What You Need to Know About Dry Needling for Pelvic Floor

What You Need to Know About Dry Needling for Pelvic Floor

Dry needling has become a popular therapeutic technique for treating musculoskeletal and pelvic issues. In particular, pelvic floor dry needling is being used more often in pelvic floor therapy to address dysfunctions and relieve pain. This technique involves the insertion of thin needles into specific muscle groups or trigger points to relieve pain, increase circulation, and improve muscle function. Pelvic floor dysfunction (PFD) is a common condition, especially among women, and can lead to a variety of symptoms, including pelvic pain, urinary incontinence, and bowel dysfunction. Understanding how dry needling can help with pelvic floor dysfunction can empower patients to manage their symptoms actively.

What is Dry Needling?

Continuous Motion PT offers dry needling for the pelvic floor to treat muscle pain, tightness, and trigger points by inserting thin, sterile needles into the affected areas. Unlike acupuncture, which is rooted in traditional Chinese medicine, dry needling is based on modern Western medicine principles. Dry needling targets muscle knots or “trigger points” to reduce pain, increase flexibility, and improve muscle function.

In pelvic floor therapy, dry needling targets specific muscles within the pelvic region that may contribute to pelvic pain or dysfunction. This technique can help release tightness in the pelvic muscles, improve bladder and bowel control, and relieve discomfort associated with conditions like urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse.

How Dry Needling Helps Pelvic Floor Dysfunction

Pelvic floor dysfunction occurs when the muscles, ligaments, and tissues that support the bladder, uterus, and rectum are weakened, tight, or injured. This dysfunction can result in symptoms such as pain during intercourse, urinary urgency or incontinence, and difficulty with bowel movements. Dry needling for pelvic floor dysfunction can help by targeting the pelvic muscles that contribute to these problems. One in three women will experience a pelvic floor disorder (PFD) in their lifetime. One study reported pain relief, improved mobility, and improved function after 5–7 dry needling sessions in 2 women with CPP. Dry needling can help by targeting the pelvic muscles that contribute to these problems.

Dry needling involves inserting needles into the pelvic floor muscles to help release muscle tension, reduce the formation of trigger points, and improve blood flow to the area. This helps restore the pelvic floor’s normal functioning, essential for proper bladder and bowel control and sexual health. Dry needling also encourages the healing process in muscles that have been overstretched, weakened, or injured.

Benefits of Dry Needling for Pelvic Floor Health

Dry needling offers numerous benefits to those suffering from pelvic floor dysfunction. These benefits include:

Pain Relief

Dry needling is known to provide immediate pain relief. Targeting trigger points in the pelvic muscles can reduce discomfort associated with chronic pelvic pain, bladder discomfort, or painful intercourse. Studies have shown that dry needling can offer significant pain relief after just a few sessions.

Improved Muscle Function

One key benefit of dry needling is that it helps improve muscle function by releasing tightness and increasing flexibility in the pelvic muscles. This can help restore normal movement and function in the pelvic floor, which is crucial for proper bladder, bowel, and sexual health.

Increased Blood Flow

Dry needling can increase blood flow to the treated area, promoting healing and reducing inflammation. Better circulation helps nourish the pelvic muscles and tissues, encouraging them to recover from dysfunction or injury.

Reduction of Trigger Points

Trigger points are tight, painful knots that form in muscles and can cause discomfort and dysfunction. Dry needling targets these trigger points, helping to release them and restore normal muscle function. In the pelvic region, this can lead to a reduction in pain and improvement in overall pelvic floor health.

Improved Bladder and Bowel Control

Dry needling can help improve bladder and bowel control by relaxing the pelvic floor muscles. This can be especially beneficial for individuals suffering from urinary incontinence or constipation, two common issues associated with pelvic floor dysfunction.

Who Can Benefit from Dry Needling for Pelvic Floor Dysfunction?

Who Can Benefit from Dry Needling for Pelvic Floor Dysfunction?

Dry needling for pelvic floor dysfunction can benefit individuals experiencing a variety of symptoms, including:

  • Chronic pelvic pain (CPP)
  • Urinary incontinence or urgency
  • Painful intercourse (dyspareunia)
  • Pelvic organ prolapse
  • Constipation or difficulty with bowel movements
  • Vaginal pain or discomfort

This treatment can be especially beneficial for individuals who have not found relief from traditional pelvic floor therapies or those who are seeking a complementary approach to other treatments.

The Dry Needling Procedure for Pelvic Floor Treatment

The procedure for dry needling in pelvic floor therapy is highly individualized and typically involves several steps:

Initial Assessment and Evaluation

Before beginning treatment, the physical therapist will thoroughly evaluate the patient’s pelvic floor muscles and overall health. This evaluation may include palpation of the pelvic region to identify areas of tension, pain, or dysfunction.

Selection of Appropriate Needles

The physical therapist will choose thin, sterile needles appropriate for the treatment area. These needles are specifically designed for dry needling and are much thinner than those used for injections or acupuncture.

Insertion of Needles into Trigger Points

Once the appropriate areas are identified, the physical therapist will insert the needles into the trigger points or tight muscles within the pelvic floor. This insertion is typically painless or causes minimal discomfort.

Manipulation of Needles to Elicit a Twitch Response

The therapist will then manipulate the needles to elicit a twitch response, which is a sign that the muscle is releasing tension. This can lead to significant relief of pain and improved muscle function.

Removal of Needles and Post-Treatment Care

After the needles have been in place for a few minutes, they will be removed. The physical therapist may recommend specific stretches or exercises to help maintain the benefits of the dry needling treatment.

Risks and Side Effects

While dry needling is generally considered safe, there are some potential risks and side effects. These may include:

  • Mild bruising at the needle insertion site
  • Temporary soreness or tenderness
  • Lightheadedness or dizziness (rare)
  • Slight increase in pain before feeling relief

Does dry needling cause pain? It’s a common question, and while you may feel some mild discomfort during or after treatment, it’s generally temporary. Most people experience relief after a session or two. As with any treatment, it’s important to communicate with your physical therapist about any discomfort to ensure that adjustments can be made.

How to Find a Qualified Professional for Dry Needling

How to Find a Qualified Professional for Dry Needling

Finding a qualified physical therapist who is trained in dry needling for pelvic floor dysfunction is crucial to ensure the treatment is effective and safe. Look for licensed therapists who have completed additional certification in dry needling techniques. You may search for “pelvic floor dry needling near me” or inquire about the therapist’s experience with dry needling specifically for pelvic issues.

Conclusion

Dry needling is a promising treatment for pelvic floor dysfunction that offers pain relief, improved muscle function, and enhanced quality of life. Whether you’re dealing with chronic pelvic pain, urinary issues, or sexual discomfort, dry needling can provide significant benefits when used as part of a comprehensive pelvic floor therapy plan.

FAQs

What does dry needling do for the pelvic floor?

Dry needling targets tight, painful muscles in the pelvic floor, helping to release tension, improve blood flow, and relieve pain. It can also improve bladder and bowel control and help restore muscle function.

When should you not use dry needling?

Dry needling should not be used if you have certain health conditions, such as active infections, blood clotting disorders, or pregnancy. Always consult with a healthcare professional before beginning treatment.

How many sessions of dry needling are needed?

The number of sessions needed will depend on the severity of the pelvic floor dysfunction and the patient’s response to treatment. One study reported relief of pain and improved mobility after 5–7 sessions of dry needling for chronic pelvic pain. Your physical therapist will recommend the appropriate sessions based on your individual needs.

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Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

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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