
If you’ve been dealing with muscle pain, tightness, or lingering injuries, you may have heard about dry needling as a treatment option. One of the most common questions patients ask before trying it is: Does dry needling hurt more than acupuncture? Understanding how dry needling works and what to expect during a session can help ease any concerns.
Dry needling is a modern, evidence-based treatment used by trained healthcare professionals to address muscle pain and dysfunction. It involves inserting very thin, sterile needles into specific trigger points - tight knots within the muscle that contribute to pain, stiffness, and limited movement. The goal is to release muscle tension, improve blood flow, and restore normal movement patterns.
While both treatments use similar-looking needles, their purpose and technique differ:
Dry needling targets specific muscle trigger points to reduce pain and improve function
Acupuncture focuses on energy pathways (meridians) to promote overall wellness
Because dry needling is directed at tight or irritated muscle tissue, patients often assume it must be more painful - but that’s not usually the case.
For most patients, dry needling does not hurt. The needles are extremely thin - much thinner than needles used for injections or blood draws. Many people feel little to no sensation when the needle is inserted.
You may experience:
A brief muscle twitch
Mild pressure or a quick ache
Temporary soreness similar to post-workout muscle fatigue
These sensations are typically short-lived and are often a sign that the muscle is responding to treatment. Most patients report relief shortly after their session and improved mobility within a day or two.
At Cashae Spine & Sports, your provider will first assess your movement, posture, and pain patterns. During the treatment:
The targeted muscle area is identified
Thin needles are inserted into specific trigger points
The needle may remain in place briefly or be gently moved
Treatment usually lasts just a few minutes per area
Afterward, it’s normal to feel mild soreness for 24-48 hours. Staying hydrated and gently moving the area can help speed recovery.
Dry needling offers several benefits for active individuals and those dealing with chronic pain, including:
Reduced muscle tightness and pain
Improved range of motion and flexibility
Faster recovery from sports injuries
Decreased headaches and neck or back pain
Enhanced overall movement and performance
When combined with chiropractic care, rehabilitation exercises, or other therapies, dry needling can be a powerful tool for long-term pain relief.
Dry needling is often far less painful than people expect and, for many patients, no more uncomfortable than acupuncture. While you may feel brief sensations during treatment, these are temporary and usually followed by noticeable relief. If muscle pain or tightness has been holding you back, dry needling may be a safe and effective option to help you move better and feel better.
If you’re curious about dry needling or wondering if it’s right for your condition, contact Cashae Spine & Sports to schedule a consultation. Visit our office in Silver Spring, Maryland, or call (240) 219-8975 today.