On pins and needles: Just what is dry needling? You may have heard of a treatment called dry needling and wondered what exactly it is or if it’s something that may be right for you. While the name of the procedure may sound intimidating, dry needling is safe, minimally discomforting and often an effective technique for patients with certain musculoskeletal presentations. Dry needling is a treatment performed by skilled, trained physical therapists, certified in the procedure.