FAQS
WHAT TYPES OF HEALTH INSURANCE DO YOU ACCEPT?
Dry needling is not presently covered by insurance and thus can only be offered as a cash-based service.
IS DRY NEEDLING COVERED BY MEDICARE?
As of 2020, there are two specific CPT codes for dry needling:
20560: Needle insertion(s) without injection(s), 1 or 2 muscle(s)
20561: Needle insertion(s) without injection(s), 3 or more muscle(s)
CMS declined to finalize these codes as “always” or “sometimes” therapy services because, “dry needling services are non-covered unless otherwise specified through a national coverage determination (NCD).” So, even though PTs finally have some dedicated dry needling codes, Medicare will not pay for them.
Resources:
DO I NEED A DOCTOR’S REFERRAL?
Due to dry needling being a cash-based service, you do not need a physician's referral in the state of Florida at this time.
WHAT IS YOUR NEW PATIENT PROCEDURE?
Our doctors of physiotherapy will conduct a thorough evaluation of the area of chief complaint utilizing orthopedic, neurologic, and functional assessments to determine appropriateness for care and efficacy of services sought. If treatment is not contraindicated, the remainder of the time slot will be spent rendering treatment.
WHAT IS INTEGRATIVE DRY NEEDLING?
Integrative Dry Needling is a highly effective form of Physical therapy for the treatment of a multitude of musculoskeletal and neuromuscular conditions. It is not appropriate for all conditions or pathologies and the use of the technique will be at the discretion of your doctor of physiotherapy.
HOW DOES INTEGRATIVE DRY NEEDLING WORK?
Integrative dry needling is not acupuncture (traditional Chinese medicine), it is based on neuro-anatomy and modern scientific study of the musculoskeletal and neuromuscular systems. A very fine filament needle is inserted through the skin and into the deeper tissues that are considered trigger points to your pain. Dry needling works by causing a micro lesion within the pathological tissue thus breaking up shortened tissues, inhibiting a reflex arc from the nervous system to the tissue, normalizing the inflammatory response, and centrally mediating the pain. This mechanical and neuromuscular effect provides an environment that enhances the body’s ability to heal which ultimately reduces pain
WHAT CONDITIONS CAN BE TREATED?
Conditions include, but are not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension- type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstrings strains, calf tightness/spasms).
ARE THE NEEDLES STERILE?
Yes, we only use sterile disposable needles.
IS THE TREATMENT PAINFUL?
The fine filament needle is very thin, solid, and flexible, which allows for the needle to be pushed through the skin versus cutting the skin. This helps reduce any discomfort that may occur with the procedure. We strive to make the treatment virtually painless however at times a local twitch response of the muscle may be felt. When the needle is inserted into the pathological tissue the local twitch response sensation is normal and is felt only momentarily. Many patients describe this twitch response as a little electric shock, cramp or an ache sensation. These sensations are perfectly normal and even a desirable response. Your DPT will make every effort to make your experience comfortable and therapeutic.
HOW WILL I FEEL AFTER THE TREATMENT?
This will vary but many patients experience immediate relief of their symptoms and an increase in range of motion. Soreness can also be a common response from the needling but does not occur with all people. Some individuals may experience an immediate achiness or a delayed soreness the next day. The soreness, if present, will usually last 1-2 days, use of heat and light massage and movement will be beneficial. Mild bruising may occur at the needling sites and is more prevalent in certain parts of the body. Larger bruising may also occur, but is rare. Application of ice on the bruise will help with the soreness and the skin discoloration will last several days but is not harmful. is a highly effective form of physical therapy for the treatment of a multitude of musculoskeletal and neuromuscular conditions. It is not appropriate for all conditions or pathologies and the use of the technique will be at the discretion of your doctor of physiotherapy. Not all medical or physical therapy professionals are trained to perform the Integrative Dry Needling treatment technique. The clinicians at YOUR CLINIC have advanced training and have been certified through the Integrative Dry Needling Institute. It is uncommon but possible that the treatment may temporarily increase your symptoms. This is not unusual but if this continues past the 1-2 day window, inform your DPT to allow adjustment of your program to enhance your comfort the next time. This does not mean that needling will not be beneficial to your condition.
HOW MANY TREATMENTS WILL I NEED?
This will depend on the category you fit in, which is determined by the state of the injury and your overall health. Remember we are attempting to cause mechanical and biochemical changes without any pharmacological means. Therefore, we are looking for a cumulative response to break the pain cycle. Your DPT will be able to give you more insight after your evaluation.
WHAT SHOULD I DO TO PREPARE FOR THE TREATMENT?
Do not eat 30 minutes before the treatment
Be well hydrated but empty your bladder prior to treatment
Wear lose fitting clothing, shorts, or bathing suit for easy access to your painful areas
WHAT CAN/SHOULD I DO AFTER TREATMENT AND WHAT SHOULD I AVOID?
Our recommendations vary depending on the amount of soreness you have and on the individual response to the treatment. Recommendations may include increasing your water intake, applying heat or ice over the area, gentle stretches and modifications of activities.
WHAT TYPE OF TRAINING DOES A CLINICIAN RECEIVE TO PERFORM THIS TREATMENT?
Not all medical or physical therapy professionals are trained to perform the Integrative Dry Needling treatment technique. The doctors of physiotherapy at St Pete Dry Needling have advanced training and have been certified through the Integrative Dry Needling Institute.