Dry needling targets the muscle directly — tight bands and trigger points in the painful area itself. Acupuncture points are selected according to Chinese medicine, and may sit well away from where it hurts. This treatment uses both: the local work for the area, and the supporting points for what's contributing to it.

It can feel different. When a needle reaches a tight band of muscle you may get a brief cramp or twitch — short-lived, and usually followed by the area releasing. Some people find it very satisfying and some don't enjoy it at all. Say so either way and the technique is adjusted.

Some people feel a dull ache in the treated area for a day or so, similar to after a deep massage or a hard session at the gym. Cupping can also leave round marks for several days. Neither is a problem, but it's worth knowing before you book something physical for the next morning.

Yes, and it often works well in combination. Tell us what other treatment you're having and when, so the work here complements it rather than doubling up on the same area in the same week. This is used alongside your existing medical and allied health care, not in place of it.

It depends on how long you've had the pain and what's driving it. Recent, straightforward complaints often need only a few sessions. Long-standing pain usually takes longer and may need periodic maintenance. You'll get an honest read at your first appointment, and if it isn't responding we'll say so rather than keep booking you in.

Sixty minutes, beginning with an assessment of the painful or restricted area — how it moves, what aggravates it, and how long it's been going on — alongside a Chinese medicine assessment of what may be contributing. Treatment may then include targeted dry needling, supporting acupuncture points, gua sha or cupping, and a topical herbal tincture, balm or patch where clinically appropriate.