightness and tension, thereby reducing pain.

 

This benefit can often be felt immediately after treatment, with more significant relief typically experienced after multiple sessions. For more details on the timeline for dry needling effectiveness, check out our recent blog.

 

Improving range of motion by releasing muscle tightness, tension, and trigger points, dry needling also helps to enhance or restore range of motion. This, in turn, improves overall function and reduces general discomfort.

 

Accelerating recovery from injuries can be a lengthy process, particularly for athletes and active individuals. However, dry needling has the potential to expedite recovery and help clients return to normal function more quickly than other therapies.

 

This acceleration may stem from muscle relaxation and increased blood flow, which delivers essential oxygen and nutrients to the injured area

II. What is Acupuncture?

Acupuncture, a key component of Traditional Chinese Medicine (TCM), has been a holistic healthcare practice for thousands of years. TCM encompasses a broad approach to wellness, including prevention, diagnosis, and treatment of various ailments. A central concept in TCM is qi, the vital energy that flows through the body along specific pathways known as meridians. When qi is balanced, it reflects overall well-being, covering spiritual, emotional, and physical health. Imbalances in qi can cause illness, as blockages disrupt the balance between yin and yang, the interconnected principles in Chinese philosophy. To restore harmony between yin and yang, TCM uses several strategies, with acupuncture being a prominent one.

 

Acupuncturists recognize over 2,000 acupuncture points linked by meridians and use this technique to clear blockages or stagnant qi, promoting its smooth flow and enhancing health. This practice involves inserting fine needles into specific points along the meridians, which practitioners may activate through manual manipulation or electrical stimulation.

 

Physiotherapy often involves mobilizing tissues and joints that have become tight, weak, or inflamed due to injury, illness, or surgery. Hands-on techniques to move and manipulate these areas aim to restore mobility, increase blood flow, and promote healing, although some procedures might cause temporary soreness. Additionally, tailored stretching and strengthening exercises may lead to muscle soreness as your body adapts to new movements. Techniques to gently break down scar tissue formed from injury or surgery can be uncomfortable but are crucial for restoring normal function and reducing long-term pain. 

 

Rehabilitation after injury or surgery often involves exercises to restore strength, flexibility, and range of motion, which might cause discomfort as your body heals. Moreover, some conditions or injuries can lead to compensatory movement patterns, placing stress on certain body areas. Correcting these patterns might result in temporary discomfort as your muscles and joints adjust.

Benefits of acupuncture

Pain relief acupuncture is renowned for its ability to relieve pain, whether acute or chronic. It is frequently used to manage conditions such as back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture works by reducing inflammation, triggering the release of endorphins (the body’s natural painkillers), and regulating the pain response of the nervous system.

 

Stress Reduction and Relaxation: Many individuals find acupuncture sessions to be deeply relaxing. By inserting needles at specific points on the body, acupuncture helps regulate the body’s stress response, promoting relaxation and reducing feelings of anxiety and tension. Some people also report improved sleep quality after acupuncture treatment.

 

Mental Health Acupuncture has been found to have positive effects on mood and mental well-being. It can help regulate neurotransmitters such as serotonin and dopamine, which are important in mood regulation. Acupuncture is often used as a complementary therapy for conditions like depression, anxiety, and PTSD.

 

Enhanced Immune Function Acupuncture is believed to support the body’s immune system by enhancing the flow of Qi (vital energy) and balancing the body’s internal systems. Regular acupuncture sessions may help strengthen the immune response and reduce the risk of illness and infection.

Better Digestive Health Acupuncture can assist in regulating digestive function and alleviating symptoms of gastrointestinal disorders such as irritable bowel syndrome (IBS), acid reflux, bloating, and constipation. By balancing the body’s energy flow and reducing stress, acupuncture may improve digestion and enhance nutrient absorption.

 

Hormonal Balance Acupuncture may aid in regulating hormonal imbalances in the body, making it beneficial for conditions such as polycystic ovary syndrome (PCOS), infertility, menopausal symptoms, and menstrual irregularities. It can help regulate menstrual cycles, improve ovarian function, and alleviate symptoms associated with hormonal fluctuations.

 

Support for Chronic Conditions Acupuncture offers relief and support for various chronic conditions, including autoimmune disorders, fibromyalgia, chronic fatigue syndrome, and neuropathic pain. While it may not cure these conditions, acupuncture can help manage symptoms and enhance overall quality of life.

III. How long before you notice the effects?

1. Dry needling

Following a dry needling session, it’s common to experience a variety of sensations. You may feel immediate pain relief, as needling can help alleviate acute tension and reduce inflammation. However, it’s also normal to experience some discomfort during the muscle’s involuntary twitch response immediately after the procedure.

This discomfort can include muscle soreness similar to post-workout aches or a mild lingering ache, which typically diminishes within 24 to 48 hours. This soreness occurs because the muscles are responding to the needle insertion, which initiates the healing process. The initial irritation is a natural part of the body’s response, leading to improved muscle relaxation and pain relief as the muscles recover.

2. Acupuncture 

For acute pain or a sports injury, you might experience almost immediate pain relief after the first treatment.

