Fine, solid needles reach the deep trigger points and irritated tissue that hands alone cannot, so tight muscle lets go and your joints can move freely again.

Trigger point dry needling, also called intramuscular manual therapy, is a skilled physical therapy technique. Your therapist uses micro-thin, solid filiform needles to reach myofascial trigger points, the hyper-irritated bands of muscle most people call knots, along with irritated nervous tissue that manual therapy alone cannot reach. Nothing is injected. The needle itself is the treatment.
When the needle reaches a tight band of muscle, it often draws a brief twitch response. That twitch is the muscle letting go. Dry needling releases deep tension, resets overactive pain pathways, increases local blood flow and speeds up your body's natural tissue healing.
At Fix It, dry needling is never a stand-alone fix. It is one tool inside the F.A.S.T Approach™. Releasing overactive tissue makes it easier to restore normal joint motion, and once the joint moves well, we build the strength and motor control that keep it moving well. Dr. Libby Lindberg, DPT, is certified in dry needling through the AAMT, and Dr. Joe Herdzina, DPT, SCS, OCS, brings more than a decade of experience in dry needling and advanced manual therapies.
Your therapist will always explain why dry needling is being suggested, which muscles it targets and how it connects to the joint motion and strength work that follows, so you understand every step of your plan.
Dry needling is a good fit when deep muscle tension is part of the problem. Your therapist decides during your evaluation whether it belongs in your plan, and you always have the final say.
Some trigger points sit too deep for massage or stretching to change. A fine needle reaches them directly, releasing tension in the muscles of the neck, shoulders, back, hips and legs so the joints around them can move freely again.
When an overactive muscle keeps guarding a joint, pain tends to return no matter how much you rest. Dry needling helps reset those overactive pain pathways so the relief from your joint work has a real chance to hold.
Runners, skiers, lifters and weekend athletes often carry deep tension from training. Releasing it, then retraining how you move, helps you get back to your sport and stay there without the same tightness creeping back.
Dry needling happens inside a regular physical therapy visit. Here is how it fits.
We start with your movement and joint mechanics to find what is driving your pain. If trigger points are part of the picture, your therapist explains how dry needling works and what you may feel before anything begins.
Your therapist places a fine, solid needle into the targeted trigger point. You may feel a brief twitch or a deep ache as the muscle releases. The needles come out within the same visit, and many people notice their range of motion change right away.
With the tissue released, we restore normal joint motion and move into targeted exercise and neuromuscular re-education, so your muscles learn to fire at the right time and the change lasts.
Tell your therapist if you are pregnant, take blood thinners, have a bleeding disorder or feel anxious about needles. These do not always rule out dry needling, but your therapist needs to know so your care can be adjusted, and you can always choose a different technique.
My experience at Fix It PT is always excellent. They do a great job in identifying the areas of my body that are causing the pain and stress of my everyday tasks and she addresses those areas immediately during our appointment. They also provides insight and knowledge into the root causes of the pain I am experiencing and provides helpful tips in how to avoid aggravation of these sensitive pain areas of my neck, back and leg. Thank you!

Hands-on joint facilitation and mobilization that restore natural, pain-free motion.

Adult and senior care built on the F.A.S.T Approach™ and lasting strength.

Break the cycle of pain that lingers by fixing the mechanics underneath it.