Trigger Point Dry Needling is active needling which uses an acupuncture needle to target myofascial trigger points (which are often tender points) in the muscle fibres. Dry needling activates a neuromuscular “twitch” reflex which releases tension almost instantaneously. The technique of ‘feathering’ the needle enhances this mechanism to more effectively release muscle fibres via this activated twitch response. A tingling or twitching effect can be felt during the needling which is often an unfamiliar sensation, but rarely painful.