Dr Parnavi Prabhune, Borivali, mumbai

That sudden muscle “jump” during dry needling is not random… and it’s not the needle “hitting a nerve.” ⚠️🧠
What you’re seeing is called a Local Twitch Response a rapid neurological reflex that happens when a dysfunctional trigger point is stimulated inside the muscle.
A triggerpoint is not just a “tight muscle.”
It is a hyperirritable region where muscle fibers remain excessively contracted for prolonged periods, reducing local circulation, increasing tissue sensitivity, and altering normal movement mechanics.
Over time, these triggerpoints may contribute to:
❌ chronic muscle tightness
❌ restricted mobility
❌ altered posture
❌ referred pain
❌ tension headaches
❌ stiffness and movement compensation patterns
One of the most fascinating parts of dryneedling is the twitch response itself. 👇
When the needle reaches an active triggerpoint, the nervous system may create a sudden spinal reflex causing the muscle fibers to rapidly contract and release.
Inside active triggerpoints, researchers have identified increased inflammatory chemicals like Substance P, CGRP, and other pain-sensitive mediators that may contribute to ongoing irritation and muscle dysfunction.
After treatment, circulation and oxygen delivery to the tissue may improve — helping normalize the muscle environment internally.
But here’s what most people misunderstand:
The goal of dryneedling is NOT simply inserting needles into muscles.
The real goal is restoring proper muscle function, movement quality, nervous system regulation, and tissue mechanics. 💯
That’s why physiotherapy, mobilityexercise, posturecorrection, strengthtraining, and movementrehabilitation are often combined alongside triggerpoint therapy for longer-term results.
If pressing on a muscle knot creates pain somewhere else in your body… you may be experiencing referred pain from an active triggerpoint.
Your body’s pain is not always coming from where you feel it. ⚡
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