Dry Needling

Dry Needling

David Escobar PT, MS, Orthopedic Certified Specialist, Certified Integrative Dry Needling has completed extensive training in the field of "Dry Needling".  He has completed both a Foundational course of "Integrative Dry Needling for Pain Management and Sports Rehabilitation", and  "Advanced Integrative Dry Needling for Pain Management and Performance Enhancement" David is one of a select few in the state of Kentucky who has obtained the "CIDN" credentials, which stands for (Certified Integrative Dry Needling).

Why Dry Needling?
Muscle tension, back spasms and stiffness. These are symptoms that plague millions of people worldwide. Whether you are dealing with direct trauma or have been diagnosed with arthritis or a herniated disc, dry needling can target these very issues that are affecting your everyday life. Dry needling is a manual therapeutic technique in which a series of very thin needles are inserted into certain muscles that are causing pain, spasming and other discomfort. The areas we target often contain trigger points, hypersensitive spots within a band of muscle that are responsible for your symptoms. Inserting these needles into specific regions creates a twitch response, or temporarily contraction that offers both immediate and long-term relief. These needles can even target deeper muscle areas to provide effective pain relief. What makes dry needling different from other needling techniques is that we offer high-grade acupuncture needles that are more comfortable for the patient and easier to insert into deeper regions of tissue with minimal discomfort.

Dry needling can treat both chronic and acute pain and aid in rehabilitation after an injury. One of the major advantages of this therapy is that it produces very little to no side effects, which makes it an ideal option for someone who is working to improve mobility, range-of-motion and function through therapy. During your first session we will begin slowly until you start to feel comfortable with this new technique. We will target only a couple muscles that are key to your pain problems. Other dry needling sessions are recommended for focusing on more fine and specific muscle regions.

Patients may experience some soreness after each dry needling session, but because of the high-tech needles we use you shouldn’t experience as much soreness as you would with more traditional needling methods. This soreness is only minor (going away after one to two days), so it shouldn’t affect your day-to-day activities. You should also start to notice a marked improvement in your symptoms after one to two sessions.

If you are ready to combat chronic pain and improve muscle function then it’s time to give dry needling a try.


How does it work?
Integrative dry needling is not acupuncture (traditional Chinese medicine); it is based on neuroanatomy and modern scientific study of the musculoskeletal and neuromuscular systems.  A very fine filament needle is inserted through the skin and into the deeper tissues that are considered trigger points to your pain.  Dry needling works by causing a micro lesion within the pathological tissue thus breaking up shortened issues, inhibiting a reflex arc from the nervous system to the tissue, normalizing the inflammatory response, and centrally mediating the pain.  The mechanical and neuromuscular effect provides an environment that enhances the body’s ability to heal which ultimately reduces pain.

What conditions can be treated?
Conditions include, but not are limited to neck. Back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms).

Are the needles sterile? Yes, we only use sterile disposable needles.

Is the procedure painful?
The fine filament needle is very thin, solid and flexible, which allows for the needle to be pushed through the skin versus cutting the skin.  This helps reduce any discomfort that may occur with the procedure.  We strive to make the treatment virtually painless however at times a local twitch response of the muscle may be felt.  When the needle is inserted into the pathological tissue the local twitch response sensation is normal and is felt only momentarily.  Many patients describe the twitch response as a little electric shock, cramp or an ache sensation.  These sensations are perfectly normal and even a desirable response.  Your PT will make every effort to make your experience comfortable and therapeutic.

How will I feel after the Dry Needling treatment?
This will vary but many patients experience immediate relief of their symptoms and an increase in range of motion.  Soreness can also be a common response from the needling but does not occur with all people.  Some individuals may experience an immediate achiness or delayed soreness with all people.  The soreness, if present, will usually last 1-2 days, use of heat and light massage will help reduce this soreness.

Interested in dry needling? Call our Somerset, KY office at (606) 678-5708

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8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm





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