Dry needling: what to expect in a session

A thin monofilament needle is inserted into the taut band. When it reaches the sensitive part of the band the muscle may flick briefly — the local twitch response — which often feels like a deep cramp for a second and then eases.

Most points take under a minute. The needle is much thinner than an injection needle and there is no substance being introduced.

Expect soreness like after unfamiliar exercise for 24 to 48 hours, sometimes a small bruise. Light movement, warmth and normal activity help; heavy training on that muscle the same day usually does not.

Gains in range and reduced tenderness often appear within a day or two. Reassessment after two or three sessions is more useful than committing to a long block.

Tell your clinician about anticoagulants or bleeding disorders, pregnancy, lymphoedema on that side, local infection or skin problems, needle phobia and any history of fainting. Needling over the thorax and lower neck carries a small pneumothorax risk and requires specific technique.

Contact your clinician urgently if you develop breathlessness, chest pain, spreading redness or fever after a session. This is a clinician-only procedure — it is not something to attempt at home.