Needling the needy for pain erasure


1. What is dry needling technique (DNT)?

Dry needling technique is an innovative treatment technique, where a solid filament acupuncture needle is advanced to the muscle to target the myofascial trigger point in order to deactivate and release them. It is a very effective and efficient way of treating myofascial trigger points, taut band, muscular tightness and dysfunction.

2. How Dry Needling is different from Acupuncture?

Acupuncture is based on Chinese traditional concepts in which the needle is inserted to stimulate certain acupuncture points found along certain meridians passing over the body. Traditional Acupuncture aims to promote health and restore energy balance for various disease conditions. But Dry Needling is purely based on musculoskeletal anatomy and neurophysiologic principles, which is totally scientific in nature. Dry needling brings out certain mechanical, biochemical and neurological changes in the body to assist in the recovery process.

3. How these techniques work?

Dr. Janet and Dr. Travel initially used trigger point injection to deactivate myofascial trigger points. Later acupuncture needles were used without any injections (hence called as Dry needling) to get the same therapeutic effect. These needles when inserted on the trigger points, gives a mechanical stimulus to the trigger point to result in Local Twitch Response (LTR). This LTR is an involuntary response, which is presumed to be the most important aspect in obtaining a successful outcome for trigger point deactivation. Adding to this, dry needling will cause a positive biochemical changes, blood flow enhancement and helps in releasing pain deactivating chemicals from Brain (Descending Pain Inhibition).

4. What are the conditions that could be treated with Intramuscular Dry Needling?

Any primary or secondary muscular conditions shall be treated by Dry Needling. It includes Repetitive stress injuries, Fibromyalgia, Tennis elbow, Periarthritis shoulder, Spondylosis, IVDP, Piriformis Syndrome, Patello-femoral Pain Syndrome, Plantar Fasciitis, IT band tightness, Sports injuries, Post operative and Post Immobilization Stiffness, etc.

5. How safe is this procedure and will it be painful?

Physiotherapists who are specifically trained and certified will have skills for a effective and safe needling. It requires proficient anatomical knowledge along with clinical diagnosis and reasoning skills to use this technique diligently. The patient may feel a light prick when the needle is pierced in to the skin and after the needled is lodged in the muscle, there will be a mild dull aching pain. Some people may feel their pain referred to distant areas of the muscle, which is a good and desirable reaction for the technique. As time proceeds, the patient may not be aware of the needle in his body.

6. How long the treatment duration should be and how many sessions required?

Each session will approximately range between 10-15 mins. The number of needles, depth of penetration, and frequency of sessions may vary from patient to patient based on their clinical presentations and chronicity of the condition. Often the patient tends to get maximal pain relief with first session itself.

7. Is DNT falling within the scope of physiotherapy?

Yes, since it is minimally invasive and maximally efficient towards curing musculoskeletal pain. It is considered to be a part of physical therapy treatment. Countries like United States, Canada, Australia, South Africa, and UK have approved this technique falling under the scope of physical therapy. Hence any independent physical therapist can employ this technique provided they finished the dry needling course and got certified by a school.

8. How many days will be needed to learn this technique and where can I learn?

Usually it takes 5 – 7 days to complete all the modules. After that the participants should take our theory and practical exam and should pass both to get the licensure. Our Dry Needling Association offers a high quality comprehensive Dry Needling Course to physiotherapists. It covers both basic and advanced courses. As a preparatory stage, we also conduct muscle palpation course to improve the diagnostic and therapeutic accuracy.



  • "Dry Needling- Module 1"
    GIFO Fitness Studio,Coimbatore
    13 & 14th May, 2017
    Dr. Rahul Kannan 9789744020
  • "Dry Needling- Module 1"RMV Hospital, Bangalore
    24 & 25th June, 2017
    Dr.Rajkannan. P 9845903906
  • "Dry Needling- Module 1"Hotel Ganesh Mahal, Salem
    15 & 16th July, 2017
    Dr.Sankar 9865061000
  • "Needler's Meet"Chennai
    23rd July, 2017
    Dr.Logesh 9789321500
  • "Muscle Palpation Upper Quadrant"
    RMV Hospital, Bangalore
    30th July, 2017
    Dr.Rajkannan. P 9845903906
  • "Dry Needling- Module 2"
    RMV Hospital, Bangalore
    18th, 19th & 20th August, 2017
    Dr.Rajkannan. P 9845903906
  • "Dry Needling- Module 1"
    Hotel Royal Plaza,Chennai
    9th, 10th september, 2017
    Dr. Logesh 9789321500
  • "Muscle Palpation – Lower Quadrant"
    RMV Hospital, Bangalore
    24th September, 2017
    Dr.Rajkannan. P 9845903906
  • "Dry Needling- Module 1"
    Manila, Philipphines
    14th, 15th, 16th November, 2017
    Dr.Hyacinth hyacallao2014@gmail.com

The information in this workshop was valuable and relevant. It was more specifically useful than I expected. Dr. Raj Kannan has an amazing ability to readmore


This was a great workshop! Never realized it could be so easy to get this new treatment tool. The techniques you teach are gentle, easy and painless.readmore