Dry Needling Side Effects: What Should You Be Aware Of?

Practitioner inserting dry needling needles into a patient’s upper back during treatment

Dry needling therapy has become increasingly popular for treating various musculoskeletal issues, such as chronic pain, sports injuries, and muscle tension. At our East Setauket clinic, we use this technique to insert thin needles into specific trigger points in the muscles to release tension and alleviate pain.

While many people experience significant relief from dry needling, it’s important to be aware of the potential side effects. Understanding these dry needling side effects can help you make an informed decision about whether this therapy is right for you.

Common Side Effects of Dry Needling

Soreness and Discomfort

One of the most common side effects of dry needling is soreness at the needle insertion site. This discomfort is generally mild and temporary, typically lasting for 24 to 48 hours. The soreness occurs because the needle creates a minor injury in the muscle, prompting the body to initiate a healing response. This response involves increased blood flow and the release of healing substances to the affected area.

  • Quick Relief Tip: Apply ice to the area for 15-20 minutes. Gentle stretching and staying hydrated can also help flush out metabolic waste and speed up recovery.

Infographic explaining bruising as a needle puncture side effect, including causes, risk factors, and relief tips.

Bruising

Bruising is another frequent side effect. When the needle punctures small blood vessels under the skin, it can cause a bruise. The size and severity can vary depending on individual factors, such as skin sensitivity and the location of the needle insertion. Areas with thinner skin or higher vascularity, like the forearms or thighs, may bruise more easily.

While bruising is usually harmless, it can be unsightly. To reduce the risk, ensure your practitioner uses proper technique. If a bruise does develop, it should resolve on its own within a few days.

  • Quick Relief Tip: Arnica gel can help reduce the appearance of bruising. Keeping the area elevated can also help.

Fatigue

Some patients report feeling fatigued or experiencing a sense of heaviness after a dry needling session. This reaction is likely due to the body’s response to the release of muscle tension and the activation of the healing process. The body’s efforts to repair tissue can lead to a temporary state of fatigue, similar to the feeling after a vigorous workout.

  • Quick Relief Tip: Listen to your body and rest. Most people find that the fatigue resolves within a day, leaving them feeling more energized than before.

Muscle Twitching

During a dry needling session, you might experience involuntary muscle twitching or a “local twitch response” (LTR). This twitching is a normal and often beneficial reaction, indicating that the needle has successfully targeted a trigger point.

Trigger points are hyperirritable spots in the muscle that can cause pain. The twitch response is a sign that the muscle is releasing tension and undergoing a reset. While the sensation can be startling, it typically subsides quickly after the needle is removed.

Redness and Swelling

In some cases, patients may notice redness and mild swelling around the needle insertion sites. This is a common inflammatory response as the body works to heal the micro-injuries caused by the needles. The redness is usually mild and resolves within a few hours.

Emotional Release

Some patients report experiencing an emotional release during or after a dry needling session. This can manifest as feelings of relaxation, euphoria, or even the release of suppressed emotions. This is linked to the relief of chronic muscle tension, which can positively affect the nervous system.

Less Common Side Effects

Note: Serious side effects are extremely rare when dry needling is performed by a licensed and experienced acupuncturist like Daniel Messina.

Nerve Irritation

In rare cases, dry needling can cause temporary irritation to nearby nerves, resulting in tingling or numbness. Experienced practitioners are trained to recognize anatomical landmarks to minimize this risk. If you feel any “electric” sensations during treatment, inform your practitioner immediately so they can adjust the needle.

Pneumothorax (Rare)

Pneumothorax is an extremely rare side effect where a needle inadvertently enters the lung space. This is a primary reason why choosing a highly trained provider is essential. At Messina Acupuncture, we have extensive anatomical training to ensure safe needle depth and angles, particularly around the upper back and shoulders.

Fainting (Vasovagal Response)

Some patients may feel lightheaded or faint due to a drop in blood pressure (vasovagal response). This can happen if you are nervous or have low blood sugar. We recommend eating a light meal before your appointment to prevent this.

Managing Side Effects

Communication is Key: Effective communication with your practitioner is crucial. Before your session, discuss your medical history and any concerns. During the procedure, provide feedback about your comfort level.

Post-Treatment Care: Follow instructions provided by your practitioner, such as applying ice to sore areas and avoiding strenuous activities for 24 hours. Gentle movement is often better than complete bed rest.

Frequently Asked Questions

Can I drive home after dry needling?
Yes, most patients can drive immediately after treatment. If you feel lightheaded, sit in our waiting room for a few minutes and drink some water before leaving.

How is this different from acupuncture?
While both use thin needles, dry needling focuses specifically on releasing muscle trigger points to treat physical pain, whereas acupuncture balances the body’s overall energy (Qi) according to Traditional Chinese Medicine.

Trust the Experts for Your Dry Needling Therapy in East Setauket

Messina Acupuncture PC prioritizes your safety and comfort. Our licensed dry needling practitioner, Daniel Messina, uses precise techniques to minimize side effects and maximize pain relief.

Whether you’re dealing with sports injuries, chronic back pain, or muscle tension, our individualized treatment plans are tailored to meet your needs. Trust us to provide expert care with a focus on hygiene and patient well-being.

Ready to experience relief? Call us today at 631-403-0504 or contact us online to book your appointment in East Setauket.