Dry Needling & Manual Therapy

Dry Needling & Manual Therapy in Ranchi

Manual therapy and dry needling are highly effective hands-on techniques for releasing tight muscles, restoring joint mobility, and relieving chronic pain, often providing relief that exercises alone cannot achieve.

Techniques We Use

• Dry needling for myofascial trigger points
• Maitland joint mobilisation (grades I - IV)
• Mulligan concept mobilisation with movement
• Myofascial release and deep tissue massage
• Instrument-assisted soft tissue mobilisation (IASTM)
• PNF (proprioceptive neuromuscular facilitation)
• Passive and active stretching techniques

What dry needling actually is

Dry needling uses a fine single use filament needle placed into a tight band of muscle known as a trigger point. It is not acupuncture. Acupuncture works within a traditional Chinese medicine framework of meridians and energy flow, whereas dry needling is based on Western anatomy and targets a specific muscular structure identified on examination. The needle is called dry because nothing is injected. Needles are sterile, used once and disposed of immediately.

What a session feels like

Most people feel the needle entering as very little, sometimes nothing. When the trigger point is reached the muscle may give a brief involuntary twitch, which can feel like a deep cramp for a second or two and then eases. Some muscle soreness for a day or two afterwards is normal and usually feels like the ache after unfamiliar exercise. Mild bruising happens occasionally. We generally combine needling with manual therapy and then exercise in the same session, because releasing a muscle without changing what overloaded it tends to give short lived relief.

What helps between appointments

• Drink water and keep the area gently moving on the day of treatment.
• Expect some soreness for 24 to 48 hours and use heat if it is comfortable.
• Avoid a heavy training session on the treated muscle the same day.
• Do the prescribed exercises, since these are what stop the trigger point returning.
• Report any lasting numbness, spreading redness or significant swelling.

When dry needling is not suitable

Dry needling is avoided or modified if you take anticoagulant medication, have a bleeding disorder, have a needle phobia, are in the first trimester of pregnancy, have an active local infection or skin condition over the area, or have a compromised immune system. Tell your physiotherapist about any implanted device or recent surgery near the area. If needling is unsuitable, manual therapy and exercise achieve much of the same goal without it.