Dry needling as a form of treatment that assists in the treatment of myofascial pain syndrome. A localized muscle fiber contraction may form myofascial trigger points, commonly known as knots. These trigger points present differently in each muscle and produce pain as well as various pain referral patterns. Once these trigger points are identified they can be dry needled. What this involves, is the specific needling of the trigger point itself. This process assists in increasing blood flow to the area which aids not only in the removal of carbon dioxide and other chemical stimulants from the tissue but also assists in bringing oxygen to the tissue. This has a positive therapeutic effect to the surrounding tissue. Dry needling also aids in the removal of scar tissue and produces muscle relaxation. Dry needling may sound painful and daunting, but in actual fact most patients report that they were unaware of the needle during the treatment. Often a twitch is produced when an active trigger point is stimulated. Your chiropractor can answer more questions regarding dry needling.