Short answer, it depends. I know, lousy answer, not what you wanted, but it’s true! Everyone is different. Now for the long answer; from all the combined experiences of multiple dry needlers, there is a common trend amongst most people who get dry needled. For almost everyone, the needle is not an issue. We use a very thin filiform needle that is so thin that most people don’t feel it.  So, even if you are afraid of needles, it should not be an issue. In fact, many people have to ask if the needle is in, that’s how thin it is.

When inserting the needle, we go through the skin and into the muscle we are targeting, trying to hit a trigger point. When hitting a trigger point (of which there can be multiple) we get what is called a local twitch response (LTR).  From what we know from scientific literature, it is thought to be a reflexive contraction of the muscle.  That is actually a good thing, as it is a sign you are in the correct area.  In fact, there is evidence to show that the LTR is associated with many positive effects related to healing and blood flow.  

For some people, the sensation of the LTR is enough to catch them by surprise and cause a momentary gasp and heavy breathing.  Typically, during the procedure, the needle is manipulated up and down to reach multiple trigger points.  Even if you get used to the muscle jumping, it is quite an experience and most people say it just feels weird. 

I could keep adding some of the common descriptions given about getting needled but it would be a long list and the above one grossly covers most.  One explanation from our therapists (Rob Satriano) gives to his patients and is the one I use now is as follows:

  1. The first hour you might get your usual pain and is going to be the most intense.
  2. After that first hour, you will notice a decrease in intensity but will continue to be sore for the rest of the day.
  3. By the next day, you will feel muscle soreness as if you had exercised.
  4. This will dissipate and by then you should already be feeling much better.

In summary, dry needling is a different experience for everyone, it can be intense but it is always manageable. But most importantly, for the majority, it is a good experience that helps them on their journey to relieve pain and move better.