Dry Needling for Muscle Spasm: What Is It and How It Works?

Dry Needling for Muscle Spasm: What Is It and How It Works?

Muscle spasms and muscle knots can be debilitating, affecting daily tasks, quality of life, and even mental well-being. Many people experience these issues due to stress, overuse, or musculoskeletal pain from underlying conditions like spinal issues or rotator cuff damage. Dry needling, a therapeutic technique rooted in Western medicine, is now widely recognized as a safe and effective treatment for relieving muscle spasms and knots. In particular, dry needling for muscle spasm and muscle knots targets myofascial trigger points directly, providing relief from pain and restoring function. Here, we will explore what dry needling is, how it works to address spasms, its various benefits, and essential considerations for anyone interested in this therapy.

What is Dry Needling for Muscle Spasm?

Dry needling, also known as myofascial trigger point dry needling, is a treatment developed to alleviate musculoskeletal and neuromuscular pain. Unlike acupuncture, which is based on traditional Chinese medicine concepts like qi, energy flow, and meridians, muscle spasm dry needling is rooted in Western medicine and specifically targets trigger points within muscles. Trigger points are tight knots in the muscle fibers or fascia, which can cause both local and referred pain.

Dry needling has been utilized in therapeutic settings for roughly 40 years, established on Western medical principles of anatomy and physiology. This foundation differentiates it from traditional acupuncture, which is based on Chinese medicine concepts like meridians and energy flow. Rooted in scientific research and Western anatomical understanding, dry needling provides a precise, evidence-based approach to managing pain and relieving muscle spasms.

Using thin, filiform needles, a trained physical therapist inserts the needles into these trigger points or acupoints, prompting a local twitch response. This twitch response helps relax the muscle fibers and relieve the tightness contributing to the spasm. Dry needling for muscle knots and spasms is effective for treating chronic pain, musculoskeletal pain, and neuromuscular dysfunction. These trigger points can also develop as a result of overuse, injury, or stress, leading to persistent pain, tightness, and an overall decrease in the range of motion.

How Does Dry Needling Work for Muscle Spasms?

Dry needling works for muscle spasms by targeting trigger points in the muscle to release tension and improve function. When thin needles are inserted into these trigger points, they elicit a local twitch response, an involuntary muscle contraction that disrupts the cycle of pain and spasm, allowing the muscle to relax. This process also improves blood flow, supplying the area with essential oxygen and nutrients that aid in muscle recovery. Additionally, dry needling stimulates neurophysiological responses, releasing endorphins and modulating pain signals to reduce soreness and improve flexibility. By addressing these elements, dry needling helps restore natural muscle length, relieve spasms, and prevent future recurrence, making it a powerful option in musculoskeletal pain management.

What are the Beneficial Results of Dry Needling?

Dry needling is a powerful therapeutic technique that provides numerous benefits for individuals struggling with muscle pain and tightness. By targeting and releasing trigger points, dry needling can significantly reduce pain, promote faster muscle recovery, and enhance flexibility. These combined effects make it an effective solution for improving range of motion and supporting overall musculoskeletal health.

  • Increased Blood Flow to the Tissue: By inserting needles, dry needling stimulates blood circulation in the muscle, delivering essential oxygen and nutrients that support healing.
  • Decreased Muscle Spasm/Tension: The technique releases tight trigger points, which decreases muscle spasms and allows muscles to relax and function normally.
  • Decreased Pain Chemicals Released to the Brain: The needle insertion triggers a twitch response and activates natural pain-relieving chemicals, reducing pain signals sent to the brain.
  • Restoration of Normal Muscle Length: Dry needling effectively “unties knots” within the muscle, helping it regain its normal length and flexibility, like taking a knot out of a rope.

Dry needling has demonstrated significant results in clinical settings, particularly in reducing pain and raising the pressure pain threshold for up to 12 weeks after treatment. Studies have shown that patients who underwent dry needling experienced a notable decrease in pain levels compared to those receiving control or sham treatments, reinforcing the therapy’s effectiveness in both immediate and sustained pain relief.

Through these mechanisms, dry needling for muscle spasms and knots can increase flexibility, enhance functionality, and reduce pain—making it a comprehensive treatment for musculoskeletal and neuromuscular dysfunction.

What are the Common Areas to Dry Needle?

What are the Common Areas to Dry Needle

Dry needling is highly effective for addressing areas of the body that are particularly susceptible to muscle spasms, tension, and chronic pain. By focusing on these key areas, dry needling can relieve tightness and discomfort, restoring function and ease of movement. Commonly targeted regions for treatment include those frequently affected by daily strain and overuse.

  • Neck: Effective for tension-related headaches, neck pain, and night cramps, which are often linked to myofascial trigger points.
  • Shoulder: Dry needling can be beneficial for treating neuromuscular dysfunction related to the shoulder, such as rotator cuff damage, shoulder impingement, and tendonitis.
  • Back: Often applied to the thoracic and lumbar regions to treat chronic back pain, muscle spasms, and tightness resulting from spinal issues.
  • Calf: Ideal for addressing calf tightness and associated conditions like plantar fasciitis or Achilles tendinitis, which can cause persistent calf pain and discomfort.

Each of these areas is highly susceptible to muscle spasms and knots, making them ideal for dry needling intervention to relieve pain and enhance function.

What Can Cause Muscle Spasms?