In cases of chronic pain, it may take up to 2 or 3 sessions before you notice a reduction in pain. Sometimes, as the primary pain subsides, you may notice pain shifting to other areas of the body. This can happen because when the most intense pain is alleviated, secondary pain sites may become more noticeable.

IV. How long the effect can be sustained?

1. Dry Needling 

After their initial dry needling appointment, clients can anticipate that the benefits will last for several days. As they undergo subsequent appointments, the benefits are likely to extend with each session, leading to longer-lasting effects over time. However, the duration of these benefits can vary from person to person.

2. Acupuncture

The effectiveness and duration of acupuncture benefits depend on a variety of factors. These include the patient’s age, overall health condition, the specific ailment being treated, the duration of acupuncture treatment, whether the patient is receiving other concurrent treatments, or any coexisting health conditions.

Initially, patients may experience relief from symptoms such as pain and inflammation lasting anywhere from a few days to a couple of weeks after each acupuncture session. However, with continued treatment, acupuncture has the potential to provide longer-lasting benefits, and in some cases, permanent relief from chronic issues.

Frequently Asked Questions (FAQs)

Dry needling focuses on relieving muscle pain and trigger points, while acupuncture targets energy flow and holistic health using traditional Chinese medicine techniques.

Many people experience relief within 24 to 48 hours after a dry needling session, though some may require multiple treatments for lasting effects.

Results from acupuncture can vary, but some individuals notice improvements after the first session. Typically, noticeable changes occur after a few weeks of regular treatment.

Both dry needling and acupuncture can be effective for chronic pain, but the best option depends on individual conditions and response to treatment. Consulting with a professional can help determine the most suitable method.

Yes, combining both therapies can be beneficial for some individuals. Always discuss with your healthcare provider to ensure a safe and effective treatment plan.

Conclusion

In conclusion, for individuals managing musculoskeletal injuries, dry needling administered by a physiotherapist can be particularly effective due to its targeted approach to trigger points and muscle tension. However, individuals seeking a more comprehensive approach to health or who have additional health concerns beyond the musculoskeletal system may find acupuncture with a licensed acupuncturist to be a more suitable choice. The immediate and lasting effects of these treatments can vary for each individual. At Synapse Physiotherapy, we offer dry needling services. Don’t hesitate to reach out to us for more information or to schedule an appointment.

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dry needling vs acupuncture

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
Posted on by

Dry Needling vs Acupuncture I Benefits and Functions

Dry Needling vs Acupuncture I Benefits and Functions

Dry Needling vs Acupuncture I Benefits and Functions

admin

June 10, 2024

Dry Needling vs Acupuncture I Benefits and Functions
Synapse Physiotherapy

Introduction

There is often confusion between dry needling and acupuncture within the general public. Many individuals are uncertain about the specific purposes and appropriate contexts for each treatment, leading to the mistaken belief that dry needling and acupuncture are identical. However, while both practices involve the insertion of thin needles into the body, they differ significantly in their techniques, philosophies, and intended outcomes. “Dry Needling vs. Acupuncture” frequently becomes a topic of discussion among people.

Acupuncture 

Acupuncture, a fundamental aspect of Traditional Chinese Medicine (TCM), has been practiced for thousands of years as a holistic healthcare system. TCM is a comprehensive approach to wellness that includes methods for the prevention, diagnosis, and treatment of ailments. Central to TCM philosophy is the concept of qi, the body’s vital energy, which is believed to flow along specific pathways called meridians. Balanced qi signifies overall well-being, encompassing spiritual, emotional, and physical health, while imbalances may lead to illness. Blockages in qi can disrupt the equilibrium between yin and yang, the opposing yet interconnected principles in Chinese philosophy. TCM employs various strategies to restore harmony between yin and yang, with acupuncture being a prominent method.

Acupuncturists identify over 2,000 acupuncture points connected by meridians and they use this technique to alleviate blocked or stagnant qi, thereby promoting its free flow and enhancing health. The practice involves inserting fine needles into specific points along the meridians, which are then activated by manual manipulation or electrical stimulation by the practitioner.

Dry needling 

The term “dry needling” was coined to distinguish the technique from traditional acupuncture and wet needling (injections). The term underscores the absence of injectable substances. In the late 20th and early 21st centuries, dry needling began to be widely adopted by physiotherapists and other musculoskeletal health professionals, particularly in Western countries. This adoption was facilitated by growing evidence of its effectiveness for treating musculoskeletal pain and dysfunction. Dry needling involves inserting thin monofilament needles, similar to those used in acupuncture, but without any injection. This technique is often employed to treat muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to address various neuromusculoskeletal pain syndromes. Notably, the definition of dry needling has been refined by organizations such as the National Physical Therapy Association and several State Boards of Physical Therapy. According to their updated guidelines, dry needling specifically involves inserting needles into nodules within taut bands of muscle, commonly known as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Technique 

  • Acupuncture 

During an acupuncture session, the practitioner begins with a thorough consultation to understand the patient’s medical history and current symptoms, followed by a diagnosis based on TCM principles, including pulse and tongue examination. Once a diagnosis is made, the patient is positioned comfortably, and the practitioner selects appropriate acupuncture points along the body’s meridians. The needles are inserted at precise angles and depths, and the practitioner may manually manipulate them to elicit the desired therapeutic sensation, known as “De Qi,” which can feel like a dull ache, tingling, or heaviness. Needles are typically left in place for 15 to 30 minutes.

