Electric Dry Needling: A Modern Approach to Pain Relief
- Dr. David Didlake, DPT
- Sep 26, 2023
- 5 min read
Updated: Mar 2
What is Dry Needling?
Dry needling is a therapeutic approach where fine, single-use monofilament needles are inserted into specific areas of the body to stimulate a healing response in painful or injured tissues. Unlike traditional injections, these needles don't inject any substance (hence "dry"), but instead work by creating a precise mechanical and neurological stimulus.
This evidence-based intervention is supported by extensive scientific research and has proven effective for treating numerous musculoskeletal conditions, including:
Shoulder impingement
TMJ dysfunction
Carpal tunnel syndrome
Knee osteoarthritis
Plantar fasciitis
Piriformis syndrome
How Electric Dry Needling Differs from Traditional Techniques
The Needles Used in Dry Needling
The needles used in dry needling are extremely thin (0.25-0.30mm) — approximately 60-65% smaller in diameter than typical injection needles used by physicians. This significant difference in size makes the insertion virtually painless for most patients.
Unlike hypodermic needles that have a hollow center for medication, dry needling uses solid monofilament needles that glide through tissue with minimal discomfort. Most patients report feeling only the guide tube against their skin rather than the needle itself.
Beyond "Pistoning": Modern Dry Needling Techniques
Many people mistakenly believe dry needling is synonymous with "pistoning" (repeatedly pushing and pulling a needle in and out of trigger points). While pistoning is one technique used in dry needling therapy, it represents just one approach among many.
More effective techniques include:
In-situ techniques: Leaving needles in place for a brief period
Fanning: Redirecting the needle to address broader areas
Coning: Creating a three-dimensional treatment pattern
Electrical stimulation: Adding mild electrical current for enhanced results
The Electric Advantage: Why We Combine Needling with Stimulation
When electrical stimulation is paired with in-situ dry needling at the correct frequency and intensity, research shows significantly enhanced therapeutic benefits. This combination effectively:
Reduces pain in both acute and chronic conditions
Improves blood flow to injured tissues
Reduces inflammation at cellular levels
Enhances collagen synthesis for tissue repair
May reduce reliance on opioid medications
This is why our clinic almost always incorporates electrical stimulation with dry needling treatments. The combination delivers superior outcomes compared to either technique alone.
Dry Needling vs. Acupuncture: Understanding the Difference
While both dry needling and acupuncture use similar thin needles, they are fundamentally different approaches:
Dry Needling | Acupuncture |
Based on Western medicine and physiology | Based on Traditional Chinese Medicine |
Targets specific musculoskeletal dysfunctions | Aims to balance energy (Qi) flow along meridians |
Focuses on trigger points and tissue healing | Addresses energy pathways |
Performed by a licensed physical therapist | Performed by licensed acupuncturists |
Conditions Successfully Treated with Electric Dry Needling
Research demonstrates that electric dry needling can effectively help those suffering from:
Head and Neck Issues
Chronic headaches including migraines
Neck pain with or without radiating symptoms
TMJ disorders and facial pain
Upper Body Conditions
Shoulder impingement and rotator cuff issues
Tennis elbow (lateral epicondylitis)
Carpal tunnel syndrome
Lower Body Pain
Hip osteoarthritis
Knee osteoarthritis and pain
Plantar fasciitis
Shin splints
Back Problems
Low back pain (acute and chronic)
Piriformis syndrome
Sciatica
What to Expect During Your Electric Dry Needling Treatment
Your electric dry needling session will be performed by a qualified healthcare professional specially trained in this technique. During your treatment:
The practitioner will identify the appropriate treatment areas
Ultra-thin, single use sterile needles will be gently inserted
You may feel a brief muscle twitch or dull ache (this is a positive response!)
Electrical stimulation will be applied at therapeutic frequencies
Needles typically remain in place for 15-20 minutes
After removal, you may experience immediate relief or improvement within 24-48 hours
Some patients experience mild soreness after treatment, similar to post-exercise soreness, which typically resolves within 24-48 hours. Other patients may experience mild bruising.
Is Electric Dry Needling Right for You?
Electric dry needling is a safe and effective treatment when used as part of a comprehensive treatment plan for those suffering from acute or chronic pain. It's particularly beneficial for conditions that haven't responded well to other approaches.
However, dry needling may not be appropriate for everyone, including those with:
Needle phobias
Certain bleeding disorders
Compromised immune systems
Pregnancy (in specific areas)
Book Your Electric Dry Needling Consultation Today
If you're tired of living with pain, electric dry needling might be the solution you've been searching for. Our fellowship trained osteopractic physical therapist will assess your condition and determine if this approach could benefit you.
Contact us today at 636.777.0973 to schedule your appointment or book online.
Here's to your health!
Dr. David Didlake, DPT
PT, Cert. SMT/DN, CSCS, Cert. TPI Medical Level 3, Dip. Osteopractic, FAAOMPT
Owner, Integrative Therapeutics "Home of the Saint Louis Golf Doc"
Follow me @theintegrativeclinic @thestlgolfdoc
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FAQ Regarding Electric Dry Needling
Is dry needling painful?
Dry needling is not painful. However, dry needling can cause soreness for 24-48 hours following treatment. Some patients report sensations of a deep ache, tingling, or euphoria.
How many sessions of electric dry needling will I need?
The number of sessions will vary per person, and per condition. However, a general number of electric dry needling sessions can range anywhere from 4-10.
Is dry needling covered by insurance?
Dry needling is not covered by insurance. However, FSA and HSA can be used to pay for dry needling services.
What's the difference between dry needling and acupuncture?
The biggest difference between the two treatments is that dry needling is based on Western Medicine research, whereas acupuncture is based on traditional Chinese medicine.
Are there any side effects of electric dry needling?
Most patients have little to no side effects following an electric dry needling treatment. However, some patients can feel lethargic, sleepy, light headed, euphoric, sore, or achy.
References
For those interested in the scientific evidence behind electric dry needling, we've included some key research citations:
Butts R, et al. (2021) - Electric dry needling and chronic pain management
Dunning J, et al. (2014) - Effectiveness of dry needling with electrical stimulation
Fang J. (2014) - Neurobiological mechanisms of acupuncture
Lima RC, et al. (2010) - Electroacupuncture and blood flow
Almeida RT, et al. (2014) - Anti-inflammatory effects of electrical stimulation
Corbett MS, et al. (2013) - Acupuncture and osteoarthritis
Dunning J, et al. (2022) - TMJ dysfunction and needling therapy
This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before beginning any new treatment.
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