dry needling

Dry Needling

Is Dry Needling acupuncture? 

No, TDN is based on Western medical research and principles, whereas acupuncture is based on Traditional Chinese Medicine. The main similarity is that the same sterile, disposable solid filament needles are used. 

Does Dry Needling hurt? 

You may or may not feel the insertion of the needle. The specific needle manipulation is intended to produce a local twitch response that can elicit a very brief (less than a second) painful response some patients describe as a deep ache, pressure, or cramping sensation. Again, the therapeutic response occurs with the elicitation of the local twitch response and is a desirable reaction.

What can I expect after treatment? 

Improvements may be seen after the first visit, such as increased range of motion, ease of movement and decreased signs/symptoms. Many patients report being sore after the treatment.  Typically, this soreness lasts between a few hours and two days, and there may be occasional bruising.

Do I have to have chiropractic joint manipulation to have Dry Needling performed?

No! Dry needling and other manual therapies can be offered independent of a chiropractic manipulation. Gentle joint mobilization can achieve similar results, but instead of a quick force, a slow oscillating movement is used. Fees for Chiropractic & Manual Therapy Appointments are based on time, however there is a $5.50 supply fee added to each appointment where dry needling is performed.

What are the fees for Chiropractic & Manual Therapies appointments?

The fees vary based on appointment type and time.

  • 60 Minute New Patient Appointment: $155 (Danvers) - $195 (Charlestown) - Includes a consultation with Dr. Zubiel, including a detailed health history, discussion of complaints and goals, and physical evaluation. If time permits, treatment is included (joint manipulation/mobilization, soft tissue therapy, myofascial release, dry needling, and/or therapeutic exercises) at no additional cost.

  • 15 Minute Follow-Up Appointment: $55 - Appointment may include joint manipulation/mobilization, soft tissue therapy, myofascial release, therapeutic exercises, and/or dry needling (additional $10 fee for DN).

  • 30 Minute Follow-Up Appointment: $110 - Appointment may include joint manipulation/mobilization, soft tissue therapy, myofascial release, therapeutic exercises, and/or dry needling (additional $10 fee for DN).

Due to limited schedule availability, full payment is required at the time of booking and new patient appointments are non-refundable. All major credit cards, including HSA and FSA cards, are accepted.

We do not accept or participate with any health insurance companies. Upon request, we will provide you with a superbill (contains diagnosis and CPT codes for services performed) to submit to your health insurance for possible out-of-network reimbursement.

Chiropractic & Manual Therapies appointments are offered out of Danvers and Boston locations.

For more information, please see our FAQs and Terms of Service.

What is Trigger Point Dry Needling (TDN)? 

TDN is the use of small, solid filament needles that are inserted through the skin and into the muscle to release painful myofascial trigger points. Dry needling results in the deepest tissue release allowing for improvements in movement and pain. Needles are inserted in a contracted, painful, knotted muscle to create a local muscle twitch reflex, which is the first step in breaking the pain cycle as research shows it will decrease muscle contraction, reduce chemical irritation, improve flexibility and decrease pain. TDN will also produce a controlled lesion and will cut between three to fifteen thousand individual muscle fibers. The body considers the needle a foreign invader and will activate the immune system as a response. The cut muscle fibers also produce an inflammatory reaction that your body will respond to by reducing inflammation locally.