What Is Dry Needling? What to Expect and Who It Can Help
Persistent muscle discomfort can make work, training, and everyday movement frustrating. If you are considering dry needling, start with a clear explanation of the technique, realistic expectations, and an assessment of your symptoms. The goal is to choose care that fits your situation.
What Is Dry Needling?
Dry needling uses thin, solid needles for selected muscle-related pain and movement concerns. Nothing is injected. It is commonly used within a broader plan that can include exercise and other care. Your response and the number of visits can vary.
What Does the Evidence Tell Us?
Research findings depend on the condition, technique, and outcome being measured. A 2022 review by Fernández-de-las-Peñas and colleagues found low-certainty evidence of an immediate pain difference when needling produced a local twitch response, without a significant difference at short-term follow-up. That limited finding is not a promise of lasting relief or faster return to sport.
A useful discussion focuses on your actual goals: more comfortable sitting, tolerating a workout, or returning to an activity. Ask how progress will be assessed and when the plan will be reconsidered if it is not helping.
How to Prepare for an Assessment
At Forward Health and Wellness in Carrollton, TX, care is personalized around your history, examination, movement, and goals. Dr. Trent Ward, DC, MS, CSCS can discuss whether dry needling belongs in your plan and explain the options.
Before your visit, consider writing down:
Where symptoms occur, when they started, and what makes them better or worse.
The activities you want to return to or perform more comfortably.
Previous treatment, surgery, medical conditions, medications, and concerns about needles.
Questions about alternatives, visit costs, and how progress will be reviewed.
You should have an opportunity to discuss the proposed treatment and ask questions before deciding to proceed.
What Might Treatment Feel Like?
Needling can cause a prick, ache, or muscle twitch. Soreness, bruising, and faintness can occur. Infection and rare serious complications, including a collapsed lung when needling near the chest, are possible. Seek immediate medical care for shortness of breath after treatment.
Discuss your individual risks and concerns with your provider. Tell them what you feel during treatment so they can respond appropriately.
Aftercare and Follow-Up
Ask for instructions specific to the area treated and your activities. Clarify what to do if symptoms worsen, which movements to continue, and when to contact the clinic. Visit length, frequency, and follow-up should be discussed individually rather than taken from a generic schedule.
Tracking a few meaningful activities can make follow-up more useful. Note changes in symptoms and function, share your observations, and discuss whether to continue, modify, or choose another approach.
Explore Your Options in Carrollton
Learn more about our dry needling service and exercise and rehabilitation. To discuss your concerns, call (214) 506-3029 or book a visit online.
Move Forward.
References
Cleveland Clinic. Dry Needling. Updated February 20, 2023.
Fernández-de-las-Peñas C, et al. The importance of the local twitch response during needling interventions in spinal pain associated with myofascial trigger points: a systematic review and meta-analysis. Acupuncture in Medicine. 2022;40(4):299-311.
Kużdżał A, Trybulski R, Muracki J, et al. Dry Needling in Sports and Sport Recovery: A Systematic Review with an Evidence Gap Map. Sports Medicine. 2025;55(4):811-844.