We consider our approach to dry needling to be an integrated one for a few reasons. Firstly, we rarely advocate that dry needling be employed as a stand-alone intervention. While sometimes treatment may commence with only dry needling, most of the time it can be safely and effectively combined with other modalities such as exercise or manual therapy.
For longer term functional gains, a multi-modal treatment regimen is usually required, whether this be a biomechanical approach or graded exposure to activity for patients who are centrally sensitized. Secondly, we use the term “integrated” because our course content integrates various frameworks and concepts for dry needling including neuropathic/radiculopathic and myofascial trigger point paradigms.
Lastly, the skills learned on this course integrate a wide array of dry needling methods including deep perpendicular and transverse insertions as well as dry needling techniques adapted from myofascial trigger point injection methods.