

Dry Needling – what is it?
Dry needling is a skilled intervention performed by trained physical therapists to treat myofascial pain and dysfunction. This technique involves the insertion of fine, filiform needles into specific points within the muscles, known as trigger points, as well as into surrounding muscles and connective tissues. These trigger points are hyperirritable spots in the muscle that can cause pain and discomfort, both locally and referred to other areas of the body.
Benefits of Dry Needling
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​​Pain Relief: Effective for chronic and acute pain conditions.
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Improved Mobility: Helps release muscle tightness and improves range of motion.
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Enhanced Recovery: Accelerates the healing process for various musculoskeletal injuries.
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Personalized Treatment: Tailored to each patient's unique needs and conditions.
Do I only receive dry needling at my visit?
No. Dry needling is provided as part of a wholistic approach to help you get better. If you are specially interested in dry needling, ask your therapist and we can get you connected with one of our providers who is certified to perform dry needling.
Washington State Regulations on Dry Needling
In Washington State, physical therapists must adhere to specific regulations and requirements to perform dry needling. These regulations ensure patient safety and the highest standards of care. At HIDEF Physical Therapy, we comply with all state laws and guidelines, including:
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Licensing Requirements: Only licensed physical therapists who have completed the required dry needling training are permitted to perform this technique.
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Training and Certification: Our therapists undergo rigorous training and certification programs to ensure they are proficient in dry needling techniques. This includes comprehensive coursework and hands-on practice.
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Continuing Education: Our team stays updated with the latest developments in dry needling and related practices through ongoing continuing education.
How Dry Needling Differs from Acupuncture
While dry needling and acupuncture both use fine needles, they are distinct practices with different underlying philosophies and methodologies:
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Philosophy: Dry needling is based on Western medicine principles and research, focusing on the musculoskeletal and nervous systems. In contrast, acupuncture is rooted in Traditional Chinese Medicine (TCM).
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Application: Dry needling specifically targets trigger points and muscle dysfunction, while acupuncture treats a broader range of conditions, including internal health issues, by inserting needles at various points along the body's meridians.
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Training: Physical therapists performing dry needling undergo specialized training in musculoskeletal anatomy, trigger point therapy, and needling techniques. Acupuncturists receive extensive training in TCM and acupuncture practices.
At HIDEF Physical Therapy, our skilled practitioners are highly trained in dry needling techniques, ensuring safe and effective treatment tailored to your specific needs. Whether you're dealing with chronic pain, muscle tightness, or a sports injury, dry needling can be a valuable component of your rehabilitation and recovery plan.
FAQ
Q1: What does dry needling do?
Dry needling helps release muscle tension and trigger points that cause pain or restrict movement. It works by inserting a thin, sterile needle into the muscle to stimulate a healing response.
Q2: Does dry needling hurt?
Most people feel a quick twitch or mild soreness afterward, similar to a deep stretch. Discomfort is usually minimal and temporary.
Q3: Is dry needling the same as acupuncture?
No. Although both use similar needles, dry needling is based on modern anatomy and neuromuscular science, while acupuncture is rooted in traditional Chinese medicine.
Q4: How long does a dry needling session take?
Sessions typically last 20-30 minutes, often integrated into a full physical therapy session with exercise afterward.
Q5: Who is qualified to perform dry needling?
In Washington State, only licensed physical therapists with advanced post-graduate training can perform dry needling legally and safely.
Q6: What conditions can dry needling help with?
It’s commonly used for muscle tightness, sports injuries, tendon pain, headaches, and post-surgical recovery.

