Dry needling is a procedure that involves the insertion of a thin filament needle into soft tissue, muscle, or peripheral nerves to promote a healing effect that leads to decreased pain and improved tissue function. This procedure is not acupuncture, although the needles are similar. Dry needling is based on known neuroanatomy and the physiologic effect of therapeutic lesions that are created when thin filament needles are inserted into our body's tissue. This is a great tool to assist in effectively treating many conditions including chronic pain, fibromyalgia, radicular pain from the neck or low back, muscular strains, and trigger points. Dry needling is a great option for patients who have not had successful physical therapy in the past or have had increased pain with prescribed exercise and manual therapy.