Disclaimer: This article is for general educational purposes only and does not constitute medical advice. Always consult a qualified health professional for advice specific to your condition. © 2026 Better Physiotherapy Bundoora.
Dry needling is one of the fastest-growing physiotherapy techniques in Australia — and one of the most misunderstood. This guide explains exactly what dry needling is, how it works, what conditions it treats, and what to expect during a session at Better Physiotherapy Bundoora.
What Is Dry Needling?
Dry needling is a technique used by physiotherapists to treat muscle pain, trigger points, and movement dysfunction. It involves inserting a fine, sterile acupuncture-style needle directly into a trigger point — a hyperirritable, tender spot within a taut band of muscle.
The term "dry" refers to the fact that no substance (no medication, no liquid) is injected through the needle. The needle itself is the treatment — its presence in the trigger point stimulates a release of muscle tension, improves local blood flow, and activates the body's natural pain-modulating systems.
How Does Dry Needling Work?
When a needle is inserted into an active trigger point, it often produces a brief local twitch response — a momentary involuntary contraction of the muscle fibres. This twitch response is a good sign: it indicates the needle has engaged the dysfunctional tissue.
Following the twitch response, the trigger point typically "releases" — the taut band of muscle relaxes, the localised ischemia (reduced blood flow) is reversed, and the surrounding tissue begins to normalise. Many patients experience an immediate reduction in pain and improvement in range of motion after just one dry needling session.
Conditions Treated with Dry Needling
At Better Physiotherapy Bundoora, our certified physiotherapists use dry needling as part of a comprehensive treatment plan for:
What to Expect in a Dry Needling Session
A dry needling session at Better Physiotherapy Bundoora follows a consistent process:
- Assessment: Your physiotherapist identifies the trigger points contributing to your pain through palpation and movement testing.
- Positioning: You're positioned comfortably for access to the affected area.
- Needling: Sterile, single-use needles are inserted into the trigger points. A brief twitch or aching sensation is normal and expected.
- Rest: Needles may remain in place for 1–10 minutes, or be removed immediately after the twitch response — depending on your condition and your physiotherapist's approach.
- Post-needling therapy: Dry needling is typically followed by manual therapy, stretching, and therapeutic exercises to reinforce the release and restore normal movement patterns.
Sessions typically take 20–30 minutes when combined with other physiotherapy treatment.
Dry Needling vs Acupuncture: What's the Difference?
Dry needling and acupuncture use similar-looking needles but are fundamentally different in theory and practice:
- Dry needling is based on Western anatomy, pain science, and musculoskeletal medicine. Needles target specific muscle trigger points identified through physical assessment.
- Acupuncture is rooted in Traditional Chinese Medicine. Needles target energy meridians (acupoints) based on a 2,000-year-old theoretical framework.
Your physiotherapist at Better Physiotherapy Bundoora is trained and certified in dry needling through the Australian Physiotherapy and Acupuncture Network (APAN). This is a Western physiotherapy technique — not acupuncture.
Frequently Asked Questions
Is dry needling painful?
Most patients feel a brief, mild aching or twitching sensation when the needle engages a trigger point — this is called a local twitch response and is a good sign the right spot has been found. The sensation usually lasts a few seconds. Most patients find it considerably less uncomfortable than they expected, and many find the muscle release that follows to be immediately relieving.
What is the difference between dry needling and acupuncture?
Dry needling is a physiotherapy technique targeting specific muscle trigger points based on anatomy, pain science, and musculoskeletal assessment. It uses the same thin needles as acupuncture but is guided by an entirely different framework. Acupuncture is based on Traditional Chinese Medicine and targets energy pathways (meridians). Your physiotherapist at Better Physiotherapy Bundoora is trained specifically in dry needling — not acupuncture.
How many dry needling sessions will I need?
Many patients notice significant improvement after 1–3 sessions. Dry needling is typically used as part of a broader physiotherapy treatment plan rather than as a standalone treatment. The number of sessions depends on your condition, its chronicity, and how well your body responds.
Is dry needling safe?
Yes. When performed by a certified physiotherapist using sterile, single-use needles, dry needling is very safe. Common side effects include minor bruising, temporary soreness (similar to post-exercise muscle ache), and occasional lightheadedness. Serious complications are rare.
Can everyone have dry needling?
Dry needling is not suitable for everyone. Contraindications include blood thinning medication, needle phobia, active infection in the area, pregnancy (certain points), and some bleeding disorders. Your physiotherapist will screen you before recommending dry needling.
Ashley Haleel
Physiotherapist & Owner — Better Physiotherapy Bundoora