Dry needling for muscle pain and trigger points

By Dr. Jeremiah Carlson, chiropractic physician · Jacksonville, FL · Reviewed Nov 2026

Short answer: Dry needling places a thin, solid filament needle into tight bands of muscle (trigger points) to reduce pain and tension. A 2017 JOSPT review found low- to moderate-quality evidence that dry needling can reduce pain in the short term compared with no treatment or sham. It works best as part of a plan that includes exercise.

Dry needling vs. acupuncture

Both use the same type of fine needle. Dry needling targets muscle trigger points based on a musculoskeletal exam. Acupuncture is based on traditional acupuncture points and, in modern practice, nerve and muscle anatomy. At our clinic, Dr. Carlson is certified in acupuncture (listed on his Florida license) and trained in dry needling, which is covered under that certification.

What it may help

Tight, tender neck, shoulder, and upper-back muscles
Low-back and buttock muscle pain
Muscle guarding after strains, including after car crashes

What to expect

You may feel a quick muscle twitch, then an ache that fades. Soreness for a day is common. Drink water, keep moving gently, and do your home exercises.

Questions people ask

Is dry needling the same as acupuncture?

They use similar needles but differ in purpose and technique. Dry needling targets muscle trigger points found on exam.

How soon will I feel a difference?

Some people notice less tension within a day or two. Research shows mainly short-term benefits, so we pair it with exercise for longer-lasting results.

Does PIP cover dry needling?

Coverage depends on how the service is billed and your policy. Florida PIP excludes acupuncture, so ask our front desk before your visit.

Want Dr. Carlson to take a look?

Call our Southside clinic or request a call back. If you were in a car crash, take the 60-second check first.

📞 Call 904-619-2703 60-second crash check