Understanding Needling in Physiotherapy: Acupuncture vs. Dry Needling

Acupuncture: Balancing the Nervous System

In a modern physiotherapy context, acupuncture is often approached through an anatomical or neurophysiological lens. Practitioners use specific points to stimulate the nervous system, aiming to modulate pain signals and promote the body’s natural healing response.

How it works: By inserting needles at specific neuro-anatomical points, acupuncture can trigger the release of endorphins (the body’s natural painkillers) and affect the way the brain and spinal cord process pain signals. [1]

Why we use it: It is particularly effective for managing chronic pain, systemic inflammation, and calming an overactive nervous system.

Keystone Practitioners: Michele and Fraser.

Dry Needling: Targeting Muscular “Knots”

Dry needling is a technique specifically designed to address myofascial trigger points—taut bands within a muscle that can cause localized pain or referred tension.

How it works: The needle is inserted directly into the trigger point to elicit a “local twitch response.” This involuntary contraction helps the muscle fibres relax, improves local blood flow, and reduces chemical sensitivity within the tissue.

Why we use it: It is a powerful tool aiming to “desensitize” the affected nerve-muscle relationship and release the deep muscle shortening that causes persistent pain. This can help improve range of motion, reduce muscle “tightness,” and manage acute sports injuries or repetitive strain injuries. Research indicates that dry needling performed by physical therapists is effective for reducing pain and improving function in the short term. [2]

Keystone Practitioners: Shannon, Shota, Austin, Emma, and Michele.