At Choice One, we utilize modern yet conservative
therapeutic techniques for pain relief.

Dry Needling Acupuncture

Dry needling is a useful addition to standard physical therapy for the treatment of myofascial pain syndrome, joint and muscle pain. Dry needling is also known as intramuscular stimulation.

Acupuncture and dry needling techniques are similar, but their rationale and use in treatment are different. Physical therapists have asserted that they are not practicing acupuncture when dry needling. They assert that much of the basic physiological and biomechanical knowledge that dry needling utilizes is taught as part of their core physical therapy education, and that the specific dry needling skills are supplemental to that knowledge and not exclusive to acupuncture.

Dry needling and acupuncture results suggest that they are effective for some, but not all, types of pain, and singled out neck disorders, tension headaches and peripheral joint osteoarthritis as having evidence supporting their use.

In the treatment of trigger points for persons with myofascial pain syndrome, dry needling is an invasive procedure in which a very thin, disposable needle is inserted into the skin and muscle directly at a myofascial trigger point. A myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle.

Deep dry needling for treating trigger points was first introduced by Czech physician Karel Lewit in 1979. Lewit had noticed that the success of injections into trigger points in relieving pain was apparently unconnected to the analgesic used.  Proper dry needling of a myofascial trigger point will elicit a local twitch response (LTR), which is an involuntary spinal cord reflex in which the muscle fibers in the taut band of muscle contract. The LTR indicates the proper placement of the needle in a trigger point. Dry needling that elicits LTRs improves treatment outcomes and may work by activating endogenous opioids including endorphins. Inserting the needle can itself cause considerable pain, although when done by well-trained practitioners that is not a common occurrence.

Dry needling is practiced by physical therapists in many countries, including South Africa, the Netherlands, Spain, Switzerland, Canada, Chile, Ireland, the United Kingdom and New Zealand. In the United States, physical therapists in several states including Virginia, Maryland, Ohio, Colorado, Georgia, New Mexico, and Kentucky perform the technique, and several other states, including Louisiana and North Carolina, have recently updated board positions allowing the practice.

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1810 Mulkey Road, Ste. 101
Austell , GA 30106

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After you make an appointment at our clinic, our billing specialist will contact your insurance company and prepare an Eligibility Verification Form. This form summarizes benefits quoted us by your insurance company. You will receive a copy of this information at your first Sound Physical Therapy appointment.

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