What is a Trigger Point?

A trigger point is a painful spot within a muscle which becomes painful when pressed upon.  When pressed on, trigger points feel like “knots” or tight bands in the muscle, and are usually tender. Healthy muscles usually do not contain knots or tight bands and are not tender to pressure.

There is not conclusive research on the definition of a trigger point.  However, many characteristics have been observed for decades by researchers all over the world. There are many mechanisms by which we develop trigger points. Some of those mechanisms include poor posture, injury to a muscle, muscle overuse, and repetitive stress overload. Trigger points limit range-of-motion and cause muscle fatigue.

Physical Therapy is a common treatment option for trigger point pain. Physical Therapy addresses trigger points by identifying and treating the primary driver of the trigger point.  This is done through trigger point release techniques, massage, dry needling, therapeutic exercise, and posture re-education.  If you are interested in learning how physical therapy can help with your trigger point pain, make an appointment at Harbor Physical Therapy.

What is Dry Needling?

Dry needling is a treatment involving a thin needle, used to target a painful trigger point. A physical therapist feels for the trigger point and then inserts the needle. The needle helps to release the tightness, stimulate blood flow, and promote relaxation to the aggravated muscle. Dry needling is one possible treatment option to be used in conjunction with massage, exercise, heat/ice to help manage pain.  Results can vary from person to person and can range from very short term (hours-days) to more permanent effects.  A physical therapist in the state of Maryland receives special education after physical therapy school to receive a certification in dry needling.  At Harbor Physical Therapy, Dr. David Reymann is a certified myofascial trigger point therapist.  If you are interested in trying dry needling or learning more about it, give Harbor Physical Therapy a call at 443-524-0442.   

Wellness Event- October 2, 2018 at HPT!

Join Charm City Run, CITYFIT, and Harbor Physical Therapy for a FREE Wellness event at Harbor Physical Therapy. The event will include a dry needling demonstration and dry needling sessions with Dr. David Reymann, injury screenings with Dr. Amanda Macht and Dr. Holly Hibbard, Running Gait Analysis with Charm City Run, Yoga and Circuit training.

You will be able to cycle through the different stations to enjoy all the complimentary services being offered by locally owned Baltimore businesses.

If you are driving to this event, we will be validating parking in the Harbor Court Garage on 10 East Lee Street for a discounted rate of $3.

What is Dry Needling?

What is dry needling?

  • Dry needling is a treatment involving a thin needle, used to target a painful trigger point.  A trigger point is a painful muscle “knot” that can limit normalized movement and make every day tasks painful and difficult.

How does it work?

  • The therapist feels for the trigger point and then inserts the needle. The needle helps to release the tightness, stimulate blood flow, and promote relaxation to the aggravated muscle.

Is it like acupuncture?

  • Though both treatments use a thin needle, the dry needling treatment tends to be deeper.  Humans have thick, large muscles and if needed the needle can go as deep as those large muscles and be quite uncomfortable.  Where acupuncture treatment tends to be more skin level and cause less discomfort.  There is no medicine used in the dry needling treatment, it is not an injection.  The treatment can be uncomfortable and painful at times but is generally tolerated well.  The therapist is always present and monitoring patient symptoms.  The therapist will talk you through what to expect before deciding if this is an appropriate treatment for you.

How long does it last?

  • Dry needling is one possible treatment option to be used in conjunction with massage, exercise, heat/ice to help manage pain.  Results can vary from person to person and can range from very short term (hours-days) to more permanent effects.  Generally, no more than 3-4 treatments will be done if no positive results are obtained.

How much does this cost?

  • Dry needling treatment is covered by most health insurance plans.

Should I try dry needling?

  • Dry needling can be helpful in treatment of conditions such as: myofascial pain, tension headaches, fibromyalgia, IT band syndrome, sciatica, piriformis syndrome, rotator cuff syndrome, and chronic neck and back pain.  Talk to your therapist if you think this could be a helpful treatment for you.  Do not consider dry needling if you have a fear of needles, are pregnant, immunocompromised or have systemic infections.

    Dry Needling
    Dry Needling