Various techniques may be employed to enhance the treatment’s effectiveness, such as tonification to strengthen energy, sedation to calm excess energy, and balanced techniques combining both. Additional methods like electroacupuncture, where mild electrical currents are applied to the needles, moxibustion (burning dried mugwort near the skin or on the needle), cupping (using suction cups to stimulate points), and auricular acupuncture (focusing on ear points) can also be used. After the needles are removed, the practitioner checks for any adverse reactions and advises the patient on aftercare and follow-up treatments.

  • Dry needling 

Performing Trigger Point Dry Needling (TDN) requires a meticulous approach to ensure both safety and effectiveness. The procedure begins with a comprehensive examination to identify specific neuromuscular impairments and trigger points, using palpation and patient feedback for precise localization within taut bands of muscle. It is crucial to prioritize patient safety by confirming the absence of contraindications to TDN, obtaining informed consent, and providing a detailed explanation of potential adverse effects. Adherence to clean needle technique and universal precautions is essential, including wearing gloves, thorough skin cleaning with an antiseptic solution, and using single-use, sterile filiform needles to minimize infection risks.

During the dry needling procedure, several techniques are employed. Direct needling techniques, such as the Piston Technique (quick in-and-out insertion), Sparrow Pecking Technique (slow advancement into the trigger point), and Twisting Technique (gentle rotation or movement within the trigger point), are used to elicit a local twitch response (LTR) and release tension in the muscles. Non-trigger point needling involves inserting needles around the trigger point to influence neural pathways and alleviate pain. Electroacupuncture may also be utilized, applying electrical stimulation to the needles to enhance therapeutic effects, with adjustments based on the patient’s response.

After completing the needling process, the needle is promptly removed after eliciting a twitch response, and proper disposal is ensured. Continuous monitoring for adverse reactions or side effects is necessary, along with reassessment of neuromuscular impairments and pain levels. Additional therapeutic interventions, such as stretching, exercise, or manual therapy, may be integrated to optimize outcomes. Patients receive instructions for home care, including self-care techniques to support healing and prevent recurrence.

Documentation of the procedure, including needling locations, patient responses, and any adverse effects, is vital. Follow-up appointments are scheduled to monitor progress and adjust treatment as needed. 

Practitioner

  • Acupuncture 

In Malaysia, the practice of acupuncture is regulated under the Traditional and Complementary Medicine Act 2016 (Act 775), administered by the Traditional and Complementary Medicine Division of the Ministry of Health. To practice acupuncture, individuals must graduate from a recognized program in acupuncture or Traditional Chinese Medicine (TCM) from an accredited institution. They must obtain certification from the Ministry after passing the licensing examination. 

  • Dry needling 

In Malaysia, the practice of dry needling is typically conducted by licensed healthcare professionals under the framework of the Traditional and Complementary Medicine Act 2016 (Act 775), overseen by the Traditional and Complementary Medicine Division of the Ministry of Health. Healthcare providers eligible to perform dry needling include medical doctors, physiotherapists, and other qualified professionals who have undergone specific training and certification in dry needling techniques recognized by the Ministry.

All the practitioners must adhere to professional standards and guidelines established by their respective regulatory bodies. They are required to practice within the scope of their licensed profession, maintain their certification through ongoing professional development, and work in licensed centers or clinics. Compliance with all regulatory requirements, including licensing and renewal, is necessary to ensure safe and legal practice of dry needling in Malaysia. You may find a certified practitioner when you need these services. 

When to choose dry needling or acupuncture? 

Acupuncture 

Acupuncture offers a wide range of benefits, making it a popular choice for both holistic and complementary medical care. It is well-known for its effectiveness in alleviating pain, including conditions like back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture works by reducing inflammation, releasing endorphins (the body’s natural painkillers), and regulating the nervous system’s pain response.

Additionally, acupuncture sessions are typically relaxing, helping to regulate the body’s stress response and promote relaxation. Many individuals also experience improvements in sleep quality after treatment, as acupuncture can help reduce feelings of anxiety and tension.

Beyond pain relief and stress reduction, acupuncture has positive effects on mood and mental well-being. It can regulate neurotransmitters such as serotonin and dopamine, making it beneficial for conditions like depression, anxiety, and PTSD.

Acupuncture is believed to support immune function by promoting the flow of Qi (vital energy) and balancing the body’s internal systems. Regular treatments may help strengthen the immune response and reduce the risk of illness and infection.

For digestive health, acupuncture can regulate digestive function and alleviate symptoms of gastrointestinal disorders such as irritable bowel syndrome (IBS), acid reflux, bloating, and constipation. By balancing the body’s energy flow and reducing stress, acupuncture may improve digestion and nutrient absorption.

In terms of hormonal balance, acupuncture may help regulate imbalances associated with conditions like polycystic ovary syndrome (PCOS), infertility, menopausal symptoms, and menstrual irregularities. It can help regulate menstrual cycles, improve ovarian function, and reduce symptoms associated with hormonal fluctuations.

