Trigger Point Dry Needling
A more active technique using controlled needle movement (pistoning). After assessing you, the provider may address one or several areas of muscle tension or trigger points. The areas treated depend on your evaluation.
Step 1 · Needling Evaluation · Ashburn, VA
Needling starts with an evaluation.
You do not need to decide which type of needling you need. Book a 40-minute Needling Evaluation first. Your provider assesses your symptoms, muscle tension, movement, and health history, then recommends whether needling is appropriate and which approach fits your needs. Follow-up sessions come only after this evaluation and your provider’s recommendation.
FormatNeedling Evaluation: 40 min · $125
Designed ForClients seeking a provider’s assessment before needling treatment
First StepBook Needling Evaluation—not a follow-up or a technique
One first step. No technique to choose.
Book the evaluation. Your provider decides the rest.
Step 1 / First visit
Book Needling Evaluation Needling Evaluation
Start here if you have not completed your initial needling evaluation. Your provider reviews your symptoms, muscle tension, movement, and health history, then determines whether needling is appropriate and which technique fits your needs.
40 minutes · $125Step 2 / Provider recommendation
You do not need to pick a type of needling.
These are techniques your provider may recommend—not two options you need to choose between when booking your first visit. Treatment during the evaluation is included only when appropriate.
Dry Needling
A more static, passive technique: thin needles are placed in selected areas and left in place for part of the visit. Electrical stimulation (e-stim) may be added when appropriate; it is not automatic.
Step 3 / Follow your provider’s plan
Follow-ups come after your evaluation.
Book only the follow-up service your provider recommends. If Trigger Point Dry Needling is recommended, continuing visits are 30 minutes · $85. If another approach is recommended, your provider will tell you which service to book.
I have completed my evaluation and was advised to book a Trigger Point follow-up
This action is only for clients who have completed their initial needling evaluation and whose provider recommended continued Trigger Point Dry Needling. It is not a first-visit booking.
Trigger Point Dry Needling in Ashburn
A clear service. A purposeful place in your plan.
The Needling Evaluation is the first appointment on this pathway—not a request for a particular technique. Your provider evaluates muscle tension, symptoms, relevant history, and movement restrictions, discusses suitability and consent, and recommends the treatment approach. Treatment may be included during this 40-minute visit when appropriate; it is not guaranteed.
If Trigger Point Dry Needling is recommended, the provider may treat one or several assessed areas using controlled pistoning, a more active needle-movement technique. If standard Dry Needling is recommended, needles are left in place for part of the visit, with optional e-stim when appropriate. Your provider chooses the technique and areas treated; the number of sites and a specific muscle response cannot be promised.
Is This the Right Fit?
What to discuss at your evaluation.
Describe where you feel muscle tension or discomfort and how it affects your movement.
Share relevant health history, activity demands, and previous care with your provider.
Let your provider determine whether needling fits your needs and explain the recommended next step.
What Defines the Service
Your provider guides the approach.
Every service has a distinct purpose. The exact session still responds to your assessment, goals, history, and current capacity.
Needling Evaluation
A 40-minute first visit to assess symptoms, movement, health history, suitability, and consent.
Provider-Selected Technique
Your provider—not the booking menu—determines whether active trigger-point work, more passive needling, or another approach is appropriate.
Treatment When Appropriate
The provider may treat assessed areas during the first visit if indicated. No particular technique, site count, or result is guaranteed.
Clear Follow-Up Instructions
Your provider explains which service to book next. Trigger Point follow-ups are 30 minutes, $85, and require the completed evaluation.
How It Works
Evaluation first. Provider-guided care next.
Book Needling Evaluation
Start with the 40-minute, $125 first visit. Do not book a follow-up as your first appointment.
Your Provider Assesses
Discuss symptoms and history and review muscle tension and movement before any treatment decision.
Your Provider Recommends
The provider chooses the technique, if any, and may treat when appropriate with your consent.
Follow the Recommended Plan
Only after that visit and a provider recommendation may you book the advised follow-up service.
Common Questions
No need to choose a technique.
Still unsure? Text or call 703-944-2626. The Elite Wellness team responds quickly and can help identify the correct starting point.
What should I book for my first needling visit?
Book Needling Evaluation: 40 minutes, $125. You do not need to choose a technique before this visit. Your provider assesses your needs and recommends the approach. Treatment may be included when appropriate. Only after that visit and a provider recommendation may you book a Trigger Point Follow-Up: 30 minutes, $85.
Do I choose Trigger Point Dry Needling or Dry Needling?
No. Your provider decides which technique, if any, fits your needs after the evaluation. Trigger Point Dry Needling involves active, controlled needle movement and may address one or several assessed areas. Standard Dry Needling is more static and passive, with needles left in place for part of the visit. Electrical stimulation may be added when appropriate; it is not automatic.
Can I book a follow-up before completing the evaluation?
No. Follow-up visits are for clients who have completed their initial needling evaluation and received a provider recommendation. Book only the service your provider advises; do not choose a follow-up based on price or technique preference.
Will the needle be moved during the session?
When your provider finds this approach appropriate, a thin, sterile needle is moved using a controlled pistoning technique at a selected trigger point. A muscle twitch or specific result is not guaranteed.
Is this the same as an injection?
No medication is injected. The session uses thin, sterile, solid needles; it is not a trigger-point injection.
Elite Wellness · Ashburn, Virginia
Not sure whether needling is the right starting point?
Start with the broader Rehab Evaluation if you are unsure, have a new injury, or need post-surgical care. A licensed provider will assess your needs and guide your clinical plan. The focused Needling Evaluation does not replace a broader injury or post-surgical evaluation.