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Dry needling, also known as trigger point dry needling and intramuscular stimulation, [1] [2] is a treatment technique used by various healthcare practitioners, including physical therapists, physicians, and chiropractors, among others. [3]
Cost of dry needling with Medicare Once a person has met their annual Part B deductible , they are respon sible for 20% of the Medicare-approved cost. In 2025, the deductible amount is $257 .
Studies have shown a moderate level of evidence for manual therapy for short-term relief in the treatment of myofascial trigger points. Dry needling and dry cupping have not shown evidence of efficacy greater than a placebo. There have not been enough in-depth studies to be conclusive about the latter treatment modalities, however. [25]
Acupuncture is generally only used in combination with other forms of treatment. [13] For example, the American Society of Anesthesiologists states it may be considered in the treatment of nonspecific, noninflammatory low back pain only in conjunction with conventional therapy. [31] Acupuncture is the insertion of thin needles into the skin. [3]
As of 2004, nearly 50% of Americans who were enrolled in employer health insurance plans were covered for acupuncture treatments. [39] [40] Physical therapists (PTs) in New Jersey must end their use of dry needling by the end of August, after the State Attorney General's office ruled that it was not part of a PT's legal scope of practice.
This systematic review concluded trigger point dry needling to be an effective treatment for pain associated with trigger points along the whole body; the method is claimed by Boyles et al. that more effective than electrical nerve stimulation and stretching, and trigger point dry needling to be at least as effective as manual trigger point ...
Dry needling is also being researched for treatment of plantar fasciitis. [34] A systematic review of available research found limited evidence of effectiveness for this technique. [35] The studies were reported to be inadequate in quality and too diverse in methodology for a firm conclusion. [35]
Manual therapy, or manipulative therapy, is a treatment primarily used by physical therapists and occupational therapists to treat musculoskeletal pain and disability. It mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation .