Most patients experience minimal discomfort. A brief tap when the needle is inserted is typically all that is felt. Many report immediate relief or loosening of tight muscle areas once the needle is in place. In some instances patients may feel a brief, dull ache or a "twitch" sensation when the needle contacts a trigger point — this is the muscle responding to the needle and is actually a sign the treatment is working. The sensation typically lasts only a second or two. Post-treatment soreness (similar to muscle soreness after exercise or a deep tissue massage) is common for 24–48 hours. Most patients find this very manageable and consider it worthwhile for the results.

Dry needling is particularly effective for myofascial pain, muscle tightness, trigger points, headaches (especially cervicogenic and tension-type), neck and back pain, and movement restrictions that persist despite other treatments. It is especially helpful when other soft tissue therapies have plateaued — when massage and stretching provide temporary relief but don't hold.

They use the same type of thin needle, but the philosophy, training, and targets are entirely different. Acupuncture is rooted in traditional Chinese medicine and follows a system of meridians and energy flow. Dry needling is based on Western musculoskeletal anatomy, neurophysiology, and trigger point science — it targets specific dysfunctional muscle tissue identified through physical assessment. At True Health, dry needling is performed by a licensed physical therapist trained specifically in this approach.

Many patients notice significant improvement after 1–3 sessions for acute or straightforward trigger point issues. More complex or chronic presentations may require 4–8 sessions, particularly when dry needling is being used alongside physical therapy as part of a broader rehabilitation plan. Your provider will give you a realistic expectation after assessing your specific situation.

Yes, dry needling at True Health Centers uses sterile, single-use needles that are disposed of immediately after each treatment. There is no reuse. Performed by a trained and certified physical therapist, dry needling has a strong safety profile. Minor bruising or temporary soreness at needle sites is the most common side effect.

Yes, and it's often most effective when it is. At True Health, dry needling is frequently integrated into physical therapy sessions, where it's combined with manual therapy and targeted exercise. It also complements chiropractic care well — addressing the muscular tension that can limit the effectiveness of joint adjustments. Your provider will recommend the best combination for your specific presentation.

We get this question a lot—and it’s a fair one. At True Health Centers, we’ve chosen not to work with insurance companies for physical therapy, and here’s why: Your Care Shouldn’t Be Limited by Insurance Codes Insurance companies often dictate what treatments are covered, how many visits you get, and how long each session can last—regardless of what’s actually best for your body. By staying out-of-network, we’re able to focus entirely on your needs, not the restrictions of a third-party payer. More Time With Your Therapist In an insurance-based clinic, therapists often juggle multiple patients at once due to billing limitations. Here, your sessions are one-on-one, with your full time devoted to personalized, hands-on care. That means faster progress and better outcomes. Real Results—Not Just Checkboxes Insurance typically only covers “reactive” care—meaning you need to be injured or in crisis to qualify. We believe in preventative, functional, and holistic care that addresses the root of your problem and helps you stay healthy long term. Transparent Pricing, No Surprises Without insurance in the middle, there are no unexpected bills weeks later. You’ll always know exactly what your care costs up front, with no hidden fees or confusing statements. Not taking insurance allows us to give you the high-quality, personalized care you deserve—focused on results, not red tape. If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), you can use those funds for your physical therapy here!