By Laurie Melrose-Doering, Osteopath & Applied Kinesiologist
If you were to compare dry needling and acupuncture merely based on a visual, distinguishing between the two might pose a challenge. Both therapies utilize thin, stainless steel needles and involve inserting them into the skin to address pain-related concerns.
However, beyond this visual resemblance, significant differences emerge. Acupuncture, rooted in traditional Chinese medicine and backed by extensive historical use and research, targets specific points in the body to alleviate pain and discomfort. In contrast, dry needling, a more recent practice, focuses on stimulating trigger points or irritable muscles.
Recognizing these distinctions is crucial in determining the most suitable treatment for your needs.
Acupuncture, a time-honoured medical treatment rooted in traditional Chinese medicine, boasts a rich history spanning hundreds, if not thousands, of years. This therapeutic practice is embraced by a multitude of licensed acupuncturists, each undergoing an extensive three to four-year training program. This comprehensive training encompasses not only the precise application of needles but also the nuanced skill of diagnosing various conditions. Moreover, practitioners receive direct supervision from seasoned experts, ensuring a high standard of proficiency.
In addition to their rigorous training, acupuncturists undergo thorough testing by a national board of examiners, coupled with a commitment to continuous education through annual instructional courses to uphold their licensure. Acknowledging its efficacy, the American Medical Association (AMA) recognizes acupuncture as a legitimate medical treatment. Furthermore, the acceptance of acupuncture within the medical fraternity has led some insurance companies to extend coverage for its associated costs.
Traditionally, acupuncture is grounded in the belief that illness stems from blockages or disruptions in the flow of qi, the vital energy that facilitates healing in the body. The practice of acupuncture aims to eliminate these blockages, restoring the body’s energy flow to a harmonious equilibrium.
In Western medical acupuncture, a newer approach, the insertion of needles is thought to stimulate the nervous system, with ongoing research exploring potential effects such as reducing inflammation, enhancing blood flow, and triggering the release of endorphins for pain relief.
A review conducted in 2012 on migraine studies revealed that acupuncture demonstrated effectiveness comparable to other treatments, including medication, in alleviating migraine symptoms.
Acupuncture is a versatile treatment addressing a wide range of conditions and symptoms, including pain, nausea, vomiting, headaches, menstrual cramps, and allergies. Beyond these common applications, some individuals turn to acupuncture for managing substance use disorders or to aid in smoking cessation. The multifaceted nature of acupuncture reflects its adaptability in addressing various health concerns and symptoms.
When conducted by a skilled and licensed acupuncturist, instances of side effects or risks are exceedingly rare. Occasionally, individuals may encounter:
Moreover, there is a possibility of complications arising if nonsterile needles are utilized.
Dry needling is a contemporary treatment aimed at alleviating muscular pain and has witnessed a surge in popularity. In this procedure, a practitioner delicately inserts fine, short, stainless steel filiform needles into the skin without introducing any fluids, hence the term “dry.” Targeting “trigger points” in muscles or tissues, often referred to as intramuscular stimulation, these are areas characterized by knotted or tense muscles.
According to practitioners, the needles are instrumental in releasing these knots, providing relief from muscle pain or spasms. The needles remain in the skin for a brief period, the duration of which is determined by the practitioner.
While some healthcare professionals, including physical therapists, receive training in dry needling, the extent of this training can vary. It’s crucial to note that there are no standardized regulations specifying who is qualified to perform dry needling.
Dry needling is commonly conducted by physical and sports injury therapists, and there is no prerequisite for extensive training. Notably, there is a lack of regulatory oversight regarding training, licensing, or supervision for this procedure.
The American Medical Association (AMA) deems dry needling as an invasive procedure, emphasizing that only practitioners with specialized training and licensing in safe needle use, such as doctors and acupuncturists, should perform it.
The American Physical Therapy Association (APTA) notes that in most U.S. states, physical therapists are allowed to perform dry needling, but there are exceptions. It’s crucial to recognize that no specific regulations determine whether a practitioner is adequately trained and qualified for the procedure.
Furthermore, due to the absence of a credentialing board, there’s no reliable means to verify the legitimacy and adequacy of someone’s training.
Dry needling has the potential to alleviate muscular pain and stiffness, offering relief to individuals experiencing discomfort. Furthermore, addressing trigger points through this method may contribute to enhanced flexibility and increased range of motion. Consequently, dry needling is frequently employed in the treatment of sports injuries, muscle pain, and even fibromyalgia-related discomfort.
While it currently lacks established practice guidelines, the standardization of safe dry needling practices is anticipated as ongoing research continues to provide more insights into its efficacy and safety.
Mild side effects are commonly associated with dry needling, while serious side effects are infrequent. Common mild side effects around the injection site include bruising, bleeding, and temporary soreness. It’s crucial to ensure the use of sterile needles to avoid potential risks such as bloodborne illnesses and infections. Another potential but rare risk is a punctured lung, known as pneumothorax, which can occur if a needle is misplaced and punctures the lung, leading to a collapsed lung.
Due to the absence of formal training, certifications, or state licensing for dry needling, there are heightened concerns about its use compared to acupuncture.
When considering acupuncture versus dry needling as a treatment, the decision may ultimately hinge on personal preference.
Acupuncture stands out with more robust research, and practitioners adhere to regulated training and practice standards. If you value a well-established alternative treatment provided by a highly-trained therapist, acupuncture might be the preferred choice for you.
On the other hand, dry needling, being relatively new, has limited research. While current studies indicate few side effects and potential benefits for pain relief, comprehensive research is still lacking. Moreover, the absence of consistency in training, certification, and licensing poses a potential risk of unsafe needle practices.
Despite being less established, early results suggest that dry needling could be beneficial. If you are open to exploring a less proven option, you might be inclined to give it a try.
If you’re seeking a holistic approach to wellness and relief from various conditions, our skilled practitioners are here for you. To schedule an appointment and experience the healing power of acupuncture, book a session with our dedicated team.
To book a session with one of our herbalists, click here. Alternatively, you can contact us at 020 8942 3148 to learn how our treatments can benefit you.
Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.
By Laurie Melrose-Doering, Osteopath & Applied Kinesiologist
