Dry Needling in Rancho Bernardo, San Diego
Dry needling at Makari Wellness’s Rancho Bernardo office is
performed as acupuncture by Michael Woodworth, M.S., L.Ac. — trigger-point
and motor-point needling that targets myofascial pain and muscle
dysfunction. In California, dry needling is legally within a licensed
acupuncturist’s scope of practice; there’s no separate “dry needling
certification,” and physical therapists here cannot offer it. It’s
typically combined with ART manual therapy in the same visit.
Is dry needling different from acupuncture?
Not legally, and not in practice at this clinic. “Dry needling” is a name
for a specific technique — inserting a thin filiform needle into a trigger
point or motor point without injecting anything — that happens to be
performed by the same licensed acupuncturists, with the same needles, within
the same scope of practice as traditional acupuncture. At Makari it’s
integrated into one visit based on what the evaluation finds, alongside ART
(Active Release Techniques) and functional movement screening.
What is it used for?
- Rotator cuff injuries and shoulder pain
- IT band syndrome and runner’s knee
- Plantar fasciitis
- Low back and neck pain
- Recovery for runners, CrossFit athletes, and overhead athletes
How the needling technique is selected
Motor-point needling draws on Dr. Ma’s Neurologic Dry Needling (NDN) framework, which describes the technique working through three layers: peripheral effects at the needle site (circulation, local inflammatory signaling), central effects at the spinal cord (pain-gating), and the specific physiology of the peripheral nerve being treated. Technique varies by region and depth — the SMAC motor-point system names several distinct approaches, including shallow needling (zhi ci) and hairline needling (mao ci), selected based on the tissue and muscle being addressed.
Electro-acupuncture — a mild electrical current run between needle pairs — and guasha or instrument-assisted soft tissue release (scraping the skin and fascia with a smooth-edged tool) are also commonly combined into orthopedic treatment alongside the approaches above, when the case calls for it.
Frequently Asked Questions
Does dry needling hurt?
Most patients feel a brief muscle twitch or ache at the trigger point,
sometimes followed by mild soreness for a day or two — similar to a deep
massage. It’s a normal part of the local tissue response the technique is
meant to trigger.
How is dry needling different from a physical therapist’s dry
needling?
In California, physical therapists are not permitted to perform dry
needling — it falls within the acupuncture scope of practice. If you’ve had
dry needling from a PT in another state, the technique at Makari is
comparable, performed by a licensed acupuncturist instead.
How many sessions do I need?
It depends on how long the pain has been present and what’s driving it. Acute,
recent injuries typically respond faster than pain that’s been building for
months — the initial evaluation sets the plan.
Is the Rancho Bernardo office different from Oceanside?
Both Makari Wellness offices are run by Michael Woodworth and offer the same
full scope of services, including dry needling. Rancho Bernardo serves
inland North County and San Diego’s northeast communities; Oceanside serves
the coastal North County communities. Choose whichever is more convenient.
Can I combine dry needling with physical therapy?
Many patients do. Whether it fits alongside your current PT or orthopedic
care is worth discussing directly given your specific injury.
Key takeaways
- Dry needling is acupuncture under California law — no separate
certification, performed here by a licensed L.Ac. - It’s combined with ART manual therapy and movement screening, not used
as a standalone technique. - The Rancho Bernardo office serves inland North County and San Diego’s
northeast communities.
Read more about the full approach: Orthopedic
Acupuncture in Rancho Bernardo. Also serving the coast: Dry Needling in
Oceanside. Book a consultation