Patients often ask me, “What’s the difference between dry needling and acupuncture?” Although both use very thin needles, they are different treatment approaches with different training, principles, and goals.
In my chiropractic clinic in Herzliya, I use dry needling to help treat musculoskeletal pain and movement problems. I do not practice traditional Chinese acupuncture, which is a separate discipline requiring specific training and certification.
What Is Traditional Chinese Acupuncture?
Traditional Chinese acupuncture is part of Traditional Chinese Medicine (TCM). It involves inserting needles into specific acupuncture points associated with pathways known as meridians.
Treatment is based on TCM principles, including the flow and balance of Qi, often translated as “vital energy.” Acupuncturists receive separate training in acupuncture and Traditional Chinese Medicine.
What Is Dry Needling?
Dry needling is a technique used primarily for musculoskeletal problems involving muscles and soft tissues. It may be used for back pain, neck pain, muscle tightness, sports injuries, and restricted movement.
Unlike acupuncture, dry needling is based on anatomy, muscle function, pain patterns, and physical examination findings. I may insert a thin needle into a tight or sensitive area of muscle, including a myofascial trigger point, to help reduce muscle tension and improve movement.
Dry Needling vs. Acupuncture: The Main Difference
The needles may look similar, but the reasoning behind treatment is different.
Acupuncture points are selected according to the principles of Traditional Chinese Medicine. Dry needling targets muscles and soft tissues based on the findings of a musculoskeletal examination.
For example, if I identify a tight, sensitive muscle contributing to your low back pain, I may use dry needling directly in that area as part of your treatment.
What Does Dry Needling Feel Like?
Most patients barely feel the initial insertion. When the needle reaches a sensitive area, you may feel a brief twitch, ache, cramp, or pressure. Temporary muscle soreness afterward is also possible.
How Do I Use Dry Needling?
Dry needling is one of several tools I may use in treatment. Depending on your examination, care may also include joint manipulation or mobilization, cupping, soft-tissue techniques, movement work, and rehabilitation exercises.
I perform dry needling; I do not practice traditional Chinese acupuncture. If you’re experiencing muscle pain, stiffness, or restricted movement and would like to know whether dry needling may be appropriate, contact my chiropractic clinic in Herzliya to schedule an appointment.
This is general information, not a diagnosis. Every case is different. Talk to a healthcare provider about your specific symptoms.