Dry needling is a targeted technique used by physical therapists to release muscle tension, reduce pain, and improve mobility. It involves inserting thin, sterile needles into specific trigger points—tight bands of muscle that contribute to stiffness or discomfort. The goal is to elicit a local twitch response, which helps reset the muscle and improve function.

READ: Strength vs. Mobility: Finding the Right Balance in Physical Therapy for Peak Performance

Unlike acupuncture, which is based on traditional Chinese medicine and energy flow, dry needling is grounded in Western anatomical and neurological principles. At Altr Physical Therapy in Charleston, dry needling is used as part of a comprehensive treatment plan to accelerate recovery and support lasting relief from musculoskeletal issues.

What Does Dry Needling Feel Like?

If you’ve never experienced dry needling before, it’s natural to wonder what it actually feels like. Most patients are surprised to find it’s less intense than they expected. The needles are extremely thin—much finer than those used for injections or blood draws—so the sensation is generally mild.

You might feel a brief prick as the needle enters the skin, followed by a twitch or slight cramping sensation as it hits the targeted muscle. This is the desired response—it means the muscle is reacting and starting to release tension. Some people describe it as a dull ache or mild pressure that quickly fades.

At Altr, we always check in with our Charleston patients to ensure comfort throughout the session and adjust the technique based on your tolerance.

How Painful Is It, Really? Separating Fact from Fear

The idea of needles can understandably make some people nervous—but dry needling isn’t as painful as it sounds. In fact, many patients at Altr Physical Therapy in Charleston report that the treatment is far more tolerable than expected, and often less uncomfortable than a deep tissue massage.

The mild discomfort you may feel usually lasts only a few seconds—just long enough for the muscle to release. Some areas of the body, like the neck or calves, might feel more sensitive, but our therapists adjust technique and needle depth accordingly to keep the experience manageable.

It’s also worth noting that post-needling soreness is common (similar to the feeling after a good workout), and typically resolves within 24 to 48 hours. Most patients feel looser and more mobile shortly after the session.

READ: The Complete Guide to Dry Needling: How It Works, What to Expect, and Why It’s Effective

Who Can Benefit from Dry Needling in Charleston

Dry needling is a versatile treatment used to address a wide range of musculoskeletal issues. At Altr Physical Therapy, we often recommend it to patients dealing with:

• Chronic muscle tightness or knots
• Trigger point-related pain
• Neck and back stiffness
• Tendon pain and overuse injuries
• Plantar fasciitis and foot discomfort
• Shoulder, hip, or knee tension from athletic activity

Whether you’re recovering from an injury, managing stress-related tension, or trying to improve athletic performance, dry needling can help reset tight tissues and improve how your body moves. It's particularly effective for patients who haven’t gotten full relief from traditional stretching or massage.

Our Charleston patients often find that combining dry needling with other therapies accelerates their progress and leads to longer-lasting results.

What to Expect During and After a Dry Needling Session at Altr

Your dry needling session at Altr Physical Therapy begins with a conversation. We’ll talk about your symptoms, goals, and any previous experiences with manual therapy. From there, your therapist will identify the most relevant trigger points based on your movement and posture.

The actual needling is done with care and precision, often lasting just a few seconds per muscle group. We explain each step as we go, ensuring you feel informed and at ease. Most sessions last about 30 to 45 minutes and may be combined with other hands-on treatments or corrective exercises.

READ: Beyond Rehab: How ALTR Performance Helps Athletes Optimize Movement and Prevent Future Injuries

After your session, you might feel a bit sore or fatigued in the treated areas—similar to post-workout muscle soreness. This is a normal part of the process and typically resolves within a day or two. Many patients feel noticeable relief in tension, range of motion, and discomfort after just one or two visits.

To learn whether dry needling is right for you, book a call with our team and let’s talk through your options

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