Dry Needling

Immediate Long Lasting Results

What is Dry Needling?

Dry Needling (DN) has opened a new world of possibilities for improved tissue healing and pain reduction. By inserting thin monofilament needles into muscle, tendons, fascia, perineurally, ligaments, and scar tissue we are able to access and target deeper anatomical structures. Electrical stimulation with DN has been proven to stimulate changes biomechanically, chemically, vascularly, and endocrinologically in pathological tissue.

What does that mean? Dry needling with electrical stimulation actually changes your body's perception of pain neurologically and corrects the chemical stimulus of pain locally. See 'Science Stuff' below for the full rundown.

What Can you Treat with Dry Needling?

A variety of diagnoses, including tendonitis, overuse injuries, scar tissue, headaches, migraines, sprains, strains, muscle spasms, muscle tightness, trigger points, chronic pain, arthritis, impingement, nerve compression, nerve entrapment, carpel tunnel and so much more!


The Science Behind Dry Needling

Immediate Results

After one session of dry needling patients feel a reduction in pain and better mobility

Effective and Versatile

Dry Needling can treat back and neck pain, cervicogenic headaches, muscle strains, osteoarthritis, tendinopathies, rotator cuff pain, plantar fasciitis, and MUCH more

Faster Progress

Accelerated healing times by eliminating trigger points, increasing blood flow and oxygenation in local tissue

Pain Reduction

Affects both the local and central nervous system responses, pain is immediately reduced after one treatment

Tissue Specific

Targets deep anatomical structures that cannot be reached by manual techniques for more specific release work

Performance Enhancing

Improve muscular strength and power after one session by activating inhibited muscles.  

Dry Needling Brickell

FAQ's of Dry Needling

Not really, but let's give it a try. When injury becomes chronic, several things happen.

First, you have deprivation of oxygen due to compression of local vasculature. This makes the body store the neurotransmitter, Acetylcholine (ACh) in the neuromuscular junction, when this chemical builds up, you get a trigger point (this is a gross oversimplification, but bear with me). Through the insertion of very small needles, we are able to release trigger points by stimulating a chemical response in the body.

Second, with chronic injury (over 10 days) the body increases the number of local pain receptors to 'protect' the area. The body also over time protectively draws more attention to the painful area by increasing the representation of this area in the brain. With dry needling, through a domino effect of many hormonal reactions, we are able to decrease the number of pain receptors locally in the pathological tissue, and change the abnormal representation of the area in the brain. This allows the body to decrease the hypersensitivity of the tissue, and return to the normal perception of everyday stimuli.  

I know we said simple, but believe it or not, this is a simple explanation. See 'Cool Science Stuff' below for the real deal.

Almost everyone. Because dry needling works both on the local tissue and the nervous system it is beneficial for many physical therapy diagnoses. It can improve the rate of recovery for almost every diagnosis. 

No. Acupuncture focuses on the movement of Qi, the energy flow of the body. Dry needling is based on Western medicine focusing on anatomical structures and neurological/physiological responses. While there is some overlap between acupoints and trigger points, we conduct a full physical evaluation of the body and use dry needling as another method to make positive changes in combination with manual therapy and exercise. 

Not really, the needles used are very small. The team at Symmetry has been trained on techniques to mitigate any discomfort. Some patients experience a little local soreness post treatment, but the benefits and pain relief FAR outweigh the temporary discomfort. 

Absolutely! Dry needling is one of the most effective ways to reduce scar tissue. We combine Dry needling with the use of the Winback machine for really incredible results.

Extremely! Each needling is individually wrapped and sterile. The needles used at Symmetry are one-time use only and surgical grade metal. The size of the needle is only 1/10 of a 'typical injection' needle. 

More Info

Want to learn more? Feel free to contact us or take a look at our Research Page to keep learning!

Dry Needling is used by our physical therapists as an additional means of rehab to assist in speeding up recovery and tissue healing. It is often integrated into a comprehensive recovery program which will include additional forms of manual therapy, joint mobilizations, and strength training.

Dry Needling with Cupping

Deep Dive Into the Science

This section is meant for physicians to learn about the neurophysiology behind trigger points, chronic pain, dry needling and pain reduction...coming soon

For now, take a look at the research articles in our 'research' section

Ready to reach your movement goals? Check your benefits now!


Symmetry Physical Therapy is a privately owned one-on-one, patient-centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire hour. Symmetry’s specialized, dedicated, and passionate team of professionals is fully committed to each patient’s success.

Award-Winning Service
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