Dry needling is a treatment that can be used in the management of neuromusculoskeletal pain and dysfunction. While both use very fine needles, acupuncture addresses energy pathways; however, dry needling addresses nerve, muscle and joint issues through 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. After insertion, the needles may be left stationary or manipulated to stimulate the trigger point. Moving the needle can sometimes be a bit uncomfortable, however, the purpose is to stimulate new healing activity in the area of injured tissue. A series of dry needling sessions can often help release tension in muscle fibers, increase blood flow, and reduce pain.