Dry needling is a cost effective and efficient technique for the treatment of myofascial pain and dysfunction. The approach is based on Western anatomical and neurophysiological principles. Not to be confused with the Traditional Chinese Medicine (TCM) technique of acupuncture (Travell & Simons 1999) Physicians Dr. Travell and Simons in the 1940’s defined a myofascial trigger point as a “Hyperirritable spot in a skeletal muscle.” The spot is painful on compression and can give rise to characteristic referred pain, referred tenderness, motor dysfunction and autonomic phenomena. Myofascial trigger points (MTrPs) are commonly seen in both acute and chronic pain conditions. Myofascial trigger points are the most commonly missed diagnosed in chronic pain patients. Dry needling is now used by many therapists: Physical therapists, Chiropractors, Osteopaths, Gps. It is a very effective therapy and will often be used in conjunction with other therapy.