WP_Query Object
(
[query] => Array
(
[category__in] => Array
(
[0] => 66
[1] => 64
)
[post__not_in] => Array
(
[0] => 7333
)
[posts_per_page] => 50
[ignore_sticky_posts] => 1
[orderby] => desc
[_shuffle_and_pick] => 3
)
[query_vars] => Array
(
[category__in] => Array
(
[0] => 66
[1] => 64
)
[post__not_in] => Array
(
[0] => 7333
)
[posts_per_page] => 50
[ignore_sticky_posts] => 1
[orderby] => desc
[_shuffle_and_pick] => 3
[error] =>
[m] =>
[p] => 0
[post_parent] =>
[subpost] =>
[subpost_id] =>
[attachment] =>
[attachment_id] => 0
[name] =>
[pagename] =>
[page_id] => 0
[second] =>
[minute] =>
[hour] =>
[day] => 0
[monthnum] => 0
[year] => 0
[w] => 0
[category_name] => nature_healing
[tag] =>
[cat] => 66
[tag_id] =>
[author] =>
[author_name] =>
[feed] =>
[tb] =>
[paged] => 0
[meta_key] =>
[meta_value] =>
[preview] =>
[s] =>
[sentence] =>
[title] =>
[fields] =>
[menu_order] =>
[embed] =>
[category__not_in] => Array
(
)
[category__and] => Array
(
)
[post__in] => Array
(
)
[post_name__in] => Array
(
)
[tag__in] => Array
(
)
[tag__not_in] => Array
(
)
[tag__and] => Array
(
)
[tag_slug__in] => Array
(
)
[tag_slug__and] => Array
(
)
[post_parent__in] => Array
(
)
[post_parent__not_in] => Array
(
)
[author__in] => Array
(
)
[author__not_in] => Array
(
)
[search_columns] => Array
(
)
[suppress_filters] =>
[cache_results] => 1
[update_post_term_cache] => 1
[update_menu_item_cache] =>
[lazy_load_term_meta] => 1
[update_post_meta_cache] => 1
[post_type] =>
[nopaging] =>
[comments_per_page] => 50
[no_found_rows] =>
[order] => DESC
)
[tax_query] => WP_Tax_Query Object
(
[queries] => Array
(
[0] => Array
(
[taxonomy] => category
[terms] => Array
(
[0] => 66
[1] => 64
)
[field] => term_id
[operator] => IN
[include_children] =>
)
)
[relation] => AND
[table_aliases:protected] => Array
(
[0] => wp_term_relationships
)
[queried_terms] => Array
(
[category] => Array
(
[terms] => Array
(
[0] => 66
[1] => 64
)
[field] => term_id
)
)
[primary_table] => wp_posts
[primary_id_column] => ID
)
[meta_query] => WP_Meta_Query Object
(
[queries] => Array
(
)
[relation] =>
[meta_table] =>
[meta_id_column] =>
[primary_table] =>
[primary_id_column] =>
[table_aliases:protected] => Array
(
)
[clauses:protected] => Array
(
)
[has_or_relation:protected] =>
)
[date_query] =>
[request] =>
SELECT SQL_CALC_FOUND_ROWS wp_posts.ID
FROM wp_posts LEFT JOIN wp_term_relationships ON (wp_posts.ID = wp_term_relationships.object_id)
WHERE 1=1 AND wp_posts.ID NOT IN (7333) AND (
wp_term_relationships.term_taxonomy_id IN (64,66)
) AND ((wp_posts.post_type = 'post' AND (wp_posts.post_status = 'publish' OR wp_posts.post_status = 'acf-disabled')))
AND ID NOT IN
(SELECT `post_id` FROM wp_postmeta
WHERE `meta_key` = '_pilotpress_level'
AND `meta_value` IN ('','employee')
AND `post_id` NOT IN
(SELECT `post_id` FROM wp_postmeta
WHERE `meta_key` = '_pilotpress_level'
AND `meta_value` IN ('' )))
GROUP BY wp_posts.ID
ORDER BY wp_posts.post_date DESC
LIMIT 0, 50
[posts] => Array
(
[0] => WP_Post Object
(
[ID] => 8675
[post_author] => 3
[post_date] => 2022-05-31 22:37:05
[post_date_gmt] => 2022-05-31 22:37:05
[post_content] => I am often asked, “What’s the difference between acupuncture and dry needling?” So, I thought I’d answer the question for everyone in our community who might be interested, and offer some history and science along the way.