Acupuncture also provides relief and support for chronic conditions, including autoimmune disorders, fibromyalgia, chronic fatigue syndrome, and neuropathic pain. While not a cure, acupuncture can help manage symptoms and improve overall quality of life.

Finally, acupuncture is used as a complementary therapy for cancer patients to manage treatment side effects such as nausea, pain, fatigue, and neuropathy. It can improve overall well-being and quality of life during cancer treatment.

Overall, acupuncture offers a holistic approach to health and well-being, addressing both physical and emotional aspects to promote optimal health.

Dry needling 

Dry needling offers several significant benefits, primarily focused on pain relief and improved musculoskeletal function. One of its key advantages is pain relief, as it targets trigger points and releases muscle tension, providing relief for conditions such as muscle strains, tension headaches, fibromyalgia, and lower back pain. This technique also enhances range of motion and flexibility by releasing tight muscles and trigger points, which can restrict movement. This benefit is particularly valuable for athletes and individuals recovering from injuries.

Moreover, dry needling promotes muscle relaxation by triggering the release of endorphins, natural pain-relieving chemicals that reduce muscle spasms and stiffness, thus improving comfort and mobility.  Additionally, by increasing blood flow to targeted areas, dry needling facilitates the delivery of oxygen and nutrients to injured tissues, promoting faster healing and recovery. It also breaks up scar tissue and adhesions, which can inhibit movement and contribute to chronic pain. Dry needling can be used as part of a comprehensive treatment plan for musculoskeletal conditions, complementing therapies such as physical therapy and exercise by addressing muscle imbalances and dysfunctions, thereby improving treatment outcomes.

Furthermore, dry needling provides a drug-free alternative for individuals seeking to avoid or reduce pain medication usage, potentially lessening dependence on medications and their associated side effects. Finally, by effectively managing pain and improving mobility, dry needling enhances overall quality of life and well-being for those suffering from chronic pain and musculoskeletal dysfunction

Frequently Asked Questions (FAQs)

1. What are the key differences between dry needling and acupuncture?

Dry needling is a technique primarily focused on treating musculoskeletal pain and dysfunction by targeting trigger points within muscles using thin needles. It aims to alleviate muscle tension, improve range of motion, and promote healing without the use of injectable substances. Acupuncture, on the other hand, is a holistic healthcare practice rooted in Traditional Chinese Medicine (TCM). It involves the insertion of needles at specific points along the body’s meridians to balance the flow of qi (vital energy) and address a wide range of physical, emotional, and spiritual ailments.

2. How do I determine whether dry needling or acupuncture is suitable for my condition?

The choice between dry needling and acupuncture depends on the nature of your condition and your treatment goals. If you’re experiencing musculoskeletal pain or dysfunction, such as muscle strains, tension headaches, or limited range of motion, dry needling may be more appropriate, especially if you’re seeking localized pain relief and improved muscle function. However, if you’re looking for a comprehensive approach to health and wellness or have broader health concerns beyond musculoskeletal issues, acupuncture with a licensed acupuncturist may be a better fit.

3. Is dry needling painful?

Dry needling involves the insertion of thin needles into trigger points within muscles, which may cause discomfort or a sensation similar to a muscle cramp. However, many individuals find the discomfort to be minimal and temporary, lasting only during the insertion of the needle or when the trigger point is stimulated. The goal of dry needling is to alleviate pain and tension, so any discomfort experienced during the procedure is typically short-lived and outweighed by the potential benefits of pain relief and improved muscle function.

4. How many sessions of dry needling or acupuncture are typically needed to see results?

The number of sessions required to see results from dry needling or acupuncture varies depending on factors such as the severity and chronicity of the condition, individual response to treatment, and treatment goals. Some individuals may experience significant improvement after just one session, while others may require multiple sessions spread out over several weeks to achieve optimal results. Your healthcare provider will work with you to develop a personalized treatment plan based on your specific needs and response to treatment.

5. Are there any potential side effects or risks associated with dry needling or acupuncture?

Both dry needling and acupuncture are generally safe when performed by trained and experienced practitioners using sterile needles and adhering to proper hygiene protocols. However, as with any medical procedure, there are potential risks and side effects to consider. Common side effects may include temporary soreness, bruising, or minor bleeding at the insertion site. In rare cases, more serious complications such as infection or nerve injury may occur, although these are uncommon when performed by qualified professionals. It’s essential to discuss any concerns or pre-existing medical conditions with your healthcare provider before undergoing dry needling or acupuncture to ensure safety and minimize potential risks.

Conclusion

In summary, for musculoskeletal injuries, individuals may find that dry needling, performed by a physiotherapist, is more effective due to its specific focus on trigger points and muscle tension. However, if they are looking for a broader approach to health or have additional health concerns beyond the musculoskeletal system, acupuncture with a licensed acupuncturist may be a more suitable choice. If you’re interested in exploring the benefits of dry needling, we encourage you to consider this option with a skilled and professional physiotherapist. At Synapse Physiotherapy, we provide specialized dry-needling services tailored to address your specific needs whenever necessary. Our team is dedicated to helping you achieve improved pain relief, enhanced range of motion, and overall better musculoskeletal function through this effective treatment method.

