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Needles for Pain Relief? The Truth About Dry Needling & Acupuncture

At The Urban Physio, we often get asked: What’s the difference between dry needling and acupuncture? While both use fine needles, the philosophies, techniques, and benefits behind them are distinct. Whether you're seeking relief from muscular tension, chronic pain, or a holistic approach to well-being, understanding these differences can help you make an informed decision.

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Mar 2025

At The Urban Physio, we often get asked: What’s the difference between dry needling and acupuncture? While both use fine needles, the philosophies, techniques, and benefits behind them are distinct.

Whether you're seeking relief from muscular tension, chronic pain, or a holistic approach to well-being, understanding these differences can help you make an informed decision. Here’s what you need to know.


The Foundations: Science vs. Tradition

Dry needling is rooted in modern physiotherapy and Western medicine. It targets muscular pain and dysfunction by inserting fine needles into myofascial trigger points (commonly referred to as muscle knots). This approach is evidence-based and designed to relieve tension, improve mobility, and restore muscle function.

Acupuncture, on the other hand, stems from Traditional Chinese Medicine (TCM) and is based on the concept of Qi (energy flow) and meridian pathways. By stimulating specific points along these meridians, acupuncture aims to restore balance in the body, enhancing overall health and wellness beyond just musculoskeletal concerns.


Application & Treatment Goals

  • Dry Needling: Used predominantly to address musculoskeletal pain, dry needling is highly effective for releasing muscle tightness, improving range of motion, and alleviating trigger point-related discomfort. It’s commonly integrated into physiotherapy treatment plans for injuries, chronic pain, and mobility issues.
  • Acupuncture: Acupuncture has a broader scope, often used for pain relief, stress management, digestive health, sleep disorders, and hormonal balance. By focusing on the body's systemic function, acupuncture takes a whole-body approach to healing.

The Patient Experience: What to Expect

  • Dry Needling: This technique involves inserting needles directly into tight muscle bands. A brief twitch response may occur, which helps release tension, but it can feel like a deep ache or cramp. Post-treatment soreness is common but temporary.
  • Acupuncture: Needles are placed along meridian pathways and left in place for longer periods. Patients often describe sensations of warmth, tingling, or deep relaxation. Unlike dry needling, acupuncture is generally not focused on localized muscle pain but rather on systemic balance.

Which One Is Right for You?

Both treatments have their place, and the right choice depends on your specific needs. If you're dealing with muscle tightness, sports injuries, or localized pain, dry needling may be the best option. If you’re looking for a more holistic treatment addressing stress, sleep, digestion, or overall well-being, acupuncture might be more suitable.


At The Urban Physio, our experienced physios integrate dry needling into physiotherapy treatments for targeted pain relief and recovery. Not sure which approach suits you best? Book an appointment with our expert team today and take the first step towards better movement, less pain, and optimal performance.