Dry Needling vs Acupuncture: What Is the Difference?

Dry needling and acupuncture both use fine needles, so it is understandable that the two are often confused. While they may look similar, they come from different approaches and the reasoning behind how they are used can differ.

In this plain-English guide, our Wheelers Hill team explains where each approach comes from, how they are used, and what to consider if you’re wondering about the difference between them.

Where each one comes from

Acupuncture has a long history and is commonly associated with traditional Chinese medicine. Traditional approaches use specific acupuncture points and frameworks, including concepts such as meridians, to guide treatment. Acupuncturists undertake specific training in the practice of acupuncture.

Dry needling is a more recent technique used by some appropriately trained practitioners, including osteopaths, myotherapists and physiotherapists. It draws on anatomy and clinical assessment to guide where needles are applied.

How dry needling and acupuncture are used

In dry needling, a fine, sterile, single-use needle is inserted into a selected area of muscle or soft tissue. It may be used as one part of a broader management plan alongside approaches such as hands-on treatment, movement or exercise.

Acupuncture also involves the insertion of fine needles, but the selection of points and approach to treatment will depend on the acupuncture framework being used and the individual practitioner.

Although the needles may look similar, the training, clinical reasoning and approach behind their use can be different.

Which one is right for you?

Which approach may be appropriate depends on what you are seeking and your individual circumstances. If you are seeing an osteopath or myotherapist for a musculoskeletal concern, dry needling may form part of your care where appropriate.

If you are interested in acupuncture or traditional Chinese medicine, an appropriately qualified acupuncture practitioner can discuss whether that approach may suit you. Neither approach should be viewed as a stand-alone solution for every concern, and it is reasonable to ask your practitioner why they are recommending a particular technique and how it fits into your care.

Dry needling at Living Health Group

At our Wheelers Hill clinic, appropriately trained osteopaths and myotherapists may use dry needling where it is suitable for your individual presentation.

Dry needling is not offered as a stand-alone service at Living Health Group. Where used, it forms part of an individualised management plan that may also include hands-on treatment, movement, exercise or practical strategies based on your needs and goals.

Your practitioner will discuss dry needling with you before using it, and you can always choose whether you would like it included as part of your care.

Is dry needling safe, and does it hurt?

Before dry needling is used, your practitioner will take a relevant history, explain what is involved and consider whether the technique is appropriate for you. Sterile, single-use needles are used, and you will have the opportunity to ask questions before treatment begins.

People experience dry needling differently. You may feel a small prick as the needle is inserted, and some people experience a brief muscle twitch, ache or discomfort during or after treatment. You are always in control, and if you are uncomfortable or would like the treatment to stop, let your practitioner know.

It is also worth knowing what dry needling is not. It is not an injection, and it is not a technique that needs to be part of everyone’s care. Where appropriate, it may be used alongside other approaches such as hands-on treatment, movement and exercise as part of your broader management plan.

Common questions