Muscle spasms are involuntary contractions that can range from mild discomfort to intense pain, caused by factors like overuse, injury, poor posture, stress, and electrolyte imbalances. Repetitive activities or injuries can lead to chronic muscle tightness, while poor posture places strain on areas like the neck, shoulders, and lower back. High levels of stress often contribute to muscle tension, triggering spasms or night cramps, and a deficiency in essential electrolytes such as potassium, calcium, or magnesium can also lead to cramping and persistent pain. Occasionally, patients wonder, can dry needling cause muscle spasm? While dry needling is typically used to relieve spasms, some individuals may experience temporary muscle tightness or soreness after treatment, which usually subsides within a day or two as the muscle adjusts.

How Can Dry Needling Help Muscle Spasms?

Dry needling directly targets myofascial trigger points, helping to relax the muscle and restore normal length, reduce pain, and decrease the frequency of spasms. The treatment offers a mechanical and neurophysiological response that interrupts the feedback loop responsible for muscle spasm.

How Can Physical Therapy Help Muscle Spasms?

Physical therapy complements dry needling by focusing on strengthening, stretching, and posture correction. Therapists may also use other techniques, like trigger point therapy and electrostimulation, to relieve spasms and prevent further discomfort.

In over 30% of clinical studies, the combination of dry needling with complementary therapies—such as physical therapy, stretching, and massage—resulted in a greater reduction in pain than when each intervention was applied independently. This combined approach has proven particularly effective in the first 12 weeks following treatment, indicating that dry needling can enhance the efficacy of other therapeutic techniques when incorporated into a broader pain management plan.

What Else Can Help Muscle Spasms?

In addition to dry needling, several other treatments can effectively relieve muscle spasms and improve overall muscle health. Massage therapy helps reduce muscle tightness and increases blood flow, easing tension and promoting relaxation. Heat therapy also boosts circulation, aiding in muscle relaxation and speeding up recovery from spasms. Maintaining proper hydration and balanced nutrition ensures adequate electrolyte levels, which are essential for preventing cramping and supporting optimal muscle function. When combined with dry needling, these therapies provide comprehensive relief and support long-term muscle health.

Who Shouldn’t Get Dry Needling Treatments?

While dry needling is generally safe and effective, it may not be suitable for everyone. Individuals with abnormal bleeding tendencies, such as those with clotting disorders, face a higher risk of bleeding at the insertion site. Those with compromised immune systems may also be more susceptible to infection following treatment. Pregnant women are generally advised to avoid dry needling as a precaution, and people with certain medical conditions, like epilepsy, recent surgery, or vascular disease, may be at increased risk of complications. It’s always best to consult a qualified healthcare provider before considering dry needling, especially if you have specific health concerns.

Procedure Details

Understanding the dry needling process can help patients feel more comfortable and prepared for treatment. The procedure involves specific steps before, during, and after the needling session, each designed to ensure safety and effectiveness. By knowing what to expect at each stage, patients can approach dry needling with confidence and a clearer sense of how it will address their muscle pain and spasms.

What Happens Before a Dry Needling Treatment?

Prior to treatment, a physical therapist will assess your pain, review your medical history, and identify any trigger points contributing to your discomfort. Many patients wonder, does dry needling hurt? While some individuals experience mild discomfort during the procedure, the relief it provides often outweighs any temporary sensation.

What Happens During a Dry Needling Treatment?

The practitioner inserts filiform needles into the identified trigger points as part of the dry needling treatment. The procedure may cause a local twitch response, which is essential for releasing tension. Depending on your needs, the therapist may also use techniques like electrical dry needling, which involves attaching a low-level electrical current to the needles for added muscle relaxation.

What Happens After a Dry Needling Procedure?

What Happens After a Dry Needling Procedure

Some patients may experience mild soreness, bruising, or bleeding from the insertion site, similar to post-workout soreness. Practitioners often recommend hydration, light stretching, and rest to aid in recovery and reduce stiffness.

How Can I Find Out If Dry Needling Would Help Me?

If you’re experiencing persistent muscle spasms that haven’t responded to traditional therapies, dry needling could be a worthwhile option. Consulting with a licensed physical therapist or other qualified provider can help determine if dry needling is right for you.

At Continuous Motion Physical Therapy, we specialize in comprehensive, patient-centered care to relieve pain and restore optimal function. Our team offers advanced techniques, including dry needling treatment, to effectively target muscle spasms, reduce chronic pain, and improve mobility. Dry needling works by releasing tension in trigger points, providing immediate relief and supporting long-term recovery. With our personalized approach, we focus on helping each patient achieve their unique health goals through evidence-based treatments and compassionate care. At Continuous Motion Physical Therapy, we’re dedicated to empowering you to move freely and live pain-free.

Conclusion

Dry needling is an effective, science-based approach to treating muscle spasms, muscle knots, and chronic musculoskeletal pain. By addressing trigger points directly, this therapy offers relief and improves flexibility, making it an invaluable tool in pain management and recovery. With guidance from a skilled practitioner, dry needling can help you take control of your pain and improve your quality of life.

FAQs

How Long Does It Take to Feel Relief from Dry Needling?

Many people feel immediate relief, while others may require several sessions for significant improvement. Relief duration varies depending on the intensity of your symptoms and overall health.

Is Dry Needling Painful for People with Severe Muscle Spasms?

Although some discomfort may occur due to the local twitch response, most people find the relief far outweighs any temporary pain.

How Often Should I Get Dry Needling for Muscle Spasm Relief?

Frequency depends on individual needs and the severity of the condition. Many start with weekly sessions, adjusting based on progress and the physical therapist’s guidance.

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Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified