Described below is one of the many approaches I've tried or considered trying for healing my chronic myofascial pain:
BOTTOM LINE: Haven't tried, but might be somewhat helpful (similar to TrP injections but without side effects).
Dry needling is similar to trigger point (TrP) injections, except no medicine is used. Proponents of dry needling say that the physical act of getting the needle, not the medicine, into the trigger point is what deactivates or helps release the TrP. I decided to stick with the traditional TrP injections (no pun intended) since both my physical medicine and rehabilitation doctor and one of my physical therapists told me dry needling uses thicker needles and would hurt more because it doesn't use any numbing medicine (e.g., lidocaine). After all, who wants more pain?
I haven't tried dry needling, but since TrP injections helped reduce my pain from a daily average level of eight to about five, I suspect dry needling could have some positive effects (and without the side effects from the steroid, such as disrupting menstruation or other more widely known side effects of steroids). However, when I had a TrP injection without the steroid I didn't feel pain relief (but that was also after the shots had already become less effective even with the steroid). Nonetheless, the TrP injections were not enough to eliminate my trauma-based chronic pain (see My Healing Journey). Mind-body approaches (see Treatments tab) are what have helped me the most since the shots.