Needling is a newer modality in armamentarium of physiotherapist which is used to relieve pain and muscle stiffness

There are two types of needling

1-Dry needling – it is traditional needling without using anything else.

2- Wet needling (Xylocaine) – is needling in which local lidocaine injection is used along with needling.

This therapy is useful to treat trigger points or tense band of muscle or fascia.

The trigger points and painful band in the mayofacial planes are identified by the physiotherapist , the local part is cleaned with antiseptic and under all aseptic precautions

very fine filly form needles are used to reach the deeper muscle and myofascial plane where the trigger point exist. The process of piercing is done several times on the entire area that is felt to be involved. This leads to release of trigger point, which helps the tissue to relax and in turn the pain experienced by the patient is relieved. This helps the recovery process and quickens the rehab of the patient.

During the procedure by and large most patients do not feel pain albeit they may experience a feeling of mild twinge on odd occasions if the muscle band is very tight. Following the needling a cold pack is given to those who feel sore which may be required for up to 24 hours after the procedure in some cases.

Needling technique is used by physiotherapist during the session when they come across trigger point or stiff band which do not respond to usual modalities. It is also used in treating Athlete who come with very sore muscles after increasing their activity or after a strain which persist in spite of usual physio treatment. It helps the athlete to overcome pain quickly and expedite their return back to their game and help to improve their performance.