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What Is Dry Needling?

Dry needling is a skilled therapeutic technique that involves inserting thin, solid filament needles into specific areas of muscular tension—commonly referred to as trigger points—as well as other dysfunctional tissues such as tendons, ligaments, or near nerve pathways. The goal is to reduce pain, restore function, and promote tissue healing by improving local circulation, neuromuscular control, and decreasing abnormal muscle tone.

Despite similarities in appearance, dry needling is not acupuncture. While acupuncture is based on Traditional Chinese Medicine (TCM) and meridian theory, dry needling is rooted in Western medicine and neuroscience. It focuses on musculoskeletal, fascial, and neural dysfunctions identified through orthopedic, biomechanical, and neurological assessments.

How Is It Different From Acupuncture?

Although dry needling and acupuncture may look similar due to their use of fine needles, they are fundamentally different in origin, intent, and application. Dry needling is rooted in modern Western medicine, based on anatomical and neurophysiological principles. It specifically targets trigger points, motor points, connective tissue, and peripheral nerves to address neuromuscular dysfunction and orthopedic pain. In contrast, acupuncture is based on Traditional Chinese Medicine and focuses on balancing the body’s energy, or “Qi,” through meridian pathways. While acupuncture is often used for a wide range of systemic health concerns, dry needling is primarily used for musculoskeletal issues and is typically integrated into a broader rehabilitation strategy that includes assessment, movement retraining, and corrective exercise.

Dry Needling as Part of a Long-Term Rehabilitation Strategy

Dry needling is not a cure-all, nor is it a standalone solution. At our practice, dry needling is integrated into a broader, individualized rehabilitation plan that also includes:

• Functional movement assessments
  
  

• Myofascial and soft tissue techniques
  
  

• Joint mobilizations (when necessary)
  
  

• Breath and postural training
  
  

• Corrective and progressive exercises
  
  

The needle simply acts as a catalyst—it helps reset the dysfunctional neuromuscular system, providing a temporary window of opportunity to restore movement, reinforce new motor patterns, and build lasting strength and stability.

By addressing both the symptom (pain/tightness) and the cause (movement dysfunction or motor control issues), we help patients move toward true recovery rather than temporary relief.

What Does the Research Say?

A growing body of research supports the use of dry needling in the management of musculoskeletal pain and dysfunction, particularly when used in conjunction with movement-based rehabilitation.

• Low Back Pain: A meta-analysis by Liu et al. (2018) in Evidence-Based Complementary and Alternative Medicine found that dry needling significantly reduced pain and improved function in patients with chronic low back pain when compared to sham or no treatment interventions.

• Neck Pain: Kietrys et al. (2013) conducted a systematic review published in Physical Therapy and found moderate evidence that dry needling reduced pain and improved function in patients with myofascial neck pain.

• Shoulder Pain and Rotator Cuff Injuries: A systematic review and meta-analysis by Navarro-Santana et al. (2020) published in the Journal of Orthopaedic & Sports Physical Therapy demonstrated that dry needling significantly reduced pain and improved function in shoulder-related dysfunctions, particularly when combined with exercise.

• Plantar Fasciitis & Achilles Tendinopathy: Emerging evidence, such as that from Cotchett et al. (2014) in Journal of Foot and Ankle Research, suggests dry needling offers improvements in plantar fasciitis symptoms when combined with stretching and loading protocols. Similar findings are reported in Achilles tendinopathy cases when dry needling is paired with eccentric loading exercises.

These findings support a multimodal approach—dry needling as one part of a broader treatment plan involving movement correction, neuromuscular retraining, and strength progression.

“Dry needling alone does not fix the problem—it prepares the body to accept the fix. That fix comes through movement retraining, strength, and education.”

What to Expect

The procedure is typically well tolerated, although you may feel a twitch or cramp-like sensation when the needle hits a trigger point. Some soreness afterward is common, much like after a deep tissue massage. Most people report significant improvement in mobility, pain, and muscle function within 1–3 sessions when combined with an appropriate exercise-based plan.

If you're dealing with pain, restricted movement, or a nagging injury that hasn’t responded to other methods, dry needling may be a powerful part of your healing process. Reach out to schedule an evaluation to see if it’s the right fit for your care.

