Dry Needling
Integrative Dry Needling

Conditions That Respond Well to Dry Needling
Dry needling can be an effective treatment for a wide range of musculoskeletal and nerve issues, including:
- Neck and Back pain (including tension and muscle spasms)
- Sciatica, Foot drop, Carpal tunnel syndrome (other nerve related issues)
- Shoulder pain (such as rotator cuff injuries or frozen shoulder)
- Headaches and Migraines
- Hip and Glute pain
- Knee pain (including runner’s knee and patellar tendonitis)
- Tennis elbow and Golfer’s elbow
- Plantar fasciitis and Foot/Heel pain
- Chronic pain conditions (such as fibromyalgia or myofascial pain syndrome)
- Sports injuries (muscle strains, overuse injuries, tendonitis, and recovery support)
- Sinus pain
- Post-surgical scar care
- TMJ/Ear pain (ear fullness/ringing, TMJ pain)
- Post-traumatic injuries (Motor vehicle accidents, whiplash, falls, etc)
Dry needling is often used alongside Chiropractic care to speed healing, restore mobility, and break the cycle of chronic pain.
What is Integrative Dry Needling?
A tiny acupuncture needle is inserted directly into targeted muscle tissues. This treatment works by releasing muscle tension, improving blood flow, reducing inflammation, and supporting healthier muscle function and mobility.
It is Anti-Inflammatory/Anti-Pain because your body responds to it by sending anti-inflammatory chemicals to the area the needle hits and then releases natural pain-relieving endorphins.
Many people experience immediate relief from pain and improved mobility at the time of treatment. Dry needling is effective for both acute and chronic musculoskeletal conditions and nerve conditions.
Dr. Samantha Miller, is one of the only Chiropractors in Indianapolis, IN certified in Integrative Dry Needling (CIDN). Integrative Dry Needling (IDN) differs from traditional dry needling in that it takes a systemic, whole-body approach. It addresses the root causes of pain by targeting the all of the muscles or nerve pathways that are feeding into or aggravating the condition, and not just focusing on a single painful spot where the muscle is triggered. IDN restores overall balance to the body.
IDN uses a more comprehensive neuromuscular model to treat the entire nervous system's response to dysfunction while also relieving the tight muscle trigger points.
Benefits of Integrative Dry Needling
Integrative Dry Needling offers a wide range of therapeutic benefits:
- Reduces Inflammation
- The needles are so small that when inserted the immune cells in the area release a bunch of anti-inflammatory substances.
- Increases blood flow
- This flushes out lactic acid and other inflammatory chemicals in the triggered muscles
- Also brings fresh blood flow/nutrients to the muscles
- Restores neurological balance to treatment area
- Creates stimulus via sensory nerves to the brain which then sends a feedback signal to reset muscle tone, decrease overactive pain signals, and restore proper muscle/nerve function.
- Remodeling of Tissue
- Reduces tissue tension and inflammation while physically disrupting scar tissue/adhesions allows tissue healing response to take over.

What to Expect During Treatment
Because the needles are so fine, most people hardly notice when they are inserted into the skin. As the needle is gently moved or adjusted, you may feel a brief muscle twitch followed by a sense of release. When a local twitch response happens, the muscle quickly contracts and then relaxes, often providing immediate relief from tension. Some mild soreness can occur for 24–48 hours afterward, similar to the feeling after a good workout.
Safety and Side Effects
Dry needling is a very safe treatment with minimal side effects. The most common side effects are mild soreness, slight bruising, or minor bleeding at the needle site. It is so safe that it can be used throughout pregnancy to relieve pain.
Dr. Samantha Miller is certified and has advanced training in integrative dry needling. She prioritizes your safety and will communicate with you continuously to make sure you are comfortable during your treatment. Applying heat after treatment can also help ease any post-session soreness. Dr. Miller’s gentle, attentive approach helps ensure you feel comfortable and supported every step of the way.
This study from 2020 showed the common side effects of Dry Needling which are listed above. It looked at 20,494 dry needling treatments over 6 weeks. There were ZERO cases of pneumothorax and <0.1% chance of a major adverse event (aka: forgotten needles, fainting). Dry Needling is an extremely safe treatment.
Boyce, D., Wempe, H., Campbell, C., Fuehne, S., Zylstra, E., Smith, G., Wingard, C., & Jones, R. (2020). Adverse Events Associated With Therapeutic Dry Needling. International Journal of Sports Physical Therapy, 15(1), 103–113 https://pmc.ncbi.nlm.nih.gov/articles/PMC7015026/
Therapeutic CuppingCupping is a therapeutic technique in which our doctor applies suction to the surface of the skin using glass or plastic cups. This suction draws fluid into the treated area and expands tiny blood vessels under your skin called capillaries. Your body replenishes the cupped area with fresh, healthy blood flow, which stimulates healing at a cellular level. The vacuum force also physically breaks up adhesions in the fascia, allowing the relaxation of tender muscle knots.
This therapy is great for pain relief and musculoskeletal issues, such as sprains, strains, muscle spasms, as well as inflammation, arthritic pain, and headaches. It is a very safe treatment with few side effects. Overall, you will find this therapy to be gentle and relaxing.
Dr. Samantha Miller and our massage therapists offer cupping as a part of their comprehensive approach to holistic care. Our experienced practitioners are trained in the art of cupping and will work with you to develop a personalized treatment plan that addresses your unique needs and concerns. Whether you are seeking relief from chronic pain or looking to improve your overall well-being, cupping therapy can be a beneficial addition to your wellness routine.
