What happens when dry needling hits a nerve?

Asked by: Nellie Stracke  |  Last update: November 14, 2023
Score: 4.3/5 (70 votes)

If such signs and/or symptoms occur, you should immediately contact your physical therapist or physician. Nerves or blood vessels may be damaged from dry needling which can result in pain, numbness or tingling; however, this is a very rare event and is usually temporary.

Can you damage a nerve with dry needling?

Some dry needling treatments involve repetitive and rapid needle insertions into myofascial trigger points. This type of treatment causes muscle injury and can also damage nerve fibers.

What happens when dry needling hits a trigger point?

Dry needling can reduce muscle tension and improve pain. A twitch can occur when the needle goes into the trigger point, and may be a sign that the therapy is working.

What happens if a needle hits a nerve?

Injections that occur below the deltoid muscle can hit the radial nerve and injections that are too far to the side of the deltoid muscle can hit the axillary nerve. If a nerve is hit, the patient will feel an immediate burning pain, which can result in paralysis or neuropathy that does not always resolve.

Why do I feel worse after dry needling?

It is thought that post-needling soreness is a result of neuromuscular damage caused by the needle, as well as the body's hemorrhagic and inflammatory response to the procedure (1). Experts describe the pain as being similar to that experienced after a sports massage, or after intense exercise (2).

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Should you drink a lot of water after dry needling?

Drinking plenty of water is another way to reduce muscle soreness after dry needling, just like how keeping yourself hydrated after an intense workout session is essential. Gentle, self-massage to the affected area could be beneficial for soreness as well since it keeps the muscles moving.

What is the best thing to do after dry needling?

Your physical therapist may recommend that you:
  • Drink plenty of water. It's important to stay hydrated in the days following dry needling treatment. ...
  • Exercise. Stretch, work out and continue your activities — as long as your pain doesn't return when you do. ...
  • Massage your muscles.

How do you tell if a needle hit a nerve?

Pain is the most frequent symptom of a nerve injury. It is usually described as a severe shooting or burning sensation at the injection site with radiation to the dorsum of the forearm and hand. Patients could also present numbness, paresthesia, hypoesthesia and other sensory disturbance.

How do you know if they hit a nerve?

Common symptoms of nerve injury include: Loss of sensation in the upper arm, forearm, and/or hand. Each nerve supplies different areas of sensation in the upper extremity. The pattern of numbness can help guide the surgeon to the specific injured nerve(s).

How do you know if you nicked a nerve?

The signs of nerve damage

Numbness or tingling in the hands and feet. Feeling like you're wearing a tight glove or sock. Muscle weakness, especially in your arms or legs. Regularly dropping objects that you're holding.

Does dry needling release muscle knots?

Dry needle therapy essentially “wakes up” muscle knots. Once startled, these knots relax back into their natural state.

What are the cons of dry needling?

The Cons
  • It Can Cause Bruising or Swelling. Dry needling can cause some patients to experience bruising or swelling after their session, especially for patients with blood-clotting conditions, immune system disorders, or very thin skin.
  • It May Cause Muscle Soreness. Muscle soreness is a common side effect of dry needling.

How deep does dry needling go?

Common dry-needling techniques include: Superficial: Your provider will insert the needle 5 to 10 millimeters into the bottom layer of your skin (subcutaneous tissue) above the trigger point. Deep: Your provider will insert the needle beyond the subcutaneous tissue deep into your muscle to penetrate the trigger point.

Is nerve damage from a needle permanent?

Uncommonly, there may be weakness in one or more muscles. Most nerve injuries are temporary, and will recover over a period of about three months. Permanent injury does occur on rare occasions. In the most serious cases there can be severe pain or permanent paralysis of the area involved.

Why am I so tired after dry needling?

Remember that dry needling is an invasive treatment, where we are stimulating the muscles, and your body may feel tired after the process. If you have any concerns about how you feel after treatment, please contact the provider.

How long should dry needling hurt?

Often, patients will experience a mild, dull ache during treatment and up to 24 hours post treatment. Some discomfort is experienced during the rapid 'twitch response' but this discomfort is minimal and last only a few seconds. It is normal to have mild to moderate muscle soreness after dry needling treatment.

How long does it take to recover from hitting a nerve?

You may need to rest the affected area until it's healed. Nerves recover slowly, and maximal recovery may take many months or several years.

How long do damaged nerves take to heal?

Regeneration time depends on how seriously your nerve was injured and the type of injury that you sustained. If your nerve is bruised or traumatized but is not cut, it should recover over 6-12 weeks. A nerve that is cut will grow at 1mm per day, after about a 4 week period of 'rest' following your injury.

What does a healing nerve feel like?

Recovery is a slow process, and the biggest thing you can do to regain nerve sensation and function is to move consistently. You may experience tingling feelings and possibly sensations similar to electrical shock, which is a good sign of having new sensitive nerves.

Can you sue a doctor for hitting a nerve with a needle?

If you suffer injection injuries as a result of professional negligence, you may have a basis to file a medical malpractice lawsuit. Medical malpractice occurs if a health care provider does not meet the accepted standards and practices of the medical community and thereby causes or contributes to an injury.

How will you know if you inadvertently puncture a nerve?

Direct puncture nerve injury usually causes immediate symptoms, including: sharp acute pain at venipuncture site. sharp shooting pain up or down the arm. sensation of pain that changes in severity depending on needle position.

What are the stages of nerve healing?

To achieve full recovery, the nerve must undergo three main processes: Wallerian degeneration (the clearing process of the distal stump), axonal regeneration, and end-organ reinnervation.

How often should you get dry needling?

Most patients experience an immediate improvement in functionality and mobility after a dry needling treatment and will feel less pain within the first 24 hours. After undergoing 2 or 3 sessions one time per week you will usually feel the lasting positive effects of dry needle therapy.

What happens the day after dry needling?

The majority of patients report having sore muscles after dry needling. The targeted muscles may feel like they are a bit bruised but also more relaxed at the same time. It is common for the soreness to last between a few hours and a few days. Drinking plenty of water will speed up recovery.

How much is too much dry needling?

How many sessions of dry needling will I need? Results' dry needling patients average 2-3 sessions, and will not use more than 5-6 except in rare circumstances.