Manual therapy is a hands-on approach used to reduce pain, improve mobility, and restore optimal function by addressing soft tissue and joint dysfunctions. At Move Better, we don’t rely on any one technique to “fix” the problem—we use manual therapy to create a window of opportunity for movement correction and motor control retraining.

These techniques help reduce barriers to healing, but the real change comes when we teach your body to move better, breathe better, and stabilize efficiently. Manual therapy is part of the equation, not the entire solution.

Active Release Technique (ART)

ART is a hands-on, movement-based soft tissue technique that applies precise tension to muscles, tendons, ligaments, or fascia while the patient actively moves the affected area. This method is designed to break down adhesions, improve tissue glide, and restore proper length–tension relationships. It’s particularly effective in treating repetitive strain injuries, postural overload, and mobility restrictions.

At Move Better, ART is not used as a standalone intervention—it’s a tool to reduce tissue barriers so that we can reintroduce proper movement and reinforce long-term motor control.

What the Research Shows:

Pain Reduction and Range of Motion Improvements
A randomized controlled trial by Kim et al. (2015) investigated the effects of ART on patients with chronic neck pain. Compared to joint mobilization, ART led to significantly greater improvements in pain (visual analog scale), cervical range of motion, and pressure pain threshold in the upper trapezius and other cervical muscles.

Kim, J. H., Kim, Y. H., & Lee, J. H. (2015). Effects of active release technique and joint mobilization on pain and range of motion in patients with chronic neck pain: A randomized controlled trial. Journal of Physical Therapy Science, 27(8), 2461–2464.

Tissue Sensitivity and Function in Muscle Strain
In a pilot study by James and Vincent (2011), ART applied to patients with adductor muscle strain resulted in a measurable increase in pressure pain threshold immediately after treatment.

James, C. R., & Vincent, J. (2011). Effects of active release technique on pressure pain threshold in the adductor muscles of the thigh: A pilot study. International Journal of Therapeutic Massage & Bodywork, 4(1), 14–19.

Systematic Review Evidence
A 2022 systematic review by Boudreau et al. analyzed nine clinical studies on ART and found consistent improvements in pain, range of motion, and function across a range of musculoskeletal conditions including neck pain, low back pain, and tendon injuries.

Boudreau, S. A., Roussel, N. A., & Walker, B. F. (2022). Effects of the Active Release Technique on pain and disability in musculoskeletal conditions: A systematic review. Journal of Bodywork and Movement Therapies, 28, 126–133.

Anatomy Trains-Inspired Techniques

Anatomy Trains is a fascial-based model developed by Thomas Myers that maps the body’s connective tissue lines—known as myofascial meridians. These lines show how tension, dysfunction, or compensation in one area (like the big toe) can affect other distant areas (like the hip) due to fascial continuity. Techniques based on this model aim to restore balance across the entire kinetic chain, rather than treating isolated symptoms.

At Move Better, we use this model to assess postural loading, global movement patterns, and fascial relationships that influence performance, pain, and mobility. Techniques include long-lever myofascial releases, dynamic stretching along fascial lines, and movement cueing that respects how the body functions as an integrated whole.

What the Research Shows:

A 2016 anatomical review by Wilke et al. confirmed structural continuity and force transmission across myofascial lines, especially the posterior chain. This provides the scientific basis for techniques targeting entire fascial systems.

A 2018 randomized trial by Do et al. found that self-massage of the plantar fascia significantly improved hamstring and lumbar spine flexibility—a strong functional example of the Anatomy Trains concept in action.

In 2019, Yelverton et al. demonstrated that manual treatment to the plantar fascia in patients with plantar fasciitis improved not only pain but also ankle dorsiflexion and mobility, reinforcing the idea that chain-based interventions affect global motion.

These findings suggest that fascial-chain-based approaches may produce broader, longer-lasting effects than segmental techniques alone—especially when followed by targeted movement retraining.

Do, M., Yoo, W., & Lee, Y. (2018). The effects of self-myofascial release of the plantar fascia on flexibility and balance. Journal of Physical Therapy Science, 30(3), 363–366.

Wilke, J., Krause, F., Vogt, L., & Banzer, W. (2016). What is evidence-based about myofascial chains: A systematic review. Journal of Anatomy, 229(5), 539–550. 

