Frequently Asked Questions
Do you take insurance?
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At this time, my services are completely out of network and I do not participate with any insurance companies. Even if I did participate, most insurance companies classify the evidence to support dry needling as investigational and, therefore, do not cover trigger point dry needling.
How long are appointments?
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At this time, appointments are 45-60 minutes in length. These techniques require skill, precision and time to ensure its full efficacy. Therefore, treatment length can vary based on individual needs.
What should I wear to appointments?
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Wear comfortable clothes that you can move in and can easily be moved. For lower back or hip problems, shorts work best so I can see the muscles I am working on. For neck and shoulder issues, a tank top or sports bra is helpful. I have gowns available if needed.
Is all dry needling the same?
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No, and this is one of the biggest misunderstandings about dry needling. Many clientts I work with have had it done elsewhere without meaningful results, usually because the treatment was not specific enough or the clinician was not confident with the technique.
Effective dry needling isn’t simply about putting a needle in a muscle and moving it around. It’s about understanding why that tissue is not functioning optimally in the first place.
The source of the problem may not always be the muscle that feels tight, stiff or sore. I look at the entire movement system—including the involved muscle, its synergists, antagonists, and stabilizers—to understand how they are working together.
When I identify the appropriate tissue, I use specific techniques to target the involved trigger point. A local twitch response can help confirm that the targeted tissue has been reached providing valuable information during treatment.
Effective treatment isn't simply about knowing where to needle—it's also about knowing when and where needling is appropriate, when and where it isn't, and what your body needs afterward.
I teach this technique to other physical therapists through Myopain Seminars. If dry needling has not worked for you before, it is worth trying again with a more specific approach.
More FAQs
Does dry needling hurt and is it safe?
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Most people feel a quick, dull ache or a brief muscle twitch when the needle reaches the trigger point, rather than sharp pain. Some muscles are more sensitive than others, so I adjust the dosage to what your body can handle, especially for clients with increased sensitivity.
Dry needling is very safe when it is performed by a properly trained clinician. In Maryland, the physical therapists who perform it must complete extensive post-professional training, have at least two years of clinical experience, be registered with the Maryland Board of Physical Therapy Examiners, and obtain written consent before your first treatment. At Bittner Physio, I view these requirements as the foundation of safe practice, not the finish line.
Do you treat children or adolescents?
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The short answer is yes but this would be on a case by case basis.
How do I schedule an appointment?
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The easiest way to get started is to call or text the clinic at (240)284-6171, or email bittnerphysio@gmail.com if you prefer
Where are you located?
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Currently, I am practicing at:
14315 National highway SW, La Vale, MD, United States, 21502