Dry Needling (DN) is a successful medical treatment which utilizes thin needles without medication (a dry needle) to achieve its aim. DN is used to treat pain and dysfunction caused by a wide range of musculoskeletal problems, sinus trouble, headaches, and some nerve problems. It should not be regarded the same as acupuncture. Acupuncture is part of Traditional Chinese Medicine, whereas dry needling is a western medicine technique, which requires medical evaluation. There is a clear scientific understanding of dry needling, and it does not follow meridian based approaches as acupuncture usually does.

Please notify your provider if you have any conditions that can be transferred by blood, require blood anticoagulants or any other conditions that may have an adverse effect to needle punctures. Bruising is a common occurrence and should not be a concern unless you are taking a blood thinner. Please also let me know if you are pregnant, think you may be pregnant, or have an implanted device such as a pacemaker. If you are being treated in the shoulder, neck, back or chest area, there is an additional risk that involves your lung. If the lung itself is punctured, you may develop a condition called a pneumothorax (air in the space around the lung). This is a rare but serious problem, and you should go directly to a hospital ER department  if it occurs. The symptoms include shortness of breath which worsens, sudden sharp pain each time you breathe, a bluish tinge to your lips, and an inability to “catch your breath”. This is a treatable condition but it is an emergent situation.  Immediate medical intervention is necessary.

Infection to the area is rare, but possible. True North Athletic Therapy follows all guidelines necessary for a clean environment as directed by the CDC (Center of Disease Control).

During a DN treatment, you may experience the following:

Pain, sweating, nausea, anxiety, dizziness, pain referral or muscle twitch

Following a DN treatment, you may experience temporary:

Muscle soreness, muscle tightness, paresthesias or joint stiffness

If any of these symptoms last longer than 24-48 hrs, please notify your provider

Cupping is a technique that utilizes negative pressure to stretch superficial structures including skin, fascia and muscle tissue. The purpose of this technique is to increase microcirculation to enhance the healing process in the human body. Cupping may cause bruising and temporary marks on the skin. More severe complications could result in blistering of the skin.

Contraindications to DN and cupping:

Vascular disease

Bleeding or clotting disorder

Taking blood thinners

Diabetics with significant sensory and/or circulation disorders


Skin cancer (over affected area)

I have read the above, and I understand the risks involved with dry needling and cupping. I consent to these treatments administered by True North Athletic Therapy, PLLC.