Yelverton, C., Seed, S. M., Hart, J. M., & Hertel, J. (2019). The effect of plantar fascia massage on dorsiflexion range of motion and dynamic balance. International Journal of Sports Physical Therapy, 14(5), 781–788.

These techniques are especially valuable for persistent or recurring movement dysfunctions where local treatments have failed. By addressing whole-body tension patterns, Anatomy Trains-informed work often reveals the "silent contributors" to pain—and allows us to integrate those findings into your corrective movement plan.

Instrument-Assisted Soft Tissue Mobilization (IASTM)

IASTM uses specialized tools to treat soft tissue dysfunction, break down scar tissue, improve circulation, and stimulate healing in areas of chronic tightness or injury.

A 2016 systematic review by Cheatham et al. concluded that IASTM improves range of motion and reduces pain across various soft tissue injuries, particularly when combined with exercise-based rehab.
Cheatham et al., J Can Chiropr Assoc. 2016

A 2017 trial by Kim et al. also found that IASTM significantly improved pain, grip strength, and function in individuals with lateral epicondylitis (tennis elbow).

Kim et al., J Phys Ther Sci. 2017

Fascial Distortion Model (FDM)

FDM is a hands-on approach that interprets movement restrictions and pain through a fascial lens, targeting distortions in fascia to quickly reduce symptoms and restore motion.

A 2023 randomized controlled trial demonstrated that FDM significantly reduced pain and improved range of motion and quality of life in patients with piriformis syndrome, particularly when combined with neuromuscular techniques.
[Dogan et al., J Bodyw Mov Ther. 2023]

Additional studies on plantar fasciitis and shoulder conditions have shown that FDM-guided interventions result in improved function and long-term symptom relief.

Neurodynamics (Nerve Gliding)

Nerve mobilization, or neurodynamics, aims to restore normal mobility and sensitivity of nerves that have become restricted due to inflammation, compression, or chronic tension.

A 2017 systematic review by Basson et al. found moderate-quality evidence that neurodynamic techniques reduce pain and improve function in conditions such as sciatica, carpal tunnel syndrome, and cervical radiculopathy.
Basson et al., J Man Manip Ther. 2017

By restoring the nerve’s ability to glide and transmit signals properly, these techniques often resolve radiating symptoms or nerve-related dysfunctions.

Mulligan Technique (Mobilization with Movement)

This method combines specific hands-on joint mobilization with your active movement to correct positional faults and restore pain-free range of motion. It’s particularly effective for restricted joints, postural dysfunctions, and movement-related pain in the spine and extremities.

A study by Vicenzino et al. (2006) demonstrated that Mulligan’s mobilization with movement significantly improved grip strength and pain in patients with lateral epicondylalgia compared to placebo.
[Vicenzino et al., Br J Sports Med. 2006;40(11):952–957]

Other trials have shown effectiveness in improving cervical range of motion and reducing neck pain, suggesting it works well when patients are actively engaged during treatment.

Reid et al. (2008) showed that cervical MWM increased rotation range and reduced headache symptoms in cervicogenic headache patients.
[Reid et al., Man Ther. 2008;13(5):444–453]

McKenzie Method (Mechanical Diagnosis and Therapy, MDT)

MDT is a patient-driven system that uses repeated movement testing to identify directional preferences for pain relief. It empowers patients through specific home exercises that reduce symptoms, centralize pain, and improve spinal function—particularly effective for discogenic back or neck pain.

A Cochrane review by Machado et al. (2006) found that MDT significantly improved pain and disability in patients with chronic low back pain, especially when compared to passive modalities.
[Machado et al., Cochrane Database Syst Rev. 2006;(2):CD002208]

Research has also shown that MDT can reduce the need for imaging, prevent recurrence, and improve self-management strategies—making it a cornerstone of our movement-based rehab model.

Long et al. (2004) found that matched directional exercises reduced pain and improved function more effectively than generic exercises or therapist-selected interventions.
[Long et al., Spine. 2004;29(8):903–911]

Chiropractic Adjustments

Spinal and joint adjustments—also known as high-velocity, low-amplitude (HVLA) manipulations—can improve joint mechanics, reduce pain sensitivity, and create short-term improvements in range of motion. At Move Better, adjustments are used strategically and sparingly—not as the foundation of care.

