A while back, I went to a therapist who does only dry needling, nothing else -extremely intense sessions. An hour of non-stop needling left me feeling overall unwell with a flare-up of symptoms which took a week to get over after each session. I think the overload of needling caused a lot of inflammation. However, I think dry needling could be very beneficial if combined with other modalities and done judiciously, not overdone. The needling definitely loosened seized up traps and helped with some of the face pain I have. I'm on the fence about surgery, looking for yet another PT, and hoping I'll find someone with dry needling experience. A paper on point: http://www.spinalmanipulation.org/db...ndrome%20(2000)