“Dry needling” is a term that has grown tremendously in usage over the past decade because it’s a newly adopted practice by many physical therapists. It essentially consists of inserting acupuncture needles into tight muscles. In many states, acupuncturists have fought physical therapists’ attempts to expand their scope of practice to include this procedure. However, physical therapists outnumber acupuncturists by about seven to one, which means stronger state organizations and greater legal power.
Acupuncturists argue that physical therapists are essentially stealing their medicine and calling it something different. In some states physical therapists can practice dry needling with no training in it; in others they typically complete a 55-hour course. By comparison, a licensed acupuncturist generally receives about 500 hours of instruction in the acupuncture-specific portion of their training.
For a few centuries in the West and a couple millennia in China, observers of the human body have known about nodules that occur in tight muscles and are associated with chronic, complex pain patterns. You might just call them “knots.” In the mid-1900s a doctor named Janet Travell coined the term myofascial trigger point to describe this phenomenon. About 90% of them are found at the locations of acupuncture points, which were mapped out on bronze statues at least 1,000 years B.C.E.
Travell explained that myofascial trigger points are irritable regions in our connective tissue (muscle and fascia) that get stuck in a contracted state. They make muscle fibers taut, reducing muscle strength and range of motion, and causing pain, numbness, and other symptoms that often spread to areas far from where they originate. In many cases, what we perceive to be a visceral problem (heart attack, ulcer, migraine, irritable bowel, urinary tract infection, etc.) is actually the symptom of one or more trigger points. I believe trigger points are responsible for most of the physical pain humans experience.
Travell and her colleague David Simons went on to chart the locations and symptoms of trigger points in every major muscle. Travell became John F. Kennedy’s doctor (the first female presidential physician) and his family credited her with saving Kennedy’s political career by curing his back pain through the release of myofascial trigger points.
Travell (and researchers before her) discovered that it’s possible to release a trigger point through a simple procedure she called “ischemic compression.” It basically entails pressing firmly on the center of a trigger point for about half a minute until it softens. Travell’s maps and manual techniques for releasing trigger points were adopted by physical therapists over the following decades. (For what it’s worth, body workers have probably been doing ischemic compression for ages, without calling it ischemic compression.)
Travell also found that she was able to release trigger points by injecting them with numbing agents or saline. However, it emerged that the most effective aspect of this practice wasn’t the injection of fluid, but the mechanical act of probing at the trigger point with a needle. That is, a release could be accomplished even with a “dry” needle, without injecting anything.
Based on this new expression, one could say that all acupuncture is “dry needling.” This is precisely what acupuncturists have always done, although the insertion of needles into these local epicenters of pain is generally just one aspect of an effective acupuncture treatment. What makes an acupuncture treatment holistic (i.e., addressing the whole person) is that the treatment also addresses the underlying mechanisms that led to the surface issue (e.g., stress, diet, digestive problems, more global structural or energetic imbalances, etc.).
In the 1980s, an osteopath and acupuncturist named Mark Seem, founder of Tri-State Acupuncture College in New York City, began integrating Travell’s trigger point maps into traditional acupuncture. He met with Travell and demonstrated his approach. Travell immediately recognized the value of using a much thinner, solid, and springy acupuncture needle (which has a cone-shaped tip), as compared to the hypodermic needles she had been using (which have a scalpel-like hollow beveled tip).
Over the following decades, physical therapists gradually discovered that “dry needling” with acupuncture needles is often a faster and more effective trigger point release method as compared to the various forms of pressure, friction, stretching, exercise, and structural education that have been part of the physical therapists’ palette for their hundred-ish year history. In court cases between acupuncturists and physical therapists, PTs often argue that the insertion of needles into trigger points is a simply an extension of these “manual therapies” described in their scope of practice, and the decision comes down to whether or not the judge agrees.
The other common argument by PTs is that there are many differences between dry needling and acupuncture. In my opinion, having observed PTs doing dry needling and having studied many styles of acupuncture, there’s clear evidence that acupuncturists have been doing everything encompassed in dry needling for a very long time. PTs have insisted that because they know nothing of the acupuncture meridians (energy circuits along which acupuncture points are located), dry needling therefore isn’t acupuncture. But this is like saying that because you haven’t studied anatomy, when you cut into someone with a scalpel you’re not actually doing surgery. Further, there are many systems of acupuncture, several of which don’t utilize meridians.
Enough about the arguments. My purpose isn’t to determine whether or not it’s right for physical therapists to do dry needling, but to clarify the differences in the consumer’s experience.