A comprehensive review by Bronfort et al. (2010) concluded that spinal manipulation can be effective for acute and chronic back pain, neck pain, and headaches—especially when combined with exercise, education, or manual therapy.
[Bronfort et al., Spine J. 2010;10(12):1176–1188]

Additionally, a 2018 study by Coulter et al. found that patients who received spinal manipulation alongside usual medical care for low back pain had greater improvements in function and satisfaction than those who did not.

[Coulter et al., JAMA Netw Open. 2018;1(3):e180105]

In our approach, adjustments are never the endpoint—they’re simply one of many tools we may use to help open up restricted motion before we reinforce it through movement retraining.

A Unified Approach

Whether we're using soft tissue techniques, joint mobilizations, directional movement protocols, or adjustments, our goal is always the same: reduce pain, restore motion, and teach your body how to keep those changes. Manual therapy is a starting point—the real transformation comes when we combine it with intentional movement, breathwork, and education.

“Mobilize, then move. Adjust, then activate. Release, then reprogram.”

That’s how we help you not only feel better—but move better, for good.

Manual Therapy as a Catalyst, Not a Cure

All of these techniques serve as tools—not standalones. They reduce tension, clear movement restrictions, and calm the nervous system. But the long-term change comes through what follows: guided breathwork, neuromuscular retraining, corrective exercise, and movement education.

“Manual therapy prepares the body. Movement retraining reprograms it. Together, they create sustainable change.”
(This quote reflects our clinical philosophy, not a direct source.)

If you’ve tried massage or stretching and found only temporary relief, manual therapy at Move Better may be what finally helps you move, feel, and function better—because we don’t stop at hands-on care. We move you forward.

This is where the rubber meets the road. Corrective exercises will be given to each patient based on the patient's needs, progression, and exam/re-evaluation findings. 

Each exercise is will be reviewed with each patient and video links will be provided for all exercises including relevant information like: reps, sets, duration, hold times, order to perform exercises, and more. 

Unlock Your Peak Performance with Dr. Rumbuc and Move Better

If you're striving to elevate your athletic performance, Dr. Rumbuc is here to help. As a certified Performance Enhancement Specialist, Dr. Rumbuc employs cutting-edge evaluation and assessment techniques designed to help you achieve your goals and perform at your absolute best.

Move Better: Personalized Training for Every Individual

At Move Better, we cater to individuals of all ages and athletes aiming to take their health, fitness, or athletic abilities to the next level. Our philosophy is rooted in the belief that training should be as unique as you are. That’s why we don’t do “whiteboard workouts” or rely on “cookie-cutter programs.” Instead, we focus on creating tailored programming based on progressive development and the acquisition of essential tools for success.

What sets us apart from other local gyms or training centers is our individualized approach. We understand that each person responds differently to training due to various factors, and we take these into account when designing your program. It’s one of the “secrets” to our success and a key reason why our results can’t be replicated.

Hands-On Coaching for Maximum Results

At Move Better, we focus exclusively on solo training to ensure every client receives unparalleled personalized attention. Our dedicated coaching approach guides you through every step of your program, maximizing your progress and delivering results tailored to your unique goals. Whether you're looking to enhance your athletic performance, resolve chronic pain, or achieve peak physical condition, we are here to help you succeed—one-on-one, every time. 

The Journey Starts with a Comprehensive Assessment

Every client at Move Better begins their journey with an in-depth physical assessment. This evaluation gathers critical information about your unique needs, abilities, and goals. From there, we design a customized training program tailored specifically for you, ensuring that every detail is addressed to optimize your results.

Move Better is more than just a resource—it’s a transformative experience. If you’re ready to move better, feel better, and perform better, we’re here to help you reach new heights.

If you are looking for a guest lecturer to speak at your event, please reach out with any inquiries. Dr. Rumbuc has lectured across the country for continuing education over various rehabilitation topics. Some of the previous subjects Dr. Rumbuc has lectured on are:

Rehabilitation Fundamentals

Breathing: The Core We Forget About

Foot to Core Connection 

Nerve Entrapment

The Pelvic Floor and Our Core

Understanding the Gait Cycle with Clinical Considerations

Neurodynamics

Myofascial release

End Range Loading: Part of the Puzzle for Maintaining Mobility