Dry needling is a treatment that can be used in the management of neuromusculoskeletal pain and dysfunction. While acupuncture addresses energy pathways, dry needling instead addresses nerve, muscle and joint issues through neuromuscular trigger points. Trigger points are tight bands in muscle fibers that can cause pain and tenderness, disrupt function, and restrict motion. The needles are so thin that often patients do not feel them being inserted. The needles may be left in place for a few minutes or manipulated to stimulate the trigger point. Moving the needle can sometimes be slightly uncomfortable, but serves to stimulate new healing activity in the area. A series of dry needling sessions can often help release tension in muscle fibers, increase blood flow, and reduce pain.