Dry Needling is a therapeutic treatment consisting of inserting a mono filament needle into a dysfunctional muscle. Dysfunctional muscles cause pain that can usually refer to other areas of the body. These referral patterns have been well documented by the research and work done by Janet Travell, MD, and David Simons. Dry needling is a very effective treatment for relieving pain associated with myofascial trigger points. There is no injectable solution and typically the needle which is used is very thin. Most patients will not even feel the needle penetrate the skin, but once it has and is advanced into the muscle, the feeling of discomfort can vary drastically from patient to patient. The patient may feel some discomfort of the needle penetrating the dysfunctional muscle that varies from person to person. The most common sensation is of a cramp and release of the muscle that is called a “twitch response.” The twitch response is a positive reaction to the treatment as it indicates that the myofascial trigger point is releasing. Patients typically experience noticeable relief within 2-4 treatments.