While acupuncture is great for pain, not all acupuncturists are pain specialists, and most acupuncturists don’t specifically target the trigger points mapped by Travell. If that’s what you’re looking for, it may be worth seeking out an acupuncturist who specializes in pain. Or you might be happy with a skilled physical therapist who does dry needling.
Both acupuncturists and physical therapists run the spectrum from mediocre to brilliantly talented. I have no doubt that there are some masterful PTs out there who get great results doing acupuncture (dry needling) – perhaps better for structural issues than an average-level acupuncturist. I have had patients ask me to “fix” them after a painful dry needling session from a PT that worsened their condition, and I’ve had other patients report good results from dry needling.
If you are skittish about needles, you may not enjoy dry needling from a physical therapist, since it tends to be more intense than the average acupuncture treatment. That said, any form of acupuncture that specifically focuses on releasing trigger points is unlikely to be painless. Regardless of the style of acupuncture I’m performing, I always tell my patients I’m not the person to see if they don’t want to feel anything; I believe a certain degree of sensation is productive.
If you’re someone who cares about how much training your practitioner has received, perhaps it’s meaningful to you that an acupuncturist typically spends ten times as many hours learning their craft than a physical therapist spends learning dry needling. (And virtually all of the acupuncturist’s continuing education will be in acupuncture as well.)
If your primary concern is having your treatments covered by insurance, you’re more likely to get this from a physical therapist. There are some acupuncturists who bill insurance, but more often it will be up to you to submit your receipts and hope for reimbursement.
If it’s important to you that your treatment gets to the root and addresses the whole you, including non-structural issues, you’ll probably be more satisfied with treatment from an acupuncturist. The common experience of “going to acu-land” as some of my patients call it – i.e., becoming deeply relaxed or even having a transcendent experience – isn’t part of the dry needling session. Some would consider the peaceful effect of acupuncture merely a pleasant bonus, but I believe it’s often much more instrumental in the overall outcome than people realize. How often do we stop, rest, and drop all of our concerns? It can be akin to the benefit of a session of deep meditation. The alleviation of stress and a nervous system “reset” is no small thing, especially when stress is the root cause of so much pain.
That said, I find that many patients honestly aren’t concerned with a holistic treatment, and that’s fine. They want a practitioner who will get right into the painful area and work the hell out of it. It might be intense and they might feel beat up afterwards, but there’s a time and place for this kind of work if it’s effective. Personally, I don’t mind receiving aggressive treatments. Occasionally they’ve been miraculous (other times they’ve left me temporarily crippled with no relief). And of course, if the pain itself is one’s primary stressor, one could argue that getting rid of the pain should be a higher priority than alleviating stress (though we don’t have to choose one or the other). In my experience it’s a slight minority of acupuncturists who work this way, while it’s quite common for a physical therapist.
Whew! That was a long-winded exploration of this topic. I thought about removing parts of this article to shorten it, but having had this conversation so many times, I’ve found that many people are curious about all the facets of this subject. I hope I offered some clarity.
Be well,
Dr. Peter Borten
[post_title] => What's the Difference Between Dry Needling and Acupuncture?
[post_excerpt] =>
[post_status] => publish
[comment_status] => open
[ping_status] => open
[post_password] =>
[post_name] => whats-the-difference-between-dry-needling-and-acupuncture
[to_ping] =>
[pinged] =>
[post_modified] => 2022-05-31 22:37:05
[post_modified_gmt] => 2022-05-31 22:37:05
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://thedragontree.com/?p=8675
[menu_order] => 0
[post_type] => post
[post_mime_type] =>
[comment_count] => 1
[filter] => raw
[webinar_id] => 0
)
[1] => WP_Post Object
(
[ID] => 8519
[post_author] => 3
[post_date] => 2022-02-18 22:20:44
[post_date_gmt] => 2022-02-18 22:20:44
[post_content] => I love cookies of all kinds. At times my wife or kids have made a batch of cookies and – after they each tried one – I quietly finished off all the rest. So I know a thing or two about restraint and lack thereof. Last week I wrote about smoking and a process for making quitting easier. Today let’s look at how we can adapt this process for a healthier relationship with food.
Often we eat in a way that’s out of sync with what’s best for the body (and mind). The most prevalent example is overeating – i.e., eating beyond the point at which we’re no longer hungry. We do this for many reasons: because the food is tasty, because we were taught to empty our plate, because we don’t want to waste food or insult the cook, because of biological mechanisms designed to protect us against famine, or because we’re simply eating on “autopilot.”
