In the field of physiotherapy, two needling methods often come up: dry needling and acupuncture. These two techniques might both involve needles, but they differ in their origins, goals and uses. Let's explore the differences in more depth.
Dry needling
This method involves penetrating the skin with needles aimed at altered or dysfunctional tissue. It's regularly used to needle muscle trigger points to achieve reflexive muscle relaxation.
Western acupuncture
This technique adopts traditional needling meridians and trigger points but is adapted to Western anatomy. It aims to create local tissue changes, as well as effects in the spine and brain, to provide pain relief and improve muscle function. However, Western acupuncture is not seen as a traditional Chinese medicine practice.
Traditional acupuncture
This practice finds its roots in traditional Chinese medicine. It uses meridian lines and points based on traditional evaluation methods.
Safety standards
Physiotherapists trained in either acupuncture or dry needling adhere to strict safety standards. These are regulated by the Australian Health Practitioner Regulation Agency and the Physiotherapy Board of Australia, and include mandatory training levels, registration, and safety measures for the protection of the public.
Side effects
Minor side effects can include pain, bleeding or bruising from the needle insertion, which is common. Major adverse events, such as pneumothorax or excessive bleeding, are rare.
References
- Hing, W., & McCutcheon, L. (2022). Physio 'dry needling' and acupuncture – what's the difference and what does the evidence say? Daily Maverick.
- Integrate Physio