Integrative Dry Needling

Not all medical, chiropractic, or physical therapy professionals are trained to perform the Integrative Dry Needling treatment technique. Dr. Jeff Hoepfner is trained in this therapy and has completed the program through the Integrative Dry Needling Institute.

Integrative Dry Needling is a highly effective form of Physical Therapy for the treatment of a multitude of muscle, bone and nerve conditions. It is not appropriate for all conditions and the use of the technique will be at the discretion of your doctor.

How does it work?
Integrative dry needling is not acupuncture (traditional Chinese medicine). It is based on modern scientific study of the musculoskeletal system. A very fine needle is inserted through the skin and into the tissues that are considered trigger points to your pain. Dry needling works by causing a micro-lesion within the tissue which breaks up shortened tissues, inhibiting a reflex in the nervous system to the tissue, normalizing the inflammatory response, and mediating the pain. This effect provides an environment that enhances the body’s ability to heal which ultimately reduces pain.

Are the needles sterile?
Yes, we only use sterile disposable needles.

What conditions can be treated?
Conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain, and leg pain (sciatica, hamstring strains, calf tightness/spasms).

Is the procedure painful?
The fine needle is very thin, solid, and flexible, which allows for the needle to be pushed through the skin versus cutting the skin. This helps reduce any discomfort that may occur with the procedure. We strive to make the treatment virtually painless however at times a local pain response or twitch of the muscle may be felt. When the needle is inserted into the tissue the local twitch/pain response is normal and is felt only momentarily. Many patients describe this twitch response as a little electric shock, cramp or an ache sensation. These sensations are perfectly normal and even a desirable response. Your doctor will make every effort to make your experience comfortable and therapeutic.

How will I feel after the Dry Needling treatment?
This will vary but many patients experience immediate relief of their symptoms and an increase of range of motion. Soreness can also be a common response from the needling but does not occur with all people. Some people may experience an immediate achiness or a delayed soreness the next day. The soreness, if present, will usually 1-2 days. Use of heat and light massage and movement will be beneficial. Mild bruising may occur at the needling sites and is more prevalent at certain parts of the  body.  Larger bruising may also occur but is rare.  Application of ice on the bruise will help with the soreness  and the skin discoloration will last several days but is not harmful.

How many treatments will I need?
This will depend on the category that you fit in, which is determined by the state of the injury and your overall health.

What should I do to prepare for the treatment?

  • Do not eat 30 minutes before the treatment.
  • Be well hydrated but empty your bladder prior to treatment.
  • Wear loose fitting clothing, shorts or bathing suit for easy access to your painful areas. A gown can be provided for you if necessary.

What should/can l do after treatment, what should I avoid?
Our recommendations vary depending on the amount of soreness you have and on the individual response to the treatment. Recommendations may include increasing your water intake, applying heat or ice over the area, gentle stretches and modifications of activities.