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Understanding the Differences Between Acupuncture and Dry Needling in Australia
Acupuncture and dry needling are both therapeutic techniques that utilise fine, single-use needles, but they originate from different philosophies and practices. As they gain popularity for pain relief and healing, it’s essential to understand their distinct approaches. In this post, we’ll explore the key differences between Acupuncture and dry needling, helping you determine which may best suit your needs.
Origins and Philosophy
Acupuncture is a time-honoured practice rooted in Traditional Chinese Medicine (TCM), with a history spanning thousands of years. It centres on the concept of "Qi" (pronounced "chee"), the vital energy that flows through the body along pathways known as meridians. The aim of Acupuncture is to restore balance and harmony by stimulating specific points along these meridians. TCM offers a very holistic approach to health, not just a symptom-based approach.
In contrast, dry needling is a more modern technique primarily utilised in physical therapy and sports medicine. It focuses on addressing myofascial pain and trigger points—muscle knots that can lead to discomfort. Unlike Acupuncture, dry needling does not incorporate TCM principles; instead, it is based on Western anatomy and physiology.
Techniques and Approaches
In Acupuncture, practitioners insert needles into designated Acupuncture points to influence the flow of energy. These needles may be left in place for up to 30 or so minutes, and practitioners often use complementary techniques such as electrical stimulation, cupping or moxibustion (the burning of herbal mugwort sticks) to enhance the treatment. The goal is to promote overall well-being and address a wide range of health concerns. In my view, an Acupuncture session is a deeply therapeutic experience that treats the client holistically, allowing them to relax comfortably on the table during the treatment. From my experience, acupuncture tends to be gentler (compared to dry needling).
Dry needling, on the other hand, only targets specific trigger points within the muscles. Practitioners insert needles directly into these knots to release tension and alleviate pain. This technique may elicit a "twitch response," where the muscle contracts involuntarily, helping to relieve tightness. Dry needling is typically more focused on localised pain relief and improving muscle function. All standard dry needling trigger points are pre-existing Acupuncture points. This needs to be considered when receiving dry needling, as not all Acupuncture points are appropriate for everyone, eg. some Acupuncture points are dangerous to use in pregnancy. If a practitioner does not understand TCM theory while using Acupuncture points this can be a risk for complications.
Training and Regulation
In Australia, Acupuncturists are required to meet stringent training and regulatory standards. The practice is regulated by the Australian Health Practitioner Regulation Agency (AHPRA) under the National Registration and Accreditation Scheme. To become a registered Acupuncturist, practitioners must complete an accredited qualification in Acupuncture or Chinese medicine, which generally entails at least four or five years of university study. This comprehensive training covers not only Acupuncture techniques but also Traditional Chinese Medicine principles, anatomy, physiology, and clinical practice.
Continuing professional development (CPD) is mandatory for Acupuncturists in Australia, ensuring they remain informed about the latest research and advancements in the field.
On the other hand, dry needling lacks the same level of regulation. It is typically performed by Physical Therapists, Chiropractors, and other allied health professionals who may undergo shorter training programs or workshops in dry needling techniques, mostly being a 2 day course. While some professional associations provide guidelines for practice, there is no national regulation specific to dry needling, resulting in variability in training standards among practitioners. Some practitioners wrongly claim that they provide Acupuncture when they provide dry needling.
Conditions Treated
Both Acupuncture and dry needling can address a variety of conditions, though their applications may differ:
Acupuncture is often employed for:
Chronic pain (e.g., back pain, arthritis)
Fertility
IVF Support
Stress and anxiety
Digestive issues
Insomnia
Migraines and headaches
Dry needling is primarily focused on:
Muscle pain and tension
Sports injuries
Rehabilitative care
Conclusion
While Acupuncture and dry needling both involve the use of needles, they are distinct practices with unique philosophies, techniques, and applications. Understanding these differences, along with the regulatory landscape in Australia, can empower you to make informed choices about your health and wellness. If you’re considering either treatment, it’s essential to consult a qualified practitioner who can guide you based on your individual needs.
Ultimately, whether you choose Acupuncture or dry needling, both techniques can offer valuable benefits for pain relief and overall well-being. Finding the right fit for your health journey is key.
Jasmine Vogel - Acupuncturist
Blue Wren Acupuncture, Mount Nasura - Western Australia.
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