Another example is low quality foods. High sugar foods, for example, can suppress the immune system, cause excessive weight gain, promote inflammation, and lead to insulin resistance (type 2 diabetes). Deep fried foods have similar impacts – promoting inflammation and contributing to cardiovascular disease, type 2 diabetes, obesity, and cancer. I won’t list all the examples here, but if it’s highly processed, contains artificial colors and flavors, white flour, chemical preservatives, or was purchased at a gas station, it probably falls into this category.
Other foods may be essentially benign but not good for a given individual because of a personal sensitivity. Since starting to treat people in the late 90s, I’ve seen a huge increase in patients’ awareness of the foods they’re sensitive to. On the whole this is a great thing, though it’s not always easy for people to avoid these foods – even knowing they’ll feel bad later.
For what it’s worth, I try not to entirely forbid any foods, because of the repercussions of setting up a system of deprivation and rebellion. Besides, we can only maintain discipline for so long. Our willpower wanes when we’re tired, hungry, or stressed. And we all occasionally find ourselves in dining situations where there simply aren’t healthy options.
I believe there’s a time and place for almost any food – including cheesecake and French fries – as long as we practice moderation and mindfulness. When these foods constitute a significant portion of our diet, and/or we’re experiencing negative impacts from consuming them, and/or we can’t control ourselves, this should tell us that something needs to change.
For the bulk of our history as a species, food scarcity was one of our main challenges. Now, in much of the world, this has been replaced by the challenge of restraint.
Healthy restraint with food can be as challenging as dealing with a smoking addiction or alcoholism. At least a smoker or alcoholic has the option of entirely removing cigarettes and alcohol from their life. But we’re obligated to keep eating. The closest equivalent we can exercise is to remove from our cupboards the foods that we have the most difficulty with.
Furthermore, almost everyone has beliefs and baggage wrapped up around food and body image, which complicates our relationship with eating. My purpose today isn’t to completely unpack this whole topic, but to just address one aspect of the pattern – restraint around eating in a way that we know isn’t good for us.
Here are seven steps you can take to feel clearer and stronger about what you feed your body:
1: Setting the stage and loving yourself. Make it easy for yourself to succeed and harder for yourself to overeat, to eat unconsciously, or to eat foods that aren’t good for you. These choices are about avoiding or cleaning up the environments that promote poor eating habits; setting some basic ground rules for yourself – except we’re not going to call them rules, but basic standards; honoring the process of nourishing yourself; and remembering that you are worth treating yourself well.
Eat only in a proper dining setting – not at your desk, not in front of a TV, not while driving, not between meals, not while in a meeting – you’re better than that. Get the junky stuff out of your house. Don’t go to fast food restaurants. Tell your coworkers you’re not eating that stuff anymore, so please don’t even offer you a cupcake – you’re better than that too! Bring your own lunch. Eat a healthy meal before the party. Don’t hang out by the food table.
2: Use empowering language. Instead of telling yourself, “I can’t eat that donut” or “I shouldn’t eat those French fries,” use verbiage that conveys power and choice. Some examples: “I don’t eat garbagey foods. I don’t put that crap in my beautiful body. I choose to be a healthy eater. I choose to love myself so much that I only eat really high quality food. I don’t overeat. I choose to stop eating before I’m full. I feel great when I feed myself well.”
3: Slow down and breathe. Slowing down the eating process makes it easier to perceive when you’ve had enough, and also to feel if your body doesn’t like what or how you’re eating. Before you eat something you know isn’t great for you, take at least one deep breath. You’re creating space so that the behavior isn’t automatic and unconscious.
4: Tune in to the underlying feeling. If you’re wanting to eat something unhealthy, or to continue eating even though you know you’re not hungry anymore, tune in to the feeling that’s urging you to do this. Just take a moment to visit it. If it helps, tell yourself, “You can still have the treat afterwards. We just going to do this first.” Often this feeling is below your radar and you respond to it unconsciously by eating and eating. Let’s make it conscious. Drop into your body and feel what’s happening. What does it feel like? An anxious, unsettled feeling? An empty, yearning feeling? Numbness? Whatever you feel, see if you can simply be with it for a moment, without any resistance. Let yourself feel it fully. Take a breath into it. Allow it to pass through you and depart. What happens? Even if you still eat the food in question, this is nonetheless a useful process.
5: Ask your body. If you’re on the verge of eating in an unhealthy way, just take a second to ask inwardly, “How do you feel about my eating this?” Then feel and listen for the response. Maybe you won’t perceive anything, but maybe you’ll feel a very clear, “No thanks” or “I’m good” or “Sure!” or “Please don’t.” I know you haven’t always loved the way your body has looked and felt and performed for you, but consider being friends with it and honoring its feelings about what’s best for it.
6: Give all your attention to the act of eating. It would be excellent if we could all give our full attention to the act of eating throughout every meal. Eating mindlessly doesn’t just make us prone to doing something that’s not good for us, it also means we’re missing out on fully enjoying the food and missing out on the beautiful, sacred, self-loving act of feeding ourselves and connecting to the fruitful earth that provided it.
It’s especially useful to give your full attention to the act when you’re knowingly eating in a way that’s not ideal for you. Let’s say you decide to have some chocolate mousse. You know it’s not a health food, but it’s going to be incredibly delicious, and sometimes that’s a worthwhile tradeoff, because savoring deliciousness has some value too. This only makes sense, of course, if you’re going to be fully present for the deliciousness experience. Enjoy the hell out of it. Don’t speak. Don’t listen to anything but your own chewing and moaning. Don’t go fast.
7: Let go of the guilt. I know it’s easier said than done, but let’s not add insult to injury. Guilt is the worst thing you can sprinkle over your meal. I believe that feelings of guilt, shame, and self-hate have a tangible impact on what happens to that food after you’ve eaten it. You’re not going to digest it as well, be nourished as thoroughly, or clear out the waste as efficiently if you’re in emotional upset about it. If you’re feeling heavy afterwards, take at least a moment to forgive yourself.
It’s understandable that you would eat this way, because it’s SO freakin’ scrumptious.
It’s understandable that you would eat this way, because you’re stressed and eating is soothing.
It’s understandable that you would eat this way, because your ancestors didn’t have enough to eat and wired you to eat as much as you could when you had the chance.
It’s understandable that you would eat this way, because you’re upset with yourself or displeased with your body.
It’s understandable that you would eat this way, because it makes you feel more in control.
It’s understandable that you would eat this way to get back at people who have mistreated you or objectified your body.
It’s understandable that you would eat this way, because you’re upset with the world for telling you to look like an ideal that’s only possible for a small portion of the population.
It’s understandable that you would eat this way, because you feel deprived or lonely or sad or ungrounded or empty or anxious.
All of this is understandable. AND, you know that there are healthier ways to feel better than by taking it out on your body. Ask your body to forgive you for not always treating it well. Thank your body for being the vehicle that has made this incredible life possible. Take ownership of your body. Forgive your body. Love your body.
Be well,
Peter
[post_title] => Seven Steps for Managing the Habit of Unhealthy Eating
[post_excerpt] =>
[post_status] => publish
[comment_status] => open
[ping_status] => open
[post_password] =>
[post_name] => seven-steps-for-managing-the-habit-of-unhealthy-eating
[to_ping] =>
[pinged] =>
[post_modified] => 2022-02-18 22:25:01
[post_modified_gmt] => 2022-02-18 22:25:01
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://thedragontree.com/?p=8519
[menu_order] => 0
[post_type] => post
[post_mime_type] =>
[comment_count] => 6
[filter] => raw
[webinar_id] => 0
)
[2] => WP_Post Object
(
[ID] => 8901
[post_author] => 3
[post_date] => 2022-12-22 22:06:29
[post_date_gmt] => 2022-12-22 22:06:29
[post_content] => January first may be a somewhat arbitrary date to divide the chapters of our lives, but there’s something to be said for joining the momentum of the mass consciousness focused on bettering ourselves. Sure, you can make new habits anytime, but there aren’t always millions of other people doing it at the same time.
That said, clearly the group trajectory isn’t enough to ensure your success. Plenty of people make and break resolutions every year, and while a few weeks (or days, as the case may be) of a healthy new habit is better than nothing, there’s also the toll of broken self-trust to consider.
If you’re going to make an agreement with yourself, it’s best to choose terms that you can fulfill, because a lack of self-trust is a serious impediment. You may think, “It just means I changed my mind about exercise and cookies,” but it has broader consequences in the bigger picture of your ability to choose and create the life you desire.
What I’m saying is, don’t do it unless you’re serious about it. And even if you are serious, I still recommend committing to just one thing. I know, I know, you can do lots of things. But I’m saying, just do one thing not only because it’s harder to keep multiple resolutions than it is to keep a single one, but also because it means that your focus and power won’t be divided (any more than they already are). Take on one thing and give all the “resolution energy” you’ve got to that one thing. Later you can add another thing.
I don’t mean to sound like I’m lowering the bar for you. I think people are capable of greatness far beyond their imagined limitations. But imagined limitations become actual limitations when we believe in them. In subtle ways we tend to sabotage ourselves, and one of the most effective forms of self-sabotage is crappy focus. We often simply don’t hold our attention on something for long enough to see it through.
Yes, there are some organic causes of impaired mental focus, but just because someone gets more done when they take an ADD drug (i.e., amphetamine), doesn’t prove that the cause was biological. In an age when we’re bombarded with a constant stream of data through multiple devices, an age with more options for distraction than ever before, we may be regularly making subconscious choices that reinforce a short attention span. Regardless of the cause, we can all improve our ability to focus simply by practicing it.
Let’s try a little exercise. It will only take one minute. Choose something small and natural in your environment to gaze at, like a candle flame, a leaf, a piece of food, or one of the lines on your palm. You’re going to spend just 60 seconds looking at it without taking your eyes or mind off it, and without thinking and mentally “talking” to yourself about what you’re looking at or anything else. Try it now, then come back.
How did it go? Were you able to do it for the whole minute? What did you notice? Was it squirmy? Was it relaxing? When I do this, I notice my breathing slows down significantly and I feel grounded. This shift may be partly due to looking at whatever I’m looking at, but I think the main reason it feels peaceful is because it’s a break from continuous mental chatter and shifting focus.
Back to resolutions, I encourage you to choose a single thing to commit to. Write down what exactly it means so that you’re clear about how to stay in the spirit of this commitment. Choose a time frame for the commitment; don’t make it open-ended because that implies forever. If you have a hard time with follow-through, you might want to start with a very short time frame, like one day. You can always re-up your commitment at the end of the period you choose.
Ensure that you don’t forget it by writing it down, setting reminder alarms for yourself, finding a partner to do this with, renting out billboard space along your commute . . . whatever it takes. Finally, as part of your commitment practice, set aside just 60 seconds every morning to sit and focus on the commitment, visualizing yourself embodying it.
Let us know how it goes.
Be well,
Peter
[post_title] => New Year Resolution
[post_excerpt] =>
[post_status] => publish
[comment_status] => open
[ping_status] => open
[post_password] =>
[post_name] => new-year-resolution
[to_ping] =>
[pinged] =>
[post_modified] => 2022-12-22 22:06:29
[post_modified_gmt] => 2022-12-22 22:06:29
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://thedragontree.com/?p=8901
[menu_order] => 0
[post_type] => post
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
[webinar_id] => 0
)
)
[post_count] => 3
[current_post] => -1
[before_loop] => 1
[in_the_loop] =>
[post] => WP_Post Object
(
[ID] => 8675
[post_author] => 3
[post_date] => 2022-05-31 22:37:05
[post_date_gmt] => 2022-05-31 22:37:05
[post_content] => I am often asked, “What’s the difference between acupuncture and dry needling?” So, I thought I’d answer the question for everyone in our community who might be interested, and offer some history and science along the way.
“Dry needling” is a term that has grown tremendously in usage over the past decade because it’s a newly adopted practice by many physical therapists. It essentially consists of inserting acupuncture needles into tight muscles. In many states, acupuncturists have fought physical therapists’ attempts to expand their scope of practice to include this procedure. However, physical therapists outnumber acupuncturists by about seven to one, which means stronger state organizations and greater legal power.
Acupuncturists argue that physical therapists are essentially stealing their medicine and calling it something different. In some states physical therapists can practice dry needling with no training in it; in others they typically complete a 55-hour course. By comparison, a licensed acupuncturist generally receives about 500 hours of instruction in the acupuncture-specific portion of their training.
For a few centuries in the West and a couple millennia in China, observers of the human body have known about nodules that occur in tight muscles and are associated with chronic, complex pain patterns. You might just call them “knots.” In the mid-1900s a doctor named Janet Travell coined the term myofascial trigger point to describe this phenomenon. About 90% of them are found at the locations of acupuncture points, which were mapped out on bronze statues at least 1,000 years B.C.E.
Travell explained that myofascial trigger points are irritable regions in our connective tissue (muscle and fascia) that get stuck in a contracted state. They make muscle fibers taut, reducing muscle strength and range of motion, and causing pain, numbness, and other symptoms that often spread to areas far from where they originate. In many cases, what we perceive to be a visceral problem (heart attack, ulcer, migraine, irritable bowel, urinary tract infection, etc.) is actually the symptom of one or more trigger points. I believe trigger points are responsible for most of the physical pain humans experience.
Travell and her colleague David Simons went on to chart the locations and symptoms of trigger points in every major muscle. Travell became John F. Kennedy’s doctor (the first female presidential physician) and his family credited her with saving Kennedy’s political career by curing his back pain through the release of myofascial trigger points.
Travell (and researchers before her) discovered that it’s possible to release a trigger point through a simple procedure she called “ischemic compression.” It basically entails pressing firmly on the center of a trigger point for about half a minute until it softens. Travell’s maps and manual techniques for releasing trigger points were adopted by physical therapists over the following decades. (For what it’s worth, body workers have probably been doing ischemic compression for ages, without calling it ischemic compression.)
Travell also found that she was able to release trigger points by injecting them with numbing agents or saline. However, it emerged that the most effective aspect of this practice wasn’t the injection of fluid, but the mechanical act of probing at the trigger point with a needle. That is, a release could be accomplished even with a “dry” needle, without injecting anything.
Based on this new expression, one could say that all acupuncture is “dry needling.” This is precisely what acupuncturists have always done, although the insertion of needles into these local epicenters of pain is generally just one aspect of an effective acupuncture treatment. What makes an acupuncture treatment holistic (i.e., addressing the whole person) is that the treatment also addresses the underlying mechanisms that led to the surface issue (e.g., stress, diet, digestive problems, more global structural or energetic imbalances, etc.).
In the 1980s, an osteopath and acupuncturist named Mark Seem, founder of Tri-State Acupuncture College in New York City, began integrating Travell’s trigger point maps into traditional acupuncture. He met with Travell and demonstrated his approach. Travell immediately recognized the value of using a much thinner, solid, and springy acupuncture needle (which has a cone-shaped tip), as compared to the hypodermic needles she had been using (which have a scalpel-like hollow beveled tip).
Over the following decades, physical therapists gradually discovered that “dry needling” with acupuncture needles is often a faster and more effective trigger point release method as compared to the various forms of pressure, friction, stretching, exercise, and structural education that have been part of the physical therapists’ palette for their hundred-ish year history. In court cases between acupuncturists and physical therapists, PTs often argue that the insertion of needles into trigger points is a simply an extension of these “manual therapies” described in their scope of practice, and the decision comes down to whether or not the judge agrees.
The other common argument by PTs is that there are many differences between dry needling and acupuncture. In my opinion, having observed PTs doing dry needling and having studied many styles of acupuncture, there’s clear evidence that acupuncturists have been doing everything encompassed in dry needling for a very long time. PTs have insisted that because they know nothing of the acupuncture meridians (energy circuits along which acupuncture points are located), dry needling therefore isn’t acupuncture. But this is like saying that because you haven’t studied anatomy, when you cut into someone with a scalpel you’re not actually doing surgery. Further, there are many systems of acupuncture, several of which don’t utilize meridians.
Enough about the arguments. My purpose isn’t to determine whether or not it’s right for physical therapists to do dry needling, but to clarify the differences in the consumer’s experience.
While acupuncture is great for pain, not all acupuncturists are pain specialists, and most acupuncturists don’t specifically target the trigger points mapped by Travell. If that’s what you’re looking for, it may be worth seeking out an acupuncturist who specializes in pain. Or you might be happy with a skilled physical therapist who does dry needling.
Both acupuncturists and physical therapists run the spectrum from mediocre to brilliantly talented. I have no doubt that there are some masterful PTs out there who get great results doing acupuncture (dry needling) – perhaps better for structural issues than an average-level acupuncturist. I have had patients ask me to “fix” them after a painful dry needling session from a PT that worsened their condition, and I’ve had other patients report good results from dry needling.
If you are skittish about needles, you may not enjoy dry needling from a physical therapist, since it tends to be more intense than the average acupuncture treatment. That said, any form of acupuncture that specifically focuses on releasing trigger points is unlikely to be painless. Regardless of the style of acupuncture I’m performing, I always tell my patients I’m not the person to see if they don’t want to feel anything; I believe a certain degree of sensation is productive.
If you’re someone who cares about how much training your practitioner has received, perhaps it’s meaningful to you that an acupuncturist typically spends ten times as many hours learning their craft than a physical therapist spends learning dry needling. (And virtually all of the acupuncturist’s continuing education will be in acupuncture as well.)
If your primary concern is having your treatments covered by insurance, you’re more likely to get this from a physical therapist. There are some acupuncturists who bill insurance, but more often it will be up to you to submit your receipts and hope for reimbursement.
If it’s important to you that your treatment gets to the root and addresses the whole you, including non-structural issues, you’ll probably be more satisfied with treatment from an acupuncturist. The common experience of “going to acu-land” as some of my patients call it – i.e., becoming deeply relaxed or even having a transcendent experience – isn’t part of the dry needling session. Some would consider the peaceful effect of acupuncture merely a pleasant bonus, but I believe it’s often much more instrumental in the overall outcome than people realize. How often do we stop, rest, and drop all of our concerns? It can be akin to the benefit of a session of deep meditation. The alleviation of stress and a nervous system “reset” is no small thing, especially when stress is the root cause of so much pain.
That said, I find that many patients honestly aren’t concerned with a holistic treatment, and that’s fine. They want a practitioner who will get right into the painful area and work the hell out of it. It might be intense and they might feel beat up afterwards, but there’s a time and place for this kind of work if it’s effective. Personally, I don’t mind receiving aggressive treatments. Occasionally they’ve been miraculous (other times they’ve left me temporarily crippled with no relief). And of course, if the pain itself is one’s primary stressor, one could argue that getting rid of the pain should be a higher priority than alleviating stress (though we don’t have to choose one or the other). In my experience it’s a slight minority of acupuncturists who work this way, while it’s quite common for a physical therapist.
Whew! That was a long-winded exploration of this topic. I thought about removing parts of this article to shorten it, but having had this conversation so many times, I’ve found that many people are curious about all the facets of this subject. I hope I offered some clarity.
Be well,
Dr. Peter Borten
[post_title] => What's the Difference Between Dry Needling and Acupuncture?
[post_excerpt] =>
[post_status] => publish
[comment_status] => open
[ping_status] => open
[post_password] =>
[post_name] => whats-the-difference-between-dry-needling-and-acupuncture
[to_ping] =>
[pinged] =>
[post_modified] => 2022-05-31 22:37:05
[post_modified_gmt] => 2022-05-31 22:37:05
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://thedragontree.com/?p=8675
[menu_order] => 0
[post_type] => post
[post_mime_type] =>
[comment_count] => 1
[filter] => raw
[webinar_id] => 0
)
[comment_count] => 0
[current_comment] => -1
[found_posts] => 116
[max_num_pages] => 3
[max_num_comment_pages] => 0
[is_single] =>
[is_preview] =>
[is_page] =>
[is_archive] => 1
[is_date] =>
[is_year] =>
[is_month] =>
[is_day] =>
[is_time] =>
[is_author] =>
[is_category] => 1
[is_tag] =>
[is_tax] =>
[is_search] =>
[is_feed] =>
[is_comment_feed] =>
[is_trackback] =>
[is_home] =>
[is_privacy_policy] =>
[is_404] =>
[is_embed] =>
[is_paged] =>
[is_admin] =>
[is_attachment] =>
[is_singular] =>
[is_robots] =>
[is_favicon] =>
[is_posts_page] =>
[is_post_type_archive] =>
[query_vars_hash:WP_Query:private] => af66e5d404a00b605a8a53e16f000641
[query_vars_changed:WP_Query:private] =>
[thumbnails_cached] =>
[allow_query_attachment_by_filename:protected] =>
[stopwords:WP_Query:private] =>
[compat_fields:WP_Query:private] => Array
(
[0] => query_vars_hash
[1] => query_vars_changed
)
[compat_methods:WP_Query:private] => Array
(
[0] => init_query_flags
[1] => parse_tax_query
)
)
You may also be interested in:
I really needed to learn this!! Thank u!! I hope I can feel the embrace from myself…
You’re welcome, Trini!
I really loved this post in every way. I am a mother and haven’t heard the connection between motherhood and Mother Earth articulated so beautifully. You might consider posting in all the elements. I would be very interested. Thanks again!
Thanks, April. You’re very kind. I have written about each of the elements over the years (you could try searching for “fire,” “water,” etc. on this site), though maybe it’s time to revisit them as a series. Be well,
Peter
I really loved this post in every way. I am a mother and haven’t heard the connection between motherhood and Mother Earth articulated so beautifully. You might consider posting on all the elements. I would be very interested. Thanks again!
Thank you so much for this valuable reminder! I am familiar with the principal, but it’s good to hear it stated clearly and beautifully, from another point of view. Somewhere in my travels I came across the suggestion of dropping an energetic cord from behind my navel down into the Earth, and allowing myself to receive the energetic nourrishment she would send back up. I find it very helpful in times of distress and chaos when I feel distressed and frightened. It calms, grounds, and soothes.
Ah, that’s a good technique. Also, getting your feet flat on the ground and absorbing earth energy through your soles.
Be well,
Peter