Acupuncture and dry needling are two popular methods for relieving pain. Although they share some similarities, there are also some important differences between acupuncture and dry needling. Acupuncture is a form of traditional Chinese medicine that has been practiced for centuries, while dry needling is a relatively new approach that uses sterile needles to alleviate trigger points in the muscles. Here, we will take a closer look at the differences between acupuncture and dry needling.
What is Acupuncture?
Acupuncture is a form of traditional Chinese medicine that has been used for centuries to treat a variety of conditions. The basic principle behind acupuncture is that energy, or qi, flows through the body along specific pathways known as meridians. This energy is essential for good health, and when it becomes blocked or unbalanced, it can cause disease or pain. Acupuncture is said to restore balance by stimulating specific points along the meridians.
There are more than 2,000 acupuncture points on the human body, and each point has a specific purpose. For example, some points are said to be helpful for treating headaches, while others can be used to ease menstrual cramps. Acupuncture is generally considered to be safe when performed by a trained and licensed practitioner.
What is Dry Needling?
Dry needling is a technique that involves inserting thin needles into the muscle to alleviate trigger points or knots that form when muscles don’t relax. This form of therapy is also referred to as intramuscular stimulation (IMS). Dry needling is similar to acupuncture, but it’s based on Western anatomical and physiological principles, rather than traditional Chinese medicine. While acupuncture is often used for overall wellness, dry needling is usually used to treat specific musculoskeletal problems.
Dry needling is thought to work by releasing muscle tension, stimulating the nervous system, and improving blood circulation. It’s used to treat a variety of conditions including migraines, tension headaches, back pain, neck pain, shoulder pain, tennis elbow, plantar fasciitis, and carpal tunnel syndrome. Dry needling is also sometimes used to treat myofascial pain syndrome (MPS), which is a chronic pain condition that occurs when there’s inflammation in the connective tissue that surrounds your muscles.
Acupuncture vs. Dry Needling: Comparison Table
| Feature | Acupuncture | Dry Needling |
|---|---|---|
| Origin | Traditional Chinese medicine practiced for centuries | Modern treatment based on Western medicine principles |
| Primary Approach | Stimulates specific acupuncture points traditionally associated with meridians | Targets muscles, trigger points, and areas of muscular tension |
| Treatment Focus | May address pain as well as broader health and wellness concerns | Primarily focuses on musculoskeletal pain and dysfunction |
| Needles Used | Thin, sterile acupuncture needles | Thin, sterile needles inserted into targeted muscle tissue |
| Needle Placement | Specific acupuncture points based on the treatment plan | Trigger points, tight muscles, or other targeted anatomical areas |
| Underlying Principles | Traditionally based on concepts such as qi and meridians | Based on anatomy, physiology, and neuromuscular function |
| Common Uses | Pain, headaches, stress, and other health concerns | Back pain, neck pain, shoulder pain, headaches, tennis elbow, plantar fasciitis, and muscle tension |
| Muscle Trigger Points | May be treated depending on the acupuncture approach | A primary target of treatment |
| Potential Effects | May influence the nervous system and the body’s pain response | May reduce muscle tension and influence pain and neuromuscular function |
| Practitioner Training | Typically performed by a trained acupuncturist; licensing requirements vary by location | Performed by qualified healthcare professionals where permitted; training and scope-of-practice rules vary |
| Main Goal | Reduce symptoms and support health through acupuncture point stimulation | Reduce musculoskeletal pain, improve movement, and address muscle dysfunction |
| Safety | Generally low-risk when performed appropriately by a qualified practitioner | Generally low-risk when performed appropriately by |
The Benefits of Acupuncture and Dry Needling
Both acupuncture and dry needling are used to treat a variety of conditions including pain, headaches, stress, anxiety, and insomnia. Acupuncture is thought to work by stimulating the nervous system and releasing endorphins, while dry needling is thought to work by breaking up muscle knots and trigger points but also causes the release of endorphins and draws healing cells such as stem cells and white blood cells to the site of the needle insertion. Both treatments are considered safe and effective, and there is a growing body of evidence to support their use. If you are looking for an alternative to conventional medicine, acupuncture or dry needling may be worth considering.
Summary
Acupuncture and dry needling are two popular methods for relieving pain. Although they share some similarities, there are also some important differences between the two techniques. Acupuncture is a form of traditional Chinese medicine that has been practiced for centuries and is based on energy channels (Eastern Medicine) thought to be in the system, while dry needling is a relatively new approach that uses sterile needles to stimulate trigger points in the muscles and is based on what we know about neuromuscular anatomy (Western Medicine).
If you’re interested in seeing a chiropractor or even in Dry Needling, visit us at one of our offices in Erie or in Longmont. The Chiropractic Center of Erie and Chiropractic Center of Longmont treat the body holistically with our award-winning treatment process. In fact, we have been voted “Best of the West” eleven times, and our aim is to help your body achieve and maintain optimal performance.
We specialize in treating patients suffering from spinal pain and many other maladies and have helped several patients find relief without the need for surgery. If you’d like to learn more about chiropractic care in Longmont or Erie or have questions about what to expect during your first chiropractic visit in Erie or Longmont, call our offices today at 303-828-3000 or 303-772-1950, or reach out to our Facebook page.
Frequently Asked Questions
What is the main difference between acupuncture and dry needling?
Acupuncture is rooted in traditional Chinese medicine and involves stimulating specific acupuncture points. Dry needling is based on Western anatomy and typically targets muscle trigger points and areas of tension.
Is dry needling the same as acupuncture?
No. Although both treatments use thin needles, their underlying principles and treatment approaches differ. Dry needling generally targets specific musculoskeletal problems, while acupuncture may be used for pain and broader health concerns.
What conditions can dry needling help treat?
Dry needling is commonly used for musculoskeletal problems such as back pain, neck pain, shoulder pain, muscle tension, tennis elbow, plantar fasciitis, headaches, and myofascial pain.
How does dry needling work?
Dry needling involves inserting thin, sterile needles into targeted muscles or trigger points. The technique is intended to reduce muscle tension, influence the nervous system, and help improve pain and movement.
How does acupuncture work?
Traditional acupuncture is based on the concept of stimulating specific points along pathways traditionally called meridians. Modern research also examines acupuncture’s effects on pain processing and the nervous system.
Are acupuncture and dry needling safe?
Both are generally considered low-risk when performed appropriately by qualified practitioners using sterile needles. Possible temporary effects can include soreness, minor bleeding, or bruising, and suitability depends on the individual.