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dry needling vs acupuncture

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
Posted on by

Dry Needling vs. Acupuncture: Which One Do You Need?

Dry Needling vs. Acupuncture: Which One Do You Need?

admin

May 11, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Synapse Physiotherapy

Introduction 

It’s common for people to feel confused about the differences between dry needling and acupuncture, often leading to comparisons between the two practices. Many individuals find it difficult to decide to choose one over the other.

 Acupuncture

Acupuncture, an integral component of Traditional Chinese Medicine (TCM), dates back thousands of years as a holistic healthcare system. TCM, a comprehensive approach to wellness, encompasses methods aimed at prevention, diagnosis, and treatment of ailments. Central to TCM philosophy is the concept of qi, the body’s vital energy, believed to flow along specific meridians. Balanced qi signifies overall well-being, encompassing spiritual, emotional, and physical health, while imbalances may lead to illnesses. Blockages in qi can disrupt the equilibrium between yin and yang, opposing yet interconnected principles in Chinese philosophy. TCM employs diverse strategies to restore harmony between yin and yang, including acupuncture. Acupuncturists identify over 2,000 acupuncture points interconnected by meridians, utilizing this technique to alleviate blocked or stagnant qi, thus facilitating its free flow and enhancing health. Acupuncture entails inserting fine needles into specific points along meridians, with subsequent activation by manual manipulation or electrical stimulation by the practitioner.

Dry needling 

‘Dry needling’ involves the insertion of thin monofilament needles, similar to those utilized in acupuncture, without injection. This technique is frequently utilized in the treatment of muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to address various neuromusculoskeletal pain syndromes. Importantly, the definition of dry needling has undergone refinement by organizations like the National Physical Therapy Association and several State Boards of Physical Therapy. According to their updated specifications, dry needling is specifically defined as the insertion of needles into nodules within taut bands of muscle, commonly referred to as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Benefits 

Dry needling offers several potential benefits for individuals experiencing musculoskeletal pain and dysfunction:

Pain Relief

One of the primary benefits of dry needling is pain relief. By targeting trigger points and releasing tension in muscles, dry needling can help alleviate acute and chronic pain conditions such as muscle strains, tension headaches, fibromyalgia, and lower back pain.

Improved Range of Motion

Tight muscles and trigger points can restrict movement and flexibility. Dry needling helps release muscle tension, allowing for improved range of motion and flexibility in the affected area. This can be particularly beneficial for athletes or individuals recovering from injuries.

Muscle Relaxation

 Dry needling promotes muscle relaxation by stimulating the release of endorphins, which are natural pain-relieving chemicals produced by the body. This relaxation can help reduce muscle spasms and stiffness, allowing for greater comfort and mobility.

Enhanced Healing

 By increasing blood flow to the targeted area, dry needling can facilitate the delivery of oxygen and nutrients to injured tissues, thereby promoting faster healing and recovery. It can also help break up scar tissue and adhesions, which can inhibit movement and contribute to chronic pain.

Complementary Treatment

 Dry needling can be used as part of a comprehensive treatment plan for musculoskeletal conditions, complementing other therapies such as physical therapy and exercise. It can help address underlying muscle imbalances and dysfunctions, leading to more effective overall treatment outcomes.

Reduced Dependence on Medications

 For individuals who prefer to avoid or minimize the use of medications for pain management, dry needling offers a drug-free alternative. By targeting the root cause of pain and dysfunction, it can help reduce the need for pain medications and their associated side effects.

Improved Quality of Life 

Chronic pain and musculoskeletal dysfunction can significantly impact an individual’s quality of life, limiting their ability to perform daily activities and participate in leisure or recreational activities. By providing effective pain relief and improving mobility, dry needling can help enhance overall quality of life and well-being.

Acupuncture 

Acupuncture, a traditional Chinese medical practice, offers numerous potential benefits for both physical and mental health.

Pain Relief

Acupuncture is well-known for its ability to alleviate pain, both acute and chronic. It is often used to manage conditions such as back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture can help reduce inflammation, release endorphins (the body’s natural painkillers), and regulate the nervous system’s pain response.

Stress Reduction and Relaxation

Acupuncture sessions are typically relaxing experiences for many individuals. The insertion of needles at specific points on the body can help regulate the body’s stress response, promote relaxation, and reduce feelings of anxiety and tension. Some people also report improvements in sleep quality after acupuncture treatment

Improved Mood and Mental Health

Acupuncture has been shown to have positive effects on mood and mental well-being. It can help regulate neurotransmitters such as serotonin and dopamine, which play a role in mood regulation. Acupuncture is often used as a complementary therapy for conditions such as depression, anxiety, and PTSD.

Enhanced Immune Function

 Acupuncture is believed to support the body’s immune system by promoting the flow of Qi (vital energy) and balancing the body’s internal systems. Regular acupuncture treatments may help strengthen the immune response and reduce the risk of illness and infection.

Better Digestive Health

Acupuncture can help regulate digestive function and alleviate symptoms of gastrointestinal disorders such as irritable bowel syndrome (IBS), acid reflux, bloating, and constipation. By balancing the body’s energy flow and reducing stress, acupuncture may improve digestion and nutrient absorption.

Hormonal Balance

Acupuncture may help regulate hormonal imbalances in the body, making it beneficial for conditions such as polycystic ovary syndrome (PCOS), infertility, menopausal symptoms, and menstrual irregularities. It can help regulate menstrual cycles, improve ovarian function, and reduce symptoms associated with hormonal fluctuations.

Support for Chronic Conditions

Acupuncture can provide relief and support for various chronic conditions, including autoimmune disorders, fibromyalgia, chronic fatigue syndrome, and neuropathic pain. While it may not cure these conditions, acupuncture can help manage symptoms and improve overall quality of life.

Complementary Cancer Care

Acupuncture is often used as a complementary therapy for cancer patients to manage treatment side effects such as nausea, pain, fatigue, and neuropathy. It can help improve overall well-being and quality of life during cancer treatment.

 

 

Technique 

 

Dry needling

Assessment

Before performing dry needling, the practitioner typically conducts a thorough assessment of the patient’s musculoskeletal system. This may involve identifying areas of pain, muscle tightness, restricted movement, or trigger points.

Locating Trigger Points

Trigger points are areas of tight muscle fibers that can cause pain and dysfunction. The practitioner locates these points by palpating the muscles and asking the patient about areas of pain or tenderness.

Insertion of Needles

Once the trigger points are identified, the practitioner inserts thin, solid needles directly into the skin and muscle at these points. The needles used in dry needling are similar to those used in acupuncture but are typically thicker and may be manipulated differently.

Stimulation

After insertion, the needles may be manipulated by the practitioner, often with gentle movements or twitches, to stimulate the trigger point. This can help release tension in the muscle and alleviate pain.

Response and Monitoring

Patients may experience various sensations during dry needling, including a dull ache, tingling, or a muscle twitch. The practitioner monitors the patient’s response and adjusts the treatment as needed.

Aftercare

After the dry needling session, patients are usually advised to rest and drink plenty of water. Some practitioners may also recommend specific exercises or stretches to complement the treatment and prevent further muscle tension.

Acupuncture 

Consultation and Assessment

Before starting acupuncture treatment, the acupuncturist conducts a thorough consultation and assessment with the patient. This may involve discussing the patient’s medical history, current symptoms, lifestyle, and any specific health goals.

Point Selection

Based on the assessment, the acupuncturist selects the acupuncture points to target during the session. Acupuncture points are located along pathways called meridians, which are believed to be channels through which Qi (pronounced “chee”), or vital energy, flows.

Needle Insertion

The acupuncturist inserts thin, sterile needles into the selected acupuncture points on the patient’s body. The needles are typically made of stainless steel and are extremely thin, ranging from 0.12 to 0.35 millimeters in diameter. The depth of insertion varies depending on the location of the acupuncture point and the condition being treated.

Needle Manipulation

After the needles are inserted, the acupuncturist may gently manipulate them by twirling, rotating, or stimulating them with a slight up-and-down movement. This manipulation is believed to enhance the therapeutic effects of acupuncture by promoting the flow of Qi and facilitating the body’s natural healing processes.

Needle Retention

Once the needles are in place, the patient typically remains in a relaxed position for a certain period, typically ranging from 15 to 30 minutes. During this time, the patient may experience sensations such as warmth, tingling, or a dull ache at the acupuncture points.

Removal of Needles

After the designated period of needle retention, the acupuncturist removes the needles carefully and safely. The needles are disposed of in accordance with medical waste regulations.

Follow-Up and Recommendations

 Depending on the patient’s response to treatment, the acupuncturist may recommend a series of acupuncture sessions to achieve optimal results.

Differences 

Dry needling performed by a physiotherapist concentrates on treating musculoskeletal (MSK) conditions directly related to pain, movement, and function. Although acupuncturists may receive additional training in MSK conditions, their practice tends to be broader, potentially resulting in less specialized experience in addressing MSK issues compared to physical therapists.

A physiotherapist, specializing in musculoskeletal (MSK) conditions, incorporates dry needling as part of a comprehensive treatment plan. This plan may encompass various interventions such as joint mobilizations, neuromuscular reeducation, postural education, as well as strength, mobility, and flexibility exercises. In contrast, an acupuncturist’s approach might differ, focusing less on these specific components of MSK treatment and more on adjunctive therapies like recommending herbal supplements or dietary changes to support the healing process.

 

Which is better for you?

For musculoskeletal (MSK) injuries, seeking treatment from a specialized MSK practitioner such as physiotherapy who offers a multifaceted approach to address your pain and movement condition is often recommended. These professionals are trained to provide comprehensive care tailored to MSK issues. In cases where the injury appears to involve non-MSK components, consulting a medical doctor (MD) first would be prudent. This ensures a thorough evaluation and appropriate management plan, potentially involving a multidisciplinary approach if necessary.

 

In conclusion, if you’re dealing with a musculoskeletal (MSK) injury, seeking assistance from a qualified physiotherapist who is trained in dry needling can be beneficial. Synapse Physiotherapy is a reputable option that offers this service. Physiotherapists are skilled in providing a multifaceted approach to MSK injury treatment, and dry needling can be an effective component of their treatment plans. However, it’s essential to ensure that the physiotherapist you choose is appropriately qualified and experienced in dry needling techniques to optimize your recovery and rehabilitation process.

 

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dry needling vs acupuncture

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
Posted on by

Efficacy of Dry Needling vs Acupuncture in Pain Management

Efficacy of Dry Needling vs Acupuncture in Pain Management

admin

March 20, 2024

Synapse Physiotherapy

What is dry needling

‘Dry needling’ refers to the insertion of thin monofilament needles, as used in the practice of acupuncture, without the use of injectate. Dry needling is typically used to treat muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles for the management of a variety of neuromusculoskeletal pain syndromes.

National Physical Therapy Association and several State Boards of Physical Therapy\ have recently narrowed their definition of dry needling to insertion of needles into nodules within taut bands of muscle, more commonly referred to as ‘trigger points’ (TrPs) or ‘myofascial trigger points’ (MTrPs)(Dunning et al., 2014).

Differences between dry needling and acupuncture  

This question is frequently asked, what is the difference between dry needling and accupuncture. While both therapies utilise solid filament needles, their applications and goals differ significantly. The variations are apparent in the practitioner’s evaluative tools, assessment methods, needle application, and overall objectives. Acupuncture, deeply rooted in Eastern medical traditions and requiring expertise in traditional Chinese medicine (TCM), involves the insertion of needles into specific points along meridians, channels through which the life force or “qi” flows. TCM acupuncture aims to restore the normal flow of this life force.

On the other hand, dry needling (DN) follows a Western medical philosophy, focusing on a practitioner using a thin filiform needle to penetrate the skin and stimulate myofascial trigger points, as well as muscular and connective tissues. DN is primarily employed for managing neuromusculoskeletal pain and addressing movement impairments.

Trigger point  

Trigger points are believed to result from an excessive release of acetylcholine from specific motor endplates, categorising them into Active and Latent myofascial trigger points. Active trigger points have the potential to spontaneously initiate local or referred pain, leading to muscle weakness, restricted range of motion (ROM), and autonomic phenomena. In contrast, latent trigger points remain asymptomatic unless stimulated, yet they can influence muscle activation patterns and contribute to limited ROM.

Both active and latent trigger points induce allodynia at the trigger point site and hyperalgesia away from the trigger point when pressure is applied. The formation of trigger points arises from the development of a taut band within the muscle, triggered by an excessive release of acetylcholine from the motor end plate, coupled with the inhibition of acetylcholinesterase and an upregulation of nicotinic acetylcholine receptors.

Initially, taut bands emerge as a normal protective physiological response in the presence of actual or potential muscle damage, often occurring in response to unaccustomed eccentric or concentric loading, sustained postures, and repetitive low-load stress. However, when sustained, these bands contribute to persistent pain.

Pain resulting from trigger points is attributed to hypoxia and reduced blood flow within the trigger point, leading to decreased pH that activates muscle nociceptors in an attempt to restore homeostasis, ultimately causing peripheral sensitisation. Additionally, trigger points play a role in central sensitisation, though the exact mechanism remains unclear. Nonetheless, trigger points perpetuate nociceptive input into the dorsal horn, contributing to central sensitisation. 

Mechanism of Dry Needling 

Dry needling has demonstrated immediate benefits for individuals with musculoskeletal conditions, showing increased pressure pain threshold, enhanced range of motion, reduced muscle tone, and diminished pain. The efficacy of dry needling is attributed to various mechanisms. Firstly, the procedure induces a ‘local twitch response,’ an involuntary spinal reflex causing localised contractions in the treated muscles, thereby altering the length and tension of muscle fibers and stimulating mechanoreceptors like A Beta fibers. Additionally, dry needling addresses ischemic conditions by promoting vasodilation in small blood vessels, enhancing muscle blood flow and oxygenation. The intervention is also believed to induce neurophysiological effects, prompting local and central nervous system responses that restore hemostasis at trigger point sites and reduce both central and peripheral sensitisation to pain. Moreover, dry needling exhibits remote effects, with evidence suggesting analgesic impacts on proximal Myofascial Trigger Points (MTrP) following needling of distal MTrP. 

Contraindication 

Absolute contraindications to Trigger Point Dry Needling (TDN) must be approached with a judicious blend of innovation and practicality to ensure the safety and well-being of individuals seeking this therapeutic intervention. Consent denial by the patient stands as a fundamental absolute contraindication, emphasising the necessity of respecting individual autonomy in healthcare decisions. Furthermore, inadequate knowledge or training on the part of the practitioner poses a significant obstacle, highlighting the importance of ensuring a practitioner’s competence through proper education and training. The imperative of uncompromised equipment underscores the need for state-of-the-art tools to guarantee a safe and effective TDN procedure.

Absolute contraindications extend to specific scenarios, such as avoiding TDN during the first trimester of pregnancy, acknowledging the need for caution and consideration of maternal and fetal well-being. Delicate areas like the scalp in infants and sensitive regions including nipples, umbilicus, and external genitalia are rightly safeguarded against TDN due to their vulnerability. Uncontrolled anticoagulant usage poses a potential risk, emphasising the necessity for careful assessment and management of bleeding tendencies.

Equally crucial is the prohibition of TDN over areas with local infection, skin lesions, or active tumors, recognising the potential for complications and the importance of prioritising the patient’s overall health. The occipital region with Arnold-Chiari malformation requires meticulous attention, acknowledging the unique anatomical considerations in such cases. Over a cardiac pacemaker remains an absolute contraindication, highlighting the need for prudence in avoiding potential interference with life-sustaining medical devices (D & David, 2016). 

Precautions 

Before undergoing Trigger Point Dry Needling (TDN), certain precautions should be carefully considered to ensure the safety and suitability of the procedure for individuals. Individuals with needle phobia or a strong aversion to needles may find TDN psychologically distressing. Those with significant cognitive impairment may face challenges in understanding the procedure, obtaining informed consent, or cooperating during the session. A communication barrier, such as a language difference, may impede effective communication during the procedure. A history of traumatic or spontaneous pneumothorax, hyperalgesia, or allodynia warrants caution, as does the presence of local skin lesions or infections. Patients with compromised immune systems, metal allergies, abnormal bleeding tendencies, or vascular diseases should approach TDN with care, and alternative approaches may need consideration. TDN over surgical implants or in areas of laminectomy requires cautious assessment due to potential risks(D & David, 2016). 

Protocol 

When performing Trigger Point Dry Needling (TDN), adhere to a streamlined and decisive protocol for optimal efficiency and patient safety. Begin with a thorough examination to identify neuromuscular impairments, ensuring a targeted approach. Confirm the absence of contraindications before proceeding, emphasising the imperative of patient safety.

Secure informed consent from the patient, including a comprehensive disclosure of potential adverse effects associated with TDN. Maintain strict adherence to clean needle technique and universal precautions, incorporating essential measures such as wearing gloves, skin cleaning, and using single-use filiform needles to minimise infection risks.

Identify the trigger point accurately before proceeding with direct needling. Utilise various techniques at the practitioner’s discretion, such as piston motion, to elicit a twitch response. Swiftly and efficiently remove the needle, ensuring proper disposal, and promptly check the patient for any adverse effects.

Following needling, reevaluate the patient’s neuromuscular impairments to determine the immediate effects of the intervention. Conclude the procedure with a decisive introduction of additional therapeutic interventions, such as manual therapy, therapeutic exercises, or modalities, tailored to further reduce impairments and enhance overall function.

This protocol emphasises precision, clarity, and a commitment to achieving definitive outcomes in the TDN process. Strive for efficiency, maintaining a resolute stance throughout each step for the benefit of both practitioner and patient (D & David, 2016).

Frequently Asked Questions (FAQs)

1. What is the difference between dry needling and acupuncture?

Dry needling and acupuncture both involve the insertion of thin needles but differ in their applications and goals. Acupuncture, rooted in Eastern medicine, targets specific points along meridians to restore the flow of life force (“qi”). Dry needling, a Western approach, stimulates myofascial trigger points in muscles, ligaments, and tendons, focusing on neuromusculoskeletal pain management and movement impairments.

2. How does dry needling address trigger points, and what are the effects of trigger points on the body?

Dry needling targets myofascial trigger points, areas of muscle tension. Active trigger points can cause local or referred pain, muscle weakness, restricted range of motion, and autonomic phenomena. Both active and latent trigger points induce allodynia and hyperalgesia. Dry needling’s local twitch response alters muscle fibers, promoting vasodilation, inducing neurophysiological effects, and exhibiting remote impacts, enhancing pain relief and restoring homeostasis.

3. What is the mechanism behind dry needling, and what benefits does it offer for musculoskeletal conditions?

Dry needling’s mechanism includes inducing a local twitch response, promoting vasodilation, and initiating neurophysiological effects. Benefits for musculoskeletal conditions include increased pressure pain threshold, enhanced range of motion, reduced muscle tone, and diminished pain. Dry needling’s effects contribute to both local and central nervous system responses, reducing sensitization to pain and offering immediate relief.

4. Who can benefit from dry needling, and how can I explore these benefits at Synapse Physiotherapy?

Dry needling is suitable for individuals experiencing musculoskeletal pain, myofascial trigger points, or neuromuscular dysfunction. It is often used as a complementary therapy alongside other rehabilitative approaches. To explore the benefits of dry needling with a skilled and professional physiotherapist, you can schedule a session at Synapse Physiotherapy, where tailored dry needling services are offered to address specific needs.

Conclusion

Dry needling may be considered for individuals who are experiencing musculoskeletal pain, myofascial trigger points, or neuromuscular dysfunction. It is often utilised as a complementary therapy in conjunction with other rehabilitative approaches. The decision to use dry needling is typically based on a thorough assessment by a qualified healthcare professional, such as a physiotherapist. You are welcome to explore the benefits of dry needling with a skilled and professional physiotherapist. Synapse Physiotherapy offers tailored dry needling services to address your specific needs whenever you require them.

References

Dunning, J., Butts, R., Mourad, F., Young, I., Flannagan, S., & Perreault, T. (2014). Dry needling: a literature review with implications for clinical practice guidelines. Physical Therapy Reviews, 19(4), 252–265. https://doi.org/10.1179/108331913×13844245102034

 

D, J., & David, B. (2016). Orthopaedic Physical Therapy Secrets (3). Elsevier